Reconciliation bill posted; Update: Shell bill

posted at 8:48 am on March 15, 2010 by Ed Morrissey

And it’s 2,309 pages long.  The House Budget Committee has to start its markup today to have any shot at getting it done by the weekend, which means that this version may change over the next few days:

House Democrats hope to complete their work by this weekend, before President Barack Obama begins an overseas trip he delayed for several days to focus on healthcare.

The package released by the committee runs 2,309-pages.

House Democrats have promised the bill would be posted online well before the eventual vote on the package.

The markup by the Budget Committee is the first step toward bringing the measure to the House floor.

The big question will be what the bill contains that makes it ineligible for reconciliation, if anything.  Any part not directly germane to budgeting should, according to the rules, have to go through normal Senate debate.  Republicans will want to find as many of these as possible to get the parliamentarian to rule against the reconciliation process.

On page 2099, the nationalization of the student-loan industry appears in the bill, as promised.  It’s difficult to tell whether that will create more problems for reconciliation by alienating Democrats worried about passing two government takeovers at once, or whether it’s a sweetener to convince some recalcitrant Democrats along who may have otherwise opposed the House changes to the Senate bill.  We’ll have to see how that plays this week, but the Democrats will have to deal with the sudden high visibility of the student-loan takeover, which has most flown under the radar thanks to the ObamaCare debate.

We need an “Army of Davids”, as Glenn Reynolds once wrote, to go through the bill and find the worst aspects of it.  Drop me an e-mail with the pertinent citations, and I’ll post them either in updates to this entry or in new posts later.

Update: Page 1557 has the Comparative Effectiveness Center:

(1) IN GENERAL.—The Secretary shall establish within the Agency for Healthcare Research and Quality a Center for Comparative Effectiveness Research (in this section referred to as the ‘Center’) to conduct, support, and synthesize research (including research conducted or supported under section 1013 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003) with respect to the outcomes, effectiveness, and appropriateness of health care services and procedures in order to identify the manner in which diseases, disorders, and other health conditions can most effectively and appropriately be prevented, diagnosed, treated, and managed clinically.

Read the whole section, but pay attention to the composition of the panel, especially the last discipline:

(i) DIVERSE REPRESENTATION OF PERSPECTIVES.—The members of the Commission shall represent a broad range of perspectives and shall collectively have experience in the following areas:

(I) Epidemiology.
(II) Health services research.
(III) Bioethics.
(IV) Decision sciences.
(V) Health disparities.
(VI) Economics.

What is “comparative effectiveness”?  It’s a system of rationing scarce resources, and it has everything to do with economics.

Update II: According to Heritage and Philip Klein, this is a shell bill, not the actual proposed reconciliation bill.  It’s a copy of the version from last autumn.  Later this week, the House will gut this version and replace it with their new ObamaCare fixes.  However, the student loan nationalization will remain in the bill, so it’s not entirely old hat.


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Barry is gonna rename the USA to ObamaNation!

Don’t ask what Obama can do for you (cuz he promises all). Ask what you can do for Obama.

MrX on March 15, 2010 at 4:31 PM

I think tneloms is a “health care troll” … just like oakland is the resident “climate change troll”. In fact, the styles are eerily similar.

darwin on March 15, 2010 at 3:59 PM

does that mean there will be graphs?

batterup on March 15, 2010 at 4:32 PM

The American people will never knowingly adopt socialism. But, under the name of ‘liberalism,’ they will adopt every fragment of the socialist program, until one day America will be a socialist nation, without knowing how it happened. -Norman Thomas, U.S. Socialist Party presidential candidate 1940, 1944 and 1948

Cybergeezer on March 15, 2010 at 4:41 PM

Haven’t seen any posts from “tneloms” since 3:39 this afternoon:
Maybe we forced them to The Heritage Foundation web site?

Cybergeezer on March 15, 2010 at 4:47 PM

Doctors who accept patients under Obamacare CANNOT accept direct payment (by law – if any version of Obamacare passes).

landlines on March 15, 2010 at 4:15 PM

This is what we were talking about earlier. Is this actually included in the legislation?

tneloms on March 15, 2010 at 4:52 PM

Nice shell game you have going!
If you were really interested in EDUCATING YOURSELF, you’d be at The Heritage Foundation web site where they have tomes of research on this legislation.

Cybergeezer on March 15, 2010 at 3:48 PM

Well, I had already read the research at The Heritage Foundation, but I also talked about one of their articles on the deficit above after I reread it today. I was talking with darwin and lorien about it. I am in fact interested in educating myself, and what I read is mostly from conservatives, not liberals.

tneloms on March 15, 2010 at 4:54 PM

I gave tneloms a hertitage link explaining all this crap and was ignored. He/she is apparently enamored with the idea of the government taking over health care in the biggest theft of money and liberty since FDR.

This is progressive Marxism at work … nothing less, nothing more.

darwin on March 15, 2010 at 3:56 PM

You were ignored? That’s not true at all. I responded several times to that, noting that I had reread the article, looked at some follow-up calculations, and was asking about what the deficit projections were for the 2nd decade.

tneloms on March 15, 2010 at 4:56 PM

Haven’t seen any posts from “tneloms” since 3:39 this afternoon:
Maybe we forced them to The Heritage Foundation web site?
Cybergeezer on March 15, 2010 at 4:47 PM

She disappears whenever it’s get too tough for her – like when some asks a question shew can’t answer.

The Far-left National Socialist moonbats must getting really desperate to past that turd of a bill what with on here all day flailing about.

Chip on March 15, 2010 at 5:08 PM

You were ignored? That’s not true at all. I responded several times to that, noting that I had reread the article, looked at some follow-up calculations, and was asking about what the deficit projections were for the 2nd decade.

tneloms on March 15, 2010 at 4:56 PM

I didn’t see any replies. No matter. You seem fixated on cost … and no one, except Paul Krugman thinks adding 30,000,000 people to the rolls can possibly reduce the deficit.

Costs will explode and we’ll see here exactly the same scenario that’s happening in the UK. Rationing, denial of treatment, horrible hospital care, premature deaths … all thanks to the government doing what it shouldn’t do.

The best health care in the world will be destroyed.

darwin on March 15, 2010 at 5:11 PM

tneloms on March 15, 2010 at 4:56 PM

I didn’t see any replies. No matter. You seem fixated on cost … and no one, except Paul Krugman thinks adding 30,000,000 people to the rolls can possibly reduce the deficit.
Costs will explode and we’ll see here exactly the same scenario that’s happening in the UK. Rationing, denial of treatment, horrible hospital care, premature deaths … all thanks to the government doing what it shouldn’t do.
The best health care in the world will be destroyed.
darwin on March 15, 2010 at 5:11 PM

She has to know that by now, but like the rest of the Far-left National Socialist moonbats, she doesn’t care.

Chip on March 15, 2010 at 5:18 PM

tneloms on March 15, 2010 at 4:56 PM

Did you see this:

U.S., U.K. Move Closer to Losing Rating, Moody’s Says
http://www.bloomberg.com/apps/news?pid=20601068&sid=a0a8xAghPS8I

But you don’t care, do you?

Chip on March 15, 2010 at 5:28 PM

tneloms

Has to be a professional blogger;
Axelrod, Emmanuel, Plouffe, Arianna; Is that you?

Cybergeezer on March 15, 2010 at 5:43 PM

I’d have to read 774 pages/day to hit my usual 3-5 day mark. Too bad I don’t want to risk it by reading online b/c it would cause a seizure due to photosensitivity.

I wonder how much it’d cost at Kinko’s to have this monster printed in 3-hole paper reams and put it in 3″ binders. Ea. ream of paper has 500 pages, 3-hole paper ream costs more but it’s a heck of a lot easier with crap like this.

That sucker eats almost 5 reams of paper + 3″ binders + highlighters of sweeties like this + several packets of 5-tab dividers = a small fortune, when you add the cost of printing that offline.

ProudPalinFan on March 15, 2010 at 5:49 PM

tneloms

Has to be a professional blogger;
Axelrod, Emmanuel, Plouffe, Arianna; Is that you?
Cybergeezer on March 15, 2010 at 5:43 PM

The past couple of days they been silent, keeping their powder dry – the fact that she was here all day spewing her Far-left National Socialist moonbat propaganda means they are really trying to push that monstrosity.

Chip on March 15, 2010 at 5:53 PM

I signed up at Organizing for America (Barack’s flagship website) and for the past 6 days I’ve been getting emails telling me what I can do to help get healthcare approved. Quick, small steps. Here’s what I got today. Just click to put together a letter for Paul Kanjorski. My question is, why isn’t the GOP this organized and streamlined? I never get anything from them except solicitations for my money.

Friend –

Great news: This weekend’s events were a huge success. OFA volunteers all over the country helped tens of thousands of voters in key districts speak out for reform.

Phones have been ringing off the hook in Capitol Hill offices for days, but with everything on the line and so little time left, we have to bring our voice to Congress through every possible channel.

So today, OFA supporters are taking the next step in the Final March for Reform: Writing to Congress. Using our online tool, it just takes a few minutes to write and send your own letter directly to Rep. Paul Kanjorski.
Right now, Congress is under attack from insurance lobbyists who are trying to drown us out, so we’ve set a goal of 50 letters from Wilkes Barre to make sure our message breaks through.

Can you help? Get started here.

SouperConservative on March 15, 2010 at 8:08 PM

tneloms
Has to be a professional blogger;
Axelrod, Emmanuel, Plouffe, Arianna; Is that you?

Cybergeezer on March 15, 2010 at 5:43 PM
————————————————-
Yeah – no kidding! Just one talking point after another based on straw men arguments – it must be on of the aforementioned.

Hey tneloms – lemmee get this straight. We should all really want this bag of crap thrust upon us – we are just too stupid to understand how great the utopia will be? Unfortunatly – you really DON’T have history on your side for that argument, now do you? Its never worked anywhere and it won’t work here. Bottom line – this WILL (And you know it) lead to all the things that you are saying that we are just irrational to believe.

REMINDER – less than 80 years ago the Federal Government knowingly gave syphillis to black men in rural Alabama just to see what it would do. The Government was run by Democrats and this was one of thier medical studies (For the good of the people, I am sure).

Why on earth should anyone be worried, paranoid, suspicious, or just plain aginst the government (Led by the Democrats and their adminstrative machine) having any role in their medical well being?

Admit it tneloms – This is a power grab by your boys that goes way beyond the constitution. What’s in this for you and your troll friends? Is the komissar going to make sure you and yours gets the party treatment from the union hacks when they are given the hospitals like they were given the car companies?

People – this is beyond the constitution. Soon there won’t be money for a military and that is expressly called for in the constitution. Hows that for a constitutional crisis?

tneloms – one last question – if GW Bush had tried this, say for Social Security reform, (I seem to remember that came up in the not so distant past) would you be cheering that on? Especially if “W” didn’t have the votes for debate in either house anymore so a trick had to be played to get it through. Yeah – I am so sure that you would be all for it, right?

This is illegitimate and honestly, treason. They steal liberty, wholesale, with this bill. It is treason. Plain and simple.

Sic Semper Tyrannus.

blaque jacques on March 15, 2010 at 8:09 PM

Giving blacks syphillis pales in comparison to the treatment of the American Indian by the federal government. They too were infected with diseases in order to steal their lands. Check out the health care on Indian Reservations and V.A. hospitals.Obama’s Communist health plan will essentially put us all on a reservation dependent on the feds for everything.

Marco on March 15, 2010 at 8:33 PM

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