Health Care: The Talking Points

If the House does succeed in passing this health care bill, that’s a big step. But it is just the beginning of the battle for many members.

The next thing the Democrats will have to do is convince a very divided and skeptical public that they did the right thing. We were reminded of how difficult that can be by Marjorie Margolies, who reflected here in Swampland last week on the difficult vote that she cast for the Clinton economic plan in 1993–a vote that ended her political career. “I was really good at the four-minute explanation when I went back back to the district,” she said. “But it’s the Frank Luntz 30 seconds that kills you.”

With that in mind, the Democratic Congressional Campaign Committee has already begun to prepare its most vulnerable incumbents for what may lie ahead. As Politico first reported, the DCCC has sent out a memo with suggested talking points. A copy of that memo was sent to freshman and sophomore members’ district directors, along with an accompanying Power Point that was put together by the White House. Here is the memo:

Hi all –

Attached and below are some good resources to get through the health care push next week.

Here is my best guess on timeline but as always this is Congress so it could all change very quickly:

TODAY or MONDAY: CBO will publish final scores on legislative language

THEN: House Budget Committee must approve using the reconciliation process to pass this

THEN: The bill will go to the Rules Committee, rule will be constructed for consideration on the floor, and language will be posted online (on the Rules website) and the 72-hour clock will start. When this happens, we will start to have a better idea on what the process will be.

THEN: A Manager’s Amendment will be constructed that will make some final changes

THEN: The Manager’s Amendment will be posted online and the 72-hour clock will start (this may overlap with the 72-hour clock on the reconciliation language). When Manager’s Amendment is done final process decisions will be locked in.

THIS MEANS: We will likely vote Friday or Saturday. (As you probably saw, POTUS pushed back the departure for his Asian trip from Thursday the 18th to Sunday the 21st; this was not a coincidence.) The Speaker has publically committed to trying to get a vote on both the reconciliation bill and the Senate bill on the same day. They are still trying to work out the final process on this and much of what we do depends on what the Senate Parliamentarian decides. You may be receiving calls about the “Slaughter Rule” and other rumors about what the process will be. Again, please understand: no decision has yet been made on the process for consideration on the House floor.

Key points:

1. I would have your Member’s schedule pretty clear for next weekend. They will either be here or exhausted (or both).

2. I would continue to encourage all of you not to get into debates about process and to try and persuade your Member not to get into process arguments either. At this point, we have to just rip the band-aid off and have a vote — up or down; yes or no? Things like reconciliation and what the rules committee does is INSIDE BASEBALL. People who try and start arguments about process on this are almost always against the actual policy substance too, often times for purely political reasons.

3. Finally, I encourage you to study the final attached slide (#14) and give some thought to what your plan is post-vote, especially during Easter Work Period. If your Member is a yes, or might be a yes, I would lay the groundwork for some events to highlight the reforms that will quickly become law – no more donut hole, dependent children covered until 26, insurance access for those with pre-existing conditions, etc.

UPDATE: This is slide #14:

Related Topics: frank luntz, health care bill, House, marjorie margolies, messaging, mid-term elections, sound bites, talking points, vulnerable incumbents, Health Care
  • Latest on Swampland

    Kevork Djansezian / Getty Images

    Mired in the Sticky Politics of Health and Faith, Obama Shifts on Contraception

    In the face of mounting pressure from Catholic leaders and politicians, the White House on Friday tweaked its position on contraception coverage mandates in the Affordable Care Act. Rather than require large religious institutions like Catholic colleges and hospitals to provide employees with free health insurance coverage for contraception, insurance companies themselves will have to pick up the tab.

    Romney: 'I Misspoke'HuffPost Politics

    Ben Garvin / For the Washington Post / Getty Images

    The Beginning of the End for No Child Left Behind

    President Obama granted 10 states relief from the strictest requirements of No Child Left Behind on Thursday, in a move he said combines “greater freedom with greater responsibility.” That freedom is provided in the form of a waiver that releases the states from having to meet targets education officials have long complained are too rigid and impossible to meet, including one key provision that required all students at public schools to be proficient in math and reading by 2014.

  • newfreedomblog

    4. And, for God’s sake do not mention that they will be paying taxes for 10 years, but not see any of the benefits for at least 4 or 5 years from now. If that gets out and people understand what we are doing this bill is DOA.

  • carotexas1

    Does this mean that reporters are not getting any leaks from sources that cannot be named to what the actual process will be, or is it that it cannot be told right now?
    Thank you Karen this was interesting.

  • FlownOver

    That’s a lie. There are prohibitions on health insurance company abuses that will take effect immediately.

  • http://twitter.com/ktumulty Karen Tumulty

    Per my post yesterday, I think they are still figuring out parts of it.

  • kevin

    Right, they shouldn’t mention that, and they shouldn’t mention the army of zombie yetis who will come to life as a result of the bill — because neither one is true.

  • newfreedomblog

    From CMS at FreeRepublic.com:

    • Page 16: States that if you have insurance at the time of the bill becoming law and change, you will be required to take a similar plan. If that is not available, you will be required to take the government option!
    • Page 22: Mandates audits of all employers that self-insure!
    • Page 29: Admission: your health care will be rationed!
    • Page 30: A government committee will decide what treatments and benefits you get (and, unlike an insurer, there will be no appeals process)
    • Page 42: The “Health Choices Commissioner” will decide health benefits for you. You will have no choice. None.
    • Page 50: All non-US citizens, illegal or not, will be provided with free healthcare services.
    • Page 58: Every person will be issued a National ID Healthcard.
    • Page 59: The federal government will have direct, real-time access to all individual bank accounts for electronic funds transfer.
    • Page 65: Taxpayers will subsidize all union retiree and community organizer health plans (example: SEIU, UAW and ACORN)
    • Page 72: All private healthcare plans must conform to government rules to participate in a Healthcare Exchange.
    • Page 84: All private healthcare plans must participate in the Healthcare Exchange (i.e., total government control of private plans)
    • Page 91: Government mandates linguistic infrastructure for services; translation: illegal aliens
    • Page 95: The Government will pay ACORN and Americorps to sign up individuals for Government-run Health Care plan.
    • Page 102: Those eligible for Medicaid will be automatically enrolled: you have no choice in the matter.
    • Page 124: No company can sue the government for price-fixing. No “judicial review” is permitted against the government monopoly. Put simply, private insurers will be crushed.
    • Page 127: The AMA sold doctors out: the government will set wages.
    • Page 145: An employer MUST auto-enroll employees into the government-run public plan. No alternatives.

  • apr2563

    Karen, why must reporters use Politico as a source? What is their record of accuracy? The article you linked may be valid, but I remain skeptical of Politico. Too often they throw out “breaking news” from anonymous sources that are wrong. If you throw enough cr*p out, some will stick. They have my level of trust about as much as Drudge and Mark Halprin,
    /
    The Dems may be worried. But, you bet the press will exaggerate the concern and danger of the bill passing to keep the process drama going. Boy, look at all the tea party coverage they can share with us.

  • carotexas1

    Thank you karen, I would have thought that they would have known by now what they would do.

  • FlownOver

    From BFD at NutBar.net:

    • Page one zillion: The federal government will force-feed chihuahuas to undocumented Zimbabwean immigrants at taxpayer expense.
    • Page ÅΩ: God will waterboard anyone who accepts socialist benefits under this bill.
    • Page √∞: The Republicans will be prosecuted if they try to reanimate the corpse of Ronald Reagan (again).
    • Page ☂☃: Fire and brimstone will rain down on the second-born of all those over seven feet tall.
    • Page ΦΘ: They’re coming to take you away, ha ha.

    Lincoln was right – you can fool some of the people all of the time. It’s how the right wing survives.

  • stuartzechman

    I agree, Politico is one of the most compromised, least credible, most agenda-burdened (their own agenda, not a political agenda like Fox News’) sources out there.

  • jcapan

    Apr, shouldn’t that have read: “They have my level of trust about as much as Dahmer and Charles Manson”?
    .
    Digby closed a post today with:
    .
    “I recently watched Hotel Rwanda again. And I got the uneasiest feeling”
    .
    Liberals know they’re under threat, but I often wonder if our MSM understands that if such days come to pass that they’ll be targeted too. See Rustyblog’s absurd list of “liberal” media figures. Better yet, go to KT’s alma mater, UT:
    .
    http://studentorgs.utexas.edu/yct/images/YCT_Watch_List_Spring2004.pdf
    .
    Coddling demagogue neo-fascists isn’t enough to make them love you or, someday, protect you.
    .
    http://digbysblog.blogspot.com/2010/03/it-matters.html
    .
    Sadly, nothing enables rightism in America like the epic-fail faux liberalism of our DLC b!tches over the last 20 odd years.

  • lcky9

    One thing I have found out reading all the political news from both sides is the LEFT seldom or ever bothers to admit they are wrong..
    Here are some real talking points..
    Durbin himself said that INSURANCE WOULD in fact go up..and taxes also.
    Now it is another fact that you (well those that work) will pay in long before you get benefits..
    While all those on the left keep saying how GREAT SS and Medicare is and that is why people don’t want it cut it is UNTRUE.. they don’t want it cut because they have been paying into it for YEARS and want their money back.. both of these are PRE-PAID by those that work.. why would they just want to give it to the government?
    I am sorry but I don’t even KNOW of a Democrat who is for this plan and the only ones I hear about pushing it are SEIU who has a boatload of illegals in their unions and a few Politicians.. Have to say after being a Democrats for 30 years (until 2006) all my family and friends are Democrats and they are against this bill and they watch MSM.. OK about 2 months ago they quit cause even they couldn’t defend the bad math coming down the tubes, the mandates, the intrusion into their tax returns.. there are NO talking points the Democrats can use to even bring these people back to their side.. I actually read the house bill and know where they are going with this.. In November is going to be a blood bath for the democrats who will NOT see a majority for a very long time.. it’s a shame one mans ego is causing all this..

  • deconstructiva

    OT, but KT, if you’re checking back here, kudos to you and Kate for “The Call”. It was good. I gave props at Adam’s post also, but as I told him, it’s too bad CNBC took that name for Larry Kudlow’s late morning TV show.

  • apr2563

    Probably OT but, this is what drives me crazy about the traditional media.
    /
    From Mediabistro:

    Candy Crowley: “No Burning Desire” to Do Opinion Journalism
    By Alissa Krinsky on Mar 13, 2010 12:02 PM
    /
    More than one month after succeeding John King as anchor of CNN’s State of the Union, Candy Crowley talks with New York magazine. Excerpts:
    /
    • On minor changes to the show since beginning her tenure: “For instance…last week we got a smaller table. And it made for a more intimate discussion, which I liked. I have topics that I’ve written out that I think would be nice to cover, but I don’t have specific questions, because I like to listen to the answers and just see where it’s going.”
    /
    • On whether she’d ever feel comfortable expressing her opinions on-air: “Not really. But I will also tell you, I have no burning desire to do it. No journalist is a blank slate. We’re all products of how we grew up, all that kind of stuff. I can honestly tell you that the more I cover policy, the grayer I’ve become in what I believe.”
    /
    My reaction:
    She doesn’t have any specific questions? She just listens to the answers? To what, her unspecific questions? She lets the interviewee lead the interview? Well, with Crowley I am not surprised. She is always doing the false equivalency.
    Nice to know she has gray beliefs.

  • apr2563

    icky: You said you were a Democrat until 2006. What caused you to leave your affiliation? What is your political affiation now? I am genuinely interested.

  • redraven937

    While all those on the left keep saying how GREAT SS and Medicare is and that is why people don’t want it cut it is UNTRUE.. they don’t want it cut because they have been paying into it for YEARS and want their money back.. both of these are PRE-PAID by those that work.. why would they just want to give it to the government?

    Umm… what?
    .
    If Medicare gave terrible service, it would not matter how much money you prepaid into the system – it would still be terrible service and you would not rely on it. If you want a litmus test, go ask your grandparents whether they would prefer having all the money they prepaid into the system refunded to them, and then thrown into the private market. Indeed, the privatization of Medicare has been a Republican talking point for quite some time.

  • apr2563

    I became really concerned when the traditional media jumped all over Obama and crew for criticizing Fox. I heard no one stating how Fox is a propoganda tool. They defended their reporters as separate from their opinion people. It was evident they never watch Fox.
    It is scary they think Beck is amusing. He is a dangerous demigogue but they don’t seem able to address his negative influence.
    By the way, how I would love to see someone like Digby on the opinion shows. She is great.

  • apr2563

    By the way, I saw Lanny Davis being interviewed the other day. Between him and Harold Ford, I don’t know who makes my skin crawl worse. The traditional media will never give up on the DLCers. They confirm what they want to hear.

  • deconstructiva

    apr, my immediate thought (no links, I just thought of this) is that being an interviewer (and interviewee) and being a journalist are two completely different things. Being a journalist and being a stenographer are also two different things, but I digress. Asking q’s to get opinions and facts for a story is one task, but doing that on the air as a real-time experience is different.
    .
    Tom Snyder is still one of my fave interviewers. He listened to his subjects closely, could flip topics at once, and knew how to get surprising info. out of them …and yes, he had a helluva solid journalism background. Rita Cosby …not as good. I’ll bet lovely KT will grow into an excellent TV interviewer if given a chance.

  • apr2563

    Red: You are so right. I am a grandma (actually a great grandma). Don’t touch my Medicare. For one thing at my age and health condition, I would never be able to find health insurance. Icky stay away.

  • gingerpye

    FlownOver for the win!

  • http://twitter.com/ktumulty Karen Tumulty

    politico was not my source of this memo. i got it from the dccc. however, the politico story tipped me off that such a memo existed, which is why i asked for it. if i had not read politico, i would not have known about the memo.

  • lcky9

    apr2563
    icky: You said you were a Democrat until 2006. What caused you to leave your affiliation? What is your political affiation now? I am genuinely interested.

    **********************************************************
    I was born and raised in Chicago where my family for over 100 years lived they were all Democrats.. They told me how the Democrats were for the working people..Republicans I was told were for the rich. I have to say that I was lied to.. since then not just myself but my family has realized they are not, what they are for is for taxing those who work and using the seniors, handicapped and school kids as bait and guilt to do so.. In Chicago and IL we have had a Democratic majority for to long and we’ve gone down hill..even Lifetime Democrats are fed up.. I now vote for the person who represents me and my values.. be they Democrat or whatever and feel really good about voting now.. don’t feel I have to support someone who I really don’t beleive in or feel is right.. It is hard since one thing I do hate is a liar and ALL Politicians seem to be liars..

  • apr2563
  • apr2563

    Thanks for the response Karen.

  • apr2563

    Icky, thanks for sharing your transformation. I just find it hard to understand the switch in 2006 when the Reps led us into 2 unfunded wars, a tax reduction for the wealthiest of Americans, the undermining of our privacy rights, condoned torture, and assisted in the destruction of our economy. I grant you that too many Dems cooperated in the final corporate take over of our country. But supporting Reps is hard to fathom.
    I will continue to be a Dem and push for more Progressive candidates. I see no welcome in the Rep party.

  • sechandler912

    lcky9 – there are many more out there like you, which the left seem to be clueless about. I was never political until fall 2008, when the Congress and the President shocked me out of my chair and on the phone and then to Beck (couldn’t trust the MSM-they were in the tank). Beck is an alcoholic, but I’m telling you, he encourages us to read, study historical sources, think, trust my gut. All my neighbors, the guy at the gas station, just about everyone I meet says, “they suck in DC.” We all know it, and we’re sick of it. I’m a libertarian now, although a registered Repub. Not for big business, but for freedom and a repentant government, business community and people. We’re all too fat and happy/unhappy (anti-dep up up up), and we’re losing our souls. Supporting this bill will not redeem our souls, folks, it’ll bring us to our knees in an unpleasant way but if it’s the only way to do it, then that’ll be the upside if this piece of crap legislation passes. How can anyone support this?

  • sechandler912

    Seriously, those that claim to support this 2700 pages piece of legislation, if you get really quiet inside, and don’t rationalize and justify, do you feel peace inside and say “this is a good idea?” JW…

  • tjoyce994

    “Seriously, those that claim to support this 2700 pages piece of legislation, if you get really quiet inside, and don’t rationalize and justify, do you feel peace inside and say “this is a good idea?”
    .
    yes

  • sechandler912

    tjoyce994 – all I can say is “fascinating…” SInce I believe in truth wherever I find it, I will try to wrap my head and my spirit around that answer.

  • lupercal5

    i think the media defends foxnews because they’re afraid they’ll blast them away as not fair and balanced. and if everyone watched the news, the 3-5 millions viewers fox has wouldn’t even make a ripple. but only a dedicated amount of people does. and even less of cable news. so whenever they can say yeah, foxnews is wrong, we actually covered the tea party convention, they do it with ferocity. back when i used to watch cable, cnn would spend the whole day trumpeting that fact throughout all of their anchors. it’s their financial bottom-line.
    .
    used to bother me. but i stopped caring and stopped watching the ‘news’. the only news i get is online.

  • apr2563

    luper: I agree that Fox only reaches a niche audience of 3 or 4 million. Their paranoid world does not seem to expand much. However, I do think people like Beck are dangerous and the press needs to hold Fox accountable for their words. It would mean they would have to stand up to the Murdoch empire and the faux “fair and balanced” meme. Heck, Franken did it and he was elected a Senator.

  • kbanginmotown

    Karen: I have the utmost respect for your work here at Swampland. However, I believe that in transmitting Marjorie Margolies’ story (in which she cast a “yea” vote for HCR in 1993, which cost her her House seat in 1994), you’ve left out 3 important facets, upon which we can only speculate:
    .
    1) Had HCR *passed* in 1993, would Marjorie Margolies lost her seat in 1994, despite her “yea” vote?, and
    .
    2) Had Marjorie Margolies voted “nay” in 1993, would she have lost her seat in 1994 after HCR’s failure?, and
    .
    3) Had Marjorie Margolies voted “nay” in 1993, would she have retained her seat in 1994 had HCR passed?
    .
    IMHO, “the Frank Luntz 30 seconds…kills you.” if you’ve:
    (a) voted *for* a losing effort, or
    (b) voted *against* a winning effort.
    .
    It’s time for the Marjorie Margolies’s of the House and Senate to “pull up their big-girl underpants” (to coin a phrase) and vote *for* a *winning* bill which will help the American People and ensure a continued Dem majority in the fall of 2010.

  • shoptrade27

    ladies and gentlemen,

    in order to thanks for our company ( http://www.shoptrade.us/ )new and order costomers,my boss make a determind that you can get a best discount and a free gift if you shall buy something from our company this month. i hope you may buy something early from our company ( http://www.shoptrade.us/ ). so stay tuned!!!
    im looking forward to your early place an order. ( http://www.shoptrade.us/ )

    Following are some of the famous brands that we can supply:

    1. Footwear: all brand name sport shoes, children shoes, EVA clogs, beach slipper, climbing shoes, canvas shoes, Kid shoes, etc.

    2. Apparel: all brands Tag T-shirts, shirts, coat, jacket, hoody, Jeans, shorts, Children Clothing, Baby Clothing, underwear, etc.

    3. Accessories: All brands Handbags, Wallets, Purse, Sunglasses, Watches, Caps, BIKINI, Hair straightener, etc.

    http://www.shoptrade.us/

    We sincerely find serious partners and establish a long-term business relationship. Please email us freely at any time and we are on the service for you, if you are interested in our products, please contact us !

    http://www.shoptrade.us/

    finaly,i wish you happy every day and lucky forever.

  • frednyourface

    So, I expect no matter how useless the bill ends up our ‘representatives’ are going to pass it anyway. Last time I bothered to contact my ‘reps’ they politely informed me that regardless of the desires of their constituents, they were going to vote as they pleased. Since the only time in my 37 years of life I carried health insurance it actually cost me to have dental work done when if I hadn’t carried medical insurance the dental insurance would have paid for my extraction, I personally refuse to pay private insurance companies for coverage. I have never had Medicare (Medicaid? or whatever they call it now) and haven’t been able to afford even a Kwikimedic walk-in facility since the asking price went from the $75 I paid in 1997 for a strep test to $175 plus test fees plus prescription in 2003. I had to survive the sickness without antibiotics because the cost was prohibitive for care. Now the government is talking about fines for those of us who don’t believe in the medical-industrial establishment or the insurers who help drive the prices up hundreds of percent over 10 years while wages creep up by 30% over the same time period. I only hope that the fines are cheaper than the insurance premiums! The government can bill me or take it out of my Social Security I.O.U.s they’ve left for me. No way I’m paying for insurance! And I’m not going to deal with DHHS for their Medicoverage I don’t want either. So, fine me, jail me, I don’t care, I’m not going to support more of the insurance industry than the minimum liability auto coverage I have to carry to avoid $200 traffic tickets and license suspension, even though I’ve never had a wreck in 19 years. So, that ends my rant about mandatory health insurance. If you care to view the visual version of my opinion, you can check out
    http://www.stickfigurecomics.com
    Good luck to you all with your health insurance and trust in our corrupt political system where the public overwhelmingly says “NO!” to a bill and it just gets run through again without a proper vote so it can be passed behind closed doors without the permission of the people. Reminds me of the leverage put on out reps to pass the second coming of the PATRIOT act without reading it after the terrible 2001 events…

blog comments powered by Disqus