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Jamie Dupree's Washington Insider

Posted: 1:56 p.m. Friday, Sept. 25, 2009

More Health Care 

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By Jamie Dupree

It will be a slow start to the week in the Congress today, but the goal line remains the same for Democrats in the House and Senate - pushing a health care reform bill to the President's desk.

Right now, the focus is on the Senate Finance Committee, which will resume its work on Tuesday.  Expect more fireworks this week as Democrats push for votes on a public option and more.

Will Republicans bring up their own health care reform ideas this week?  It isn't clear.

Democrats taunted them last week about not having a complete bill to offer, leaving Republicans to cite all of the measures they have introduced in Congress.

But so far, they don't seem ready to throw them on the pile of amendments before the Finance panel.  Maybe they will wait until the House and Senate floor debate.

I can give you a whole bunch of reasons why Democrats should be worried at this point, that this entire health reform effort might go down the drain.

But I can also give you a whole bunch of reasons why Republicans should be worried at this point, that the Democrats might just figure out how to win on this issue.

We might learn some of those details this week, as Democrats have been making noise about actually unveiling a final bill for consideration in the House of Representatives.

The talk in recent days was that Democrats might lessen the punch of a planned high income surtax as a way to pay for health care reform, and instead use a plan that's in the Senate Finance bill, which levies a tax on high value health insurance policies.

The calculus for Democrats is pretty simple - make changes in the bill that allow you to pick off a vote here and a vote there - and stop when you've hit a majority at 218.

The side deals and the back room wheeling and dealing could get very interesting.  That's when you really want to be a fly on the wall in this place.

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