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March 18, 2010

Undecided on health care

Posted: 01:42 PM ET
- Staff
Filed under: Health Care •Newsmaker

CAMPBELL BROWN, CNN ANCHOR: Joining me right now is Pennsylvania congressman, Jason Altmire, who is one of the Democrats still on the fence. Congressman, you're under a lot of pressure right now. President Obama himself, I know, has been lobbying you. What is he telling you?

REP. JASON ALTMIRE (D), PENNSYLVANIA: He walks through in pretty precise detail some of the conversations we've had leading up to this point, because this is a continuing process of, in my opinion, trying to improve the bill. This is a better end product. And he points out that there's no income tax increase, there's no employer mandate. He believes the cost containment measures are better in this bill.

I agree with most of that. I don't think this bill is where I'd like to see it and nobody agrees with all of it, but it's definitely a better product.

BROWN: So - so has he convinced you yet?

ALTMIRE: I'm in the process of talking with my constituents, as well. And I'm not going to cast a vote that my constituents aren't comfortable with. We've been getting thousands of calls to our office.
And when I go out into the community, this is obviously the number one topic of conversation.

So, in the end, it's going to be a combination of what my constituents want me to do, what my own judgment on the finished product is, which we haven't seen yet, and what the difference is between passing this bill, flawed as it may be, or doing nothing. Because if we do nothing, health care costs continue to go up.

BROWN: You mentioned your constituents. And I know they certainly gave you an earful back in August. Let me remind you. Listen to this.

(BEGIN VIDEO CLIP)

ALTMIRE: - because the bill, as I saw it, was flawed. We could do better. I think that everyone in this room would agree that we have the best health care systems available anywhere in the world.

(CHEERS)

(BOOS)

(END VIDEO CLIP)

BROWN: You hear there the cheering mixed with booing. And - and I know you're trying to...

ALTMIRE: Yes.

BROWN: - gauge, OK, where is everybody? You're getting thousands of phone calls. Where do you think they are right now? Do they want you to vote for this bill, the majority?

ALTMIRE: No, there's no question that the tilt is in opposition to the bill. I do have people calling me in favor, but there's a lot of concern from people in the middle, not just people on the far right, but senior citizens who have Medicare that are concerned this is going to negatively impact their benefits and their premiums. Those are the people that I'm hearing from and they're asking questions about the bill, as well as expressing concern.

BROWN: And I read they were rallying in front of your office back home, too, right?

ALTMIRE: Yes. And that's the thing. There were two airplanes flying over Pittsburgh today saying, "Vote no on health care." I had over 500 people at two separate offices that I have in the district to talk about this issue, people on both sides. And I - I welcome the constituent feedback, but it is starting to get heated.

BROWN: Well, you're up for reelection in November. How much does that play into your thinking?

ALTMIRE: It doesn't play at all, because I still have to live in Pittsburgh, I still have to look my family and friends and neighbors in the eye, whether I'm in Congress or not. And I have to live with myself. I have to cast a vote based on the trust that my constituents had when they sent me to office to represent them and to do what I think is right, and that's the balance I'm trying to strike.

BROWN: So if there's one thing right now that's holding you up, is it - you were talking about cost. Is - is that, right now, primarily your concern about - about what this is going to do in terms of the budget, but also health care costs?

ALTMIRE: Well, the one thing is I haven't seen the bill. There's no CBO report as we speak. There's no legislative...

BROWN: That's from the Congressional Budget Office...

ALTMIRE: - language.

BROWN: Sorry. Just to clarify for our viewers...

ALTMIRE: Right.

BROWN: - laying out the actual numbers. Go ahead.

ALTMIRE: I have to see the score of the bill, whether or not it really reduces the deficit and what the overall cost is. I haven't seen that. I can't make a decision until I've seen the legislative language and know what I'm voting on.

BROWN: And just to, again, for our viewers, we heard from Nancy Pelosi that she is expecting a delay in getting those CBO numbers now, to it may be an additional 24 hours or so before you get an answer to your questions on that front.

Let me ask you this. Your colleges want to use a - a parliamentary procedure to, quote, "deem" the Senate bill passed without the House having to actually vote on it. It's kind of this legislative maneuver aimed at giving political cover to some Democrats, like yourself, who may a little bit reluctant. How do you feel about that? Would it make it easier for you to vote yes or harder?

ALTMIRE: I think that's a big mistake. The American people are already uncomfortable with this process. It has been used before, this deeming idea. It is part of the rules. It's a legitimate mechanism.

But this is not an inconsequential bill. This is the biggest social policy initiative, literally, in 45 years. And to use reconciliation and to use a back door deeming proposal and maybe even attach student loans to the bill, I just think that that gives the American people the sense that we didn't have the votes to pass this and we went through the back door to do it. And with something this big, we have to have every member be accountable for their vote, to be able to go back to their districts and explain it. And the more we muddle with the process, the more difficult that becomes.

BROWN: You're certainly talking to your colleagues. Do you think the bill will pass, frankly, with or without you at this stage?

ALTMIRE: I think it's going...

BROWN: Could it?

ALTMIRE: I think it's going to be very, very close. I take my obligation seriously. They don't have the votes right now. If they did, we'd be voting tonight. But I think they're getting close and this is going to be probably a one or two vote margin.

BROWN: Congressman Jason Altmire, we really appreciate you talking to us about it.Hopefully, we'll get a chance to talk to you again after the vote.

ALTMIRE: Thanks, Campbell.


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Lindsay   March 18th, 2010 2:58 pm ET

Did the Dems create the procedure or rule called "Deemed"? Why did Congress put these procedures of Reconciliation or Deemed, in their manual? Obviously, at some point, it was felt that these tools would be needed and should be used.

Both parties have used these tools before, at which time, it was thought to be necessary to get the votes for a bill to become law. It wasn't thought to be an "under-handed" method at that time. Therefore, to demonize and malign the integrity of the Speaker for, effectively, 'strategizing' now, to get the job done– ‘makes no absolute sense‘. Tip O’Neil, Tom Delay, Newt Gingrich & others, ALL made the necessary choices to advance their Party's agenda. Why would Speaker Pelosi NOT do her job and do the same? She should NOT be ridiculed for doing her job WELL... ‘Deem’ is a option available to her. Why wouldn't she consider it?

The GOP had control of the HOUSE for years and used all available resources & tools necessary to reach their goals and advance their agenda as they believed it "right" on behalf of the America people. Their use of reconciliation to pass bills was not thought of "JAMMING" or “RAMMING” anything down the throats of the American people. Then, it was considered Governance, Political Will and the ability of the Party to get things done.

It should be the same now... unless we are ALL saying that the GOP was crooked and underhanded in the methods they used to get bills passed when they used these procedures. If so, then NOW, is the "Pot calling the 'Kettle' BLACK?" and acknowledges that they have used, misused and abused the legislative process in the past, when it was convenient for them to do so, to push their agenda?

Not to demonize the GOP or question the integrity and/or character of the GOP Leadership... however, with that said, would leave one to wonder why it is okay, legal and proper for these same procedures to be used when the GOP are in charge and NOW, improper to use them when they are NOT in charge? Surely, the Dems should have the opportunity to utilize all available tools, resources and options to governed our Country as the Party & legislators believe it is ‘right to do’ on behalf of the American People at large as they were elected to do.

TRUTH and Civility will go a long way to move our NATION forward in solving the many crises we face in energy, education, economy, financial industry with the banks, cap n trade, unemployment, Foreclosures in the Housing Industry, National Security, not to mention, HEALTH CARE.

We, the PEOPLE of the United States, as a NATION are ALL losing while we put off these matters for Political Ideology. Our children are falling further behind their global counterparts and our Nation will lose its edge to compete while we placate the lobbyist and other special interest groups who all fight for control and power.

WE, cannot Stand or LEAD, if we STAY DIVIDED. Our Strength and Power is in UNITY not Division.


Rudy Zarzosa   March 18th, 2010 3:28 pm ET

I supported single payer, and at the very least a strong public option to compete with the insurance monopolies. The basis for capitalism and democracy is for people to have a right to choose, we don't have this right now.

I know the pressure our representatives and president must have faced against a single payer or a public option from lobbyists within the insurance industry, henceforth the best viable option was not included in the bill.


BJ   March 18th, 2010 5:55 pm ET

What will happen to those of us who can not pay for health care now?? We will be forced to pay for it after this bills passes. Those who make less than 15-20,000 can not afford things like this and forcing us to pay reduces our standard of living even more. Spending our money on health care instead of rent/mortgage utilities, food, gas.... not all of us are dead beats and go to the emergency room for every little cough. Put the public option back in!!!!!! These senators and congress people are so out of touch with the "workers" of America.


ann   March 18th, 2010 8:33 pm ET

I'm sick about this whole health care mess. We, the public, don't know if it is a good thing or not because we can't believe what either side says. The frightening thing is that the shenanigans going on to get it passed reminds me what goes on in the countries that our military men and women are losing their lives for. They are fighting for other countries to have a democracy while at the same time we are losing our democracy.


Bob from Mass   March 18th, 2010 9:02 pm ET

We have mandatory healthcare in Mass. already and there is not enough money to pay for it . Could you tell me where the cbo numbers come from and if they can be trusted?


jean   March 19th, 2010 8:38 am ET

Polls here, polls there, when was the last time you've reached out to the poor people to take a poll? I mean those in the hood where must of them don't even own a computer.

Jean
MS


jerry   March 19th, 2010 3:49 pm ET

Who will decide how much I need to pay for healthcare?
I don`t have insurance now because it doesn`t make sense for me to pay $80 weekly to buy into my employers plan. I don`t go to the doctor, and if I need to go to the ER for something I`ll make payments. It is cheaper for me to pay out of pocket than to buy insurance.
I`m afraid this will put a huge burden on the younger healthy population.
I would much rather have single-payer.

One thing that is infuriating is when democrats try to sell this as the people vs. insurers. INSURANCE COMPANIES SUPPORT THE ORIGINAL SENATE BILL!!!!!!! We are not all stupid!!!!!!!!
They opposed single-payer and public-option. They will MAKE MORE MONEY if this passes, NOT LESS. They will get millions more "customers" who are being forced to buy their product.
Furthermore why can`t the democrats use reconciliation to pass the HOUSE bill!!! That would be REAL COURAGE.

And the republicans are still stuck on taxes. The masses care not if the richest pay more taxes. And the masses don`t really care about the debt either, even though China has what amounts to a lein on the country now.

The masses care about mandates. It needs to be talked about more. How will they determine who pays what? Why can`t we just subsidize through medicare, only the families who really need help. Like a kid with cancer or a family member with parkinsons. They obviously need help. No subsidies for someone who has the flu or needs stitches or any other MINOR issue. Let them get billed.


CW   March 19th, 2010 8:16 pm ET

Yesterday on March 18th, CNN announced that Americans are poised to spend 13 million dollars between now and Easter. Please BUY AMERICAN. If it is not made in the U.S. please don't buy it.

Can you imagine what a stimulus package this would be for our economy?
Lov ya !!! CW


wendy   March 19th, 2010 8:19 pm ET

To be honest I'm scared. The president is pushing a bill that I feel is not going to provide the appropriate health care. I have lost faith in his promises of hope and change...most of my family are unemployed. I work 2 jobs as it is. I want to know if anyone in congress is listening! People need help and they are negogiating these back handed deals it makes me sick. I pray to god that no one needs any organ transplants or when I get in my senior years there will be any help for me to have any good health care. I have been working for years paying into medicare...now there will be crap.


CW   March 19th, 2010 8:22 pm ET

Yesterday on March 18th, CNN announced that Americans are poised to spend 13 million dollars between now and Easter. Please BUY AMERICAN. If it is not made in the U.S. please don't buy it.

Can you imagine what a stimulus package this would be for our economy?
Lov Ya CW !!


jack   March 19th, 2010 8:56 pm ET

I think that once a president is elected, republican are democrat that all senators and representatives should be republican are if a democrat is elected all should be dempocrats. This would let each party do what they think is right and they could get something done. The republicans are already working more on fighting the democrats than they think of the area they represent.
Now is the time for the american people to get rid of all rep. and dem. and start another party, just the plain hard working american. Form a new party.


Bill   March 20th, 2010 10:25 am ET

I would like to know if the Confress people would be willing to send me a signed blank check and I'll fill in the amount, because that is what they are ding with the Healthcare Bill


Michael   March 22nd, 2010 8:10 pm ET

They plan on paying for the bill by taxing the insurance companies and medical manufactures. This means you will be paying more taxes since these groups just pass the costs down to the customers.

The saddest part of this is looking at the Nancy 'monster' Pelosi and she really thinks she did well.

Nancy, we wanted health care reform and you gave us health insurance reform. YOU FAILED, the insurance companies are the problem.

I will never vote for a democrat again.


Lydia Martínez   March 22nd, 2010 8:18 pm ET

I am very happy because the Health Care Reform passed and the insurance companies are not longer to be able to do whatever they want without being regulated. Also, I am very happy to know who really care us and who care for the big companies.


Steve   March 23rd, 2010 3:25 pm ET

There have been posts saying Repub lie,yes some of them do,Dem lie, yes some of them do.My only problem as an Independent with this bill is,IRS being involved in any way,9500+ pork & earmarks,mandatory participation,increase in Gov,the fact it takes 2700 pages,why?,decrease in Medicare Advantage(No I'm not old enough yet),.Things I need to know and have someone tell the truth,where do illegal aliens fit in on this?,how will our taxes be efected
why do taxes start now and the HC bill not till 2014,is this really good for American,need someone other than a Dem or a Repub to answer,I don't think this one can be done.


James P. Stevens   April 22nd, 2010 4:12 pm ET

Very good, enjoyed very much and look forwrad to a lot Jp


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Campbell Brown anchors CNN’s nightly news program at 8p ET. Prior to joining CNN, she worked with NBC News for 11 years. She served as co-anchor of Weekend Today, as the main substitute anchor for Brian Williams,  and as NBC News' White House correspondent during President George W. Bush's first term. |  BIO

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