On a mostly party-line vote, the Iowa House passed the country’s most restrictive late-term abortion ban yesterday. The move put House Republicans on record opposing abortions after 20 weeks gestation, but in effect ends any chance that Omaha-based Dr. Leroy Carhart will face legal obstacles to opening a new abortion clinic in Iowa.

Details on yesterday’s House vote and the amended Senate File 534 are after the jump.  

With less than a month remaining until the start of the 2012 fiscal year, Iowa House Republican leaders have stepped up efforts this week to draft the two-year budget Governor Terry Branstad is demanding. Republicans have drafted an omnibus budget bill combining all the usual appropriations bills, plus a few other things on their legislative wish list. The omnibus bill includes two small gestures toward a compromise with Democrats who control the Iowa Senate. However, Senate Democrats don’t sound ready to accept this package as the final work on state spending for the next two years.

Details and early reaction to this week’s budget news are after the jump.  

On a party-line 26 to 23 vote, the Iowa Senate today approved a bill to restrict the locations of clinics where abortions are performed after 20 weeks gestation. Senators also rejected an attempt to bring up a broader ban on abortions after 20 weeks.

Follow me after the jump for background and details on the Senate debate, including the various amendments Republicans offered.

Yesterday the Iowa Senate Ways and Means Committee advanced a bill that would restrict where abortions after the 20th week of pregnancy can be performed in Iowa. The bill is aimed at stopping Dr. Leroy Carhart from opening a new clinic in Council Bluffs without adding new restrictions on a woman’s right to have a late-term abortion. However, Republican leaders in both chambers of the state legislature spoke out against that approach yesterday. Details and next steps in this controversy are after the jump.

UPDATE: Added comments from anti-choice Democratic State Senator Tom Hancock below.

Although no pro-choice Republicans currently serve in the Iowa legislature, an Iowa House vote yesterday demonstrated that the Republican Party is divided on how far to pursue anti-abortion policies. More than half the House Republican caucus, including the entire leadership team, rejected State Representative Kim Pearson’s attempt to force a vote on a “personhood” bill giving fetuses the full rights of U.S. citizens.

This vote will anger some conservative activists who oppose abortion rights and may become an issue in various Republican primaries next year. More background and details are after the jump.  

Iowa Senate Ways and Means Committee Chair Joe Bolkcom announced today that he will introduce new legislation designed to stop Omaha-based Dr. Leroy Carhart from opening an abortion clinic in Council Bluffs.

Follow me after the jump for background on Bolkcom’s new proposal and prospects for House File 657, the 20-week abortion ban the Iowa House approved earlier this year. Bolkcom has been assigned to floor-manage House File 657 if and when the upper chamber debates that bill.

UPDATE: Added comments from Governor Terry Branstad and Bolkcom below.

WEDNESDAY UPDATE: Bolkcom revealed further details on the new bill; his statement is at the end of this post.

This week Governor Terry Branstad declared April to be “Abortion Recovery Month” in Iowa. Anti-choice organizations and crisis pregnancy centers were invited to the proclamation signing, and women who regret their abortions spoke at a press conference. Human beings have complex reactions to significant life events, and I feel empathy for anyone who feels sad about important choices. However, it is inaccurate to suggest that all women who exercise their legal right to an abortion need to go through a “recovery” process. The American Psychological Association’s Task Force on Mental Health and Abortion concluded in a 2008 report that “among adult women who have an unplanned pregnancy the relative risk of mental health problems is no greater if they have a single elective first-trimester abortion than if they deliver that pregnancy. […] the TFMHA reviewed no evidence sufficient to support the claim that an observed association between abortion history and mental health was caused by the abortion per se, as opposed to other factors.” Some mental health professionals believe that “emotional issues, especially feelings of guilt, begin to rise along with anti-choice efforts to restrict abortion.”

The Iowa House approved a 20-week abortion ban at the end of March. The bill is modeled on a Nebraska statute and is intended to deter an Omaha-based doctor from opening a new abortion clinic in Council Bluffs. It has stalled in the Senate Government Oversight Committee. Committee Chairman Tom Courtney said in mid-April that it was too late in the legislative session to adequately review the bill this year, and he would prefer to take it up in 2012. Council Bluffs Mayor Tom Hanafan, a Democrat, recently urged the Senate to act on the bill before adjourning. The mayor does not want his city to become “home to a clinic that specializes in later term abortions.” Senate Majority Leader Mike Gronstal, who represents the Council Bluffs area, has said he would not block the abortion bill from coming to a vote and is letting the normal committee process work.

Women who are pregnant and planning to stay pregnant should be aware that April is cesarean awareness month. At the request of Iowa chapters of the International Cesarean Awareness Network, Branstad issued a proclamation to that effect. The c-section rate in Iowa rose to 30.2 percent in 2009, the most recent year for which statistics are available. That is way above the optimal level, but the national average is even higher at 32.9 percent. The central Iowa chapter of the International Cesarean Awareness Network posted statistics for c-sections and vaginal births after cesareans (VBACs) in Iowa hospitals here. Unfortunately, more than three quarters of Iowa hospitals prohibit pregnant women from even attempting VBACs. The U.S. Department of Health and Human Services’ Healthy People 2010 initiative set a goal of reducing the cesarean birth rate for low-risk women to 15 percent for women giving birth for the first time and 72 percent for women who have had a prior cesarean birth. Having a doula present during labor has been proven to reduce the need for cesareans and other major interventions.

Whether or not they are able to become pregnant, all sexually active people should be aware that April is STD Awareness Month. The Centers for Disease Control has lots of relevant facts and figures here. Planned Parenthood of the Heartland clinics across Iowa are encouraging people to get themselves tested for sexually transmitted diseases.

This is an open thread. What’s on your mind this weekend, Bleeding Heartland readers?

UPDATE: State Representative Kurt Swaim is not running for re-election in the new House district 82, which covers Davis and Van Buren counties and most of Jefferson County, including Fairfield. Swaim and fellow Democrat Curt Hanson were both placed in that district, but most of the population lives on Hanson’s current turf. Swaim was one of four House Democrats to vote for the 20-week abortion ban, one of three House Democrats to vote for a constitutional amendment banning same-sex marriage, and one of nine House Democrats to vote for a bill banning secret recordings on Iowa farms. Hanson voted against all of those bills.

The abortion issue magically transforms conservatives from people who want to keep bureaucrats from getting between you and your doctor into people eager to let the government limit pregnant women’s medical care. The Iowa House demonstrated that contradiction again yesterday, as representatives approved a ban on most abortions after 20 weeks gestation.

House File 657 is modeled on a Nebraska statute with the intent of stopping Omaha physician Leroy Carhart from opening an abortion clinic in Iowa. State representatives voted 60 to 39 to send the bill to the Senate. The yes votes included 56 Republicans and four Democrats: Dan Muhlbauer (district 51), Brian Quirk (district 15), Kurt Swaim (district 94) and Roger Thomas (district 24). Three first-term Republicans–Kim Pearson (district 42), Glen Massie (district 74) and Tom Shaw (district 8)–voted no, along with the rest of the House Democratic caucus. Those Republicans have argued against the bill because it would ban less than 1 percent of abortions in Iowa; their opposition forced House Republican leaders to pull the bill out of the House Human Resources Committee and send it to Government Oversight instead.

Excerpts from yesterday’s arguments for and against House File 657 are after the jump, along with thoughts about the bill’s prospects in the Iowa Senate.

Anti-abortion legislation that stalled earlier this year in an Iowa House committee appears likely to pass the lower chamber soon. House File 5 would ban abortions after the 20th week of pregnancy, using a “fetal pain” standard adapted from a similar bill in Nebraska. More than 30 House Republicans are co-sponsoring the bill, hoping to deter Omaha-based abortion provider Dr. Leroy Carhart from opening a clinic in Council Bluffs.

Recent news on House File 5 and a related “personhood” bill is after the jump.

Iowa Republicans vowed late last year to pass new abortion restrictions modeled on a Nebraska statute which in effect bans the procedure after the 20th week of gestation. Abortions are already illegal in Iowa after the sixth month of pregnancy except if a doctor believes the procedure could “preserve the life or health” of the pregnant woman. The new bill, House File 5, asserts that an “unborn child” can experience pain after the 20th week of gestation and bans abortions after that time unless “The pregnant woman has a condition which the physician deems a medical emergency” or “It is necessary to preserve the life of the unborn child.”

Very few abortions are performed in Iowa after the 20th week of pregnancy. In 2006 just nine out of more than 6,700 abortions occurred at the 21th week of gestation or later. Of the 5,829 abortions performed in Iowa in 2009, only six were induced after the 20th week. However, Republicans want to prevent Dr. LeRoy Carhart from opening a clinic in Council Bluffs to serve women seeking abortions after 20 weeks. Carhart had worked with Dr. George Tiller in Wichita, Kansas for more than a decade but moved to Omaha after Tiller’s assassination in 2009. The new Nebraska law prompted Carhart to close his Omaha clinic. Last month he began working at a Maryland clinic.

Iowa House Republican leaders have expressed confidence about passing new abortion restrictions. They have a 60 to 40 majority with no pro-choice members of their caucus. I believe this legislation could pass the Iowa Senate, because unlike the 1980s and 1990s, there are no longer any pro-choice Republicans to cancel out the votes of Democrats supporting more restrictions on reproductive rights. Governor Terry Branstad would be eager to sign any anti-choice bill.

However, Craig Robinson reported yesterday that House File 5 lacks the votes to clear the Iowa House Human Resources Committee. Two of the most conservative first-term GOP legislators, Kim Pearson and Glen Massie, serve on that committee and oppose the bill, presumably because it would not go far enough to restrict abortions. Without their support, Republicans can count on only 10 votes in the 21-member committee. According to Robinson, Iowa Right to Life, the Iowa Catholic Conference, and the Iowa Faith and Freedom Coalition all support House File 5. But the FAMiLY LEADER organization led by Bob Vander Plaats and others from the Iowa Family Policy Center oppose the bill.

Pearson and Massie will face tremendous pressure to change their position. I wouldn’t be surprised if they vote for House File 5 after all. But if they resist carrots or sticks Republican leaders wave at them, the bill could be dead for the 2011 session.

Speaking of reproductive rights, no one in the House Republican caucus seems to realize that the family planning spending cuts in House File 45, which passed the chamber on January 19, would likely increase the number of early abortions performed in Iowa. It’s sadly typical for anti-choice politicians to oppose effective means to prevent unintended pregnancies.

UPDATE: The Des Moines Register’s Jason Clayworth posted a good rundown on the GOP split over this bill.

The Iowa Board of Medicine has dismissed a complaint regarding Planned Parenthood of the Heartland‘s use of telemedecine to provide abortions:

The system, the first of its kind in the nation, allows a physician in Des Moines to deliver the pills to patients in remote clinics around the state. After speaking to a patient for a few minutes via videoconferencing, the doctor pushes a computer button that opens a drawer in front of the patient. The patient reaches in the drawer to retrieve the pills, then takes the first dose while the doctor watches. She then takes the rest of the pills at home, where she has an induced miscarriage.

The national anti-abortion group Operation Rescue complained to Iowa regulators that the system broke state law, which says abortions may only be performed by a physician. The group said the remote-control method did not meet the requirement. Planned Parenthood of the Heartland leaders said that the method was legal, and that Operation Rescue was looking for any excuse to limit women’s access to abortion services.

The Des Moines Register posted the letter from Iowa Board of Medicine Executive Director Mark Bowden to Operation Rescue. Excerpt:

After a thorough investigation and careful review of the investigative materials obtained in this matter, the Board voted to close the file Without taking disciplinary action against Dr. Haskell. Although this may not be the outcome you were seeking, you can be assured that your complaint was investigated and the Board reached its decision after full review of the investigative record. […]

The Board’s primary responsibility is to protect the public by ensuring that physicians provide appropriate medical care to patients. The Board takes seriously all complaints it receives.

Republican lawmakers have vowed to push legislation restricting abortion access during the Iowa legislature’s 2011 session, which started this week. One bill likely to pass the Iowa House will be modeled on a Nebraska statute that bans abortions after the 20th week of gestation. Some representatives also want to ban abortions via telemedecine, and Governor-elect Terry Branstad has said he wants that practice to be discontinued. That could force many Iowa women to travel great distances to a clinic providing surgical abortion or a drug that induces abortion.  

To no one’s surprise, Planned Parenthood of the Heartland’s political arm, called the Planned Parenthood Voters of Iowa PAC, endorsed Governor Chet Culver’s re-election bid today. Planned Parenthood’s PAC (at that time called the Freedom Fund) supported Culver during the 2006 Democratic gubernatorial primary and in that year’s general election against Jim Nussle, and the PAC’s statement issued today explains the decision to back him again:

“Governor Chet Culver has done more to reduce the need for abortion and increase access for women’s health care than his opponent ever will,” said Jill June, President and CEO of Planned Parenthood of the Heartland. “During the primary debates, Terry Branstad has made it clear that he would cut basic health care services to more than 50,000 Iowan women by choosing to cut Planned Parenthood as a service provider.”

PAC chair Phyllis Peters cited Governor Culver’s record. “Governor Culver has strongly supported the health care needs of women in many different ways. He has supported vaccine coverage for the HPV vaccine, the only vaccine to prevent cervical cancer; funded the state match to the Medicaid Family Planning Waiver to provide contraception to low income women; supported medically accurate sexuality education in our schools; and supported extending the age a woman can qualify for family planning services. Women in Iowa can count on Governor Culver to listen, understand and respond to the very real health needs of women.”

In the primary campaign candidate Terry Branstad indicated that he would support an Iowa law similar to one just passed in Oklahoma, which would require an invasive sonogram for women who seek abortions. Unlike sonograms currently used in Iowa, this would require a sonogram where a probe is inserted in the woman to show the image of the fetus, even for victims of rape and incest.

“Terry Branstad believes in using intimidation tactics to prevent women from their legal rights. That’s not what Iowan’s believe or want in our state,” said Jill June. “The Planned Parenthood Voters of Iowa PAC is speaking out against these tactics of discrimination and intimidation, as we show our support for Governor Culver.”

Branstad generally avoids mentioning Planned Parenthood by name, but this spring he repeatedly said Iowa “should not provide funding for organizations that provide abortion services.” That wording left the misleading impression that state funding pays for abortions, but no government money pays for any abortions at Planned Parenthood clinics. Most of the state funding to Planned Parenthood of the Heartland covers contraception and is matched on a 9:1 basis by the federal government through the Medicaid family planning program. (That is, every dollar from the state budget is matched by $9 from Medicaid.)

It’s outrageous that Branstad, the former president of a medical school, would support an Oklahoma abortion law that lets the government dictate how some doctors should care for their patients and even how they should talk to their patients. So much for government not getting between you and your doctor.

Culver slammed the Oklahoma approach in this statement his campaign released today:

“I am so pleased to receive the endorsement of Planned Parenthood Voters of Iowa PAC. I’ve worked very hard in my first term to maintain and improve family planning and women’s rights in the state of Iowa and I am proud to have their support in this election.  By contrast, Terry Branstad doesn’t trust the women of Iowa to make their own health care decisions.

“What’s ironic is that the women and men of Iowa cannot trust Branstad on health care. When he was at Des Moines University, he supported mandates. When he was campaigning  in the Republican primary, he opposed mandates. Iowans can only guess as to his position tomorrow. What is clear is that he thinks requirements such as allowing adult children to continue to be insured on their parents’ policy or prohibiting people from being denied insurance for pre-existing conditions is too intrusive but forcing victims to have invasive procedures is all right.

“Branstad even campaigned on enacting a law similar to the one passed in Oklahoma. The law requires a woman to have an invasive and expensive sonogram, for no medical reason, prior to receiving some services, forcing women who are victims of rape or incest to re-live these horrifying violent crimes. Well, I believe that is wrong.

“Terry Branstad is out of touch on this issue. He even refused to comment on the endorsement today because he knows that he’s on the wrong side of women’s issues.

“I have worked hard to invest in a woman’s right to make her own decisions about her health care and I will continue that investment.”

Click here for background on Branstad’s inconsistent stand regarding a proposed individual mandate to purchase health insurance.

No doubt we’ll hear more this fall about Branstad opposing reproductive rights, because it fits Culver’s message about Branstad pushing failed ideas of the past.

One day after Terry Branstad won the Republican nomination for governor, his accountability problem was back on display. Speaking to the Iowa Association of Business and Industry’s annual convention in Ames yesterday, Branstad told the audience, “I want to get rid of the present incumbent because he’s driven the state into the biggest budget deficit in history.”

In the psychological field, projection is “a defense mechanism that involves taking our own unacceptable qualities or feelings and ascribing them to other people.” I’m not qualified to offer any professional diagnosis, but Branstad’s the guy who really did keep two sets of books to hide illegal deficits. It’s incredible to hear him keep making that false claim about Governor Chet Culver’s administration. The governor and Iowa’s legislative leaders haven’t run up any budget deficit, let alone the largest deficit ever. If Culver were running deficits, Iowa wouldn’t have a top-level credit rating or be considered one of the states “least like California” in terms of fiscal problems.

How long will Branstad keep getting away with making stuff up about Culver’s record? Your guess is as good as mine.

In other news, Branstad promised the Association of Business and Industry crowd that if elected, he wouldn’t allow key priorities of organized labor like the prevailing wage or collective bargaining bills to become law. I doubt ABI has to worry about that, since Iowa Democrats haven’t delivered on those issues during the past four years.

Culver visited a Cedar Rapids preschool yesterday and blasted Branstad’s “20th Century thinking” on preschool funding:

“This is an investment we cannot afford to not make in the future,” Culver said about the preschool initiative. He said he budgeted $90 million this year for the program and $115 million next year. […]

“While we want to continue to fund preschool … Terry Branstad wants to take that away,” Culver said. […]

The fiscal 2011 funding will assist an additional 150 school districts and school district collaborations under the statewide voluntary preschool program, he said. It is projected that during the 2010-2011 school year about 21,354 four-year-olds will be served by the preschool program in 326 school districts across the state.

Many Iowa families could not afford early education for their children without the state program. Culver is right to pound Branstad for his screwed-up priorities. Culver also criticized the Republican for wanting to go backwards on state-funded stem cell research, women’s reproductive rights and flood recovery funding for the Cedar Rapids area. Like everyone else in the Iowa GOP, Branstad has criticized the I-JOBS infrastructure bonding initiative but not explained how he would have paid for the flood reconstruction and prevention projects Iowa needs.

Branstad told Todd Dorman of the Cedar Rapids Gazette that he would not try to repeal the I-JOBS bonding, but “also compared I-JOBS to the Greek debt crisis.” Give me a break. The professional investor community drove down the interest rate of the initial I-JOBS offering because of Iowa’s solid fiscal condition and plan for repaying the bonds. In fact, I-JOBS was one of the top 10 “deals of the year” in 2009 according to Bond Buyer, the daily newspaper of public finance.

Vice President Joe Biden headlines Governor Chet Culver’s re-election rally today in Cedar Rapids. If you are watching in person or online, please share your impressions in this thread. I will update the post later with more coverage of the event. Adam Sullivan is live-tweeting for Iowa Independent.

Yesterday the governor kicked off his campaign at Hoover High School in Des Moines, followed by stops in Ames, Marshalltown and Waterloo. Kathie Obradovich felt Culver’s speech “salvaged” the otherwise low-energy event in Des Moines. After the jump I’ve posted excerpts from Culver’s remarks, which his campaign released. He frames the race as a choice of going backwards “to policies that created this recession” or forward to continue the investments his administration has begun. Culver outlined some goals for the next five years, such as completing rebuilding efforts from the 2008 floods, “making quality pre-school available to every Iowa child whose parents want to take advantage of it,” pursuing stem cell research in Iowa, and “increasing the percentage of our energy production coming from alternative sources from 20% to at least 30%.” Culver chided Republicans who “just say no,” think corporate tax cuts are the answer for every problem and “continue to preach the failed doctrine of trickle down economics.”

In addition to the excerpts you’ll find below, the governor spoke up for protecting a woman’s right to make her own health-care decisions and against writing discrimination into the Iowa constitution. Later in Marshalltown, Culver noted that discrimination is “not the Iowa way […] We’ve always been at the front when it’s come to civil rights.”

Any comments about the governor’s race are welcome in this thread. Speaking of Republicans who want to take us backwards, Terry Branstad’s campaign started running a new ad today, which portrays the former governor as “the change we need now.” I’ll have more to say about Branstad’s campaign message in a different post, but for now I wonder whether he will get away with repeating his lie about Iowa running a “billion-dollar deficit.”

UPDATE: Um, what the heck? Someone get the governor a driver who won’t try to chase another driver down for a stupid reason.

John Deeth liveblogged the Biden event here. Kathie Obradovich tweeted here. Key points of Biden’s message: he’s known Chet Culver since he was seven years old and knows he has “the gumption to handle the job at this time.” Also, with Culver in charge “Iowa is better off than almost every other state in the nation … Iowa is still moving forward.” Biden praised Culver for being ahead of the curve in establishing the Power Fund in 2007:

“Government is not the answer but it can prime the pump and encourage the private sector.”

“45 out of [50] governors, Democrat and Republican, are sitting on their hands. Because of Chet’s leadership Iowa is better prepared.” […]

“What are Republicans FOR? Not a joke. Tell me one affirmative thing the Republican Party is for.”

Good question, Mr. Vice President. Biden also noted that the stimulus bill brought $3.3 billion to Iowa, and said Culver had used $4 billion in federal and state flood recovery money well. Biden said Iowa is on the upswing and has an unemployment rate well below the national average, which is “no accident, it’s because of Governor Chet Culver.”

SECOND UPDATE: Todd Dorman found Biden’s praise for Culver a bit over-the-top. Tom Beaumont’s story for the Des Moines Register is here. Kay Henderson’s liveblog for Radio Iowa is here. She’s captured more quotes from the vice president.

Remember last year when Republicans claimed health care reform would put government bureaucrats between patients and their doctors? It was a hypocritical talking point to begin with, given how often insurance companies overrule doctors’ orders, in some cases denying sick people access to life-saving medical care.

The hypocrisy is especially apparent now that Republicans are cheering two new laws passed in Oklahoma.

The Oklahoma Legislature voted Tuesday to override the governor’s vetoes of two abortion measures, one of which requires women to undergo an ultrasound and listen to a detailed description of the fetus before getting an abortion.

Though other states have passed similar measures requiring women to have ultrasounds, Oklahoma’s law goes further, mandating that a doctor or technician set up the monitor so the woman can see it and describe the heart, limbs and organs of the fetus. No exceptions are made for rape and incest victims.

A second measure passed into law on Tuesday prevents women who have had a disabled baby from suing a doctor for withholding information about birth defects while the child was in the womb.

To clarify: Republicans passed a law dictating the way doctors communicate with patients and how they must proceed with every woman seeking an abortion, regardless of her individual circumstances. According to the New York Times, the Center for Reproductive Rights has already filed suit to challenge the constitutionality of the ultrasound law, claiming it “violates the doctor’s freedom of speech, the woman’s right to equal protection and the woman’s right to privacy.”

The second law is in some ways more offensive, because the government is shielding doctors who deliberately do not level with their patients. I have close friends who have learned while pregnant that their future child has serious medical problems. To give doctors license to deceive women in that situation is unconscionable. Pregnant women must be able to make informed decisions regarding all medical care. Who’s to say that doctors will stop at “merely” hiding birth defects? Maybe some will decide it’s better not to tell women they have cancer or some other disease that might prompt them to terminate a pregnancy.

The new laws are similar to two anti-abortion laws the Oklahoma Supreme Court already struck down. Clearly Republicans won’t let a little thing like the state constitution get in the way of their desire to intimidate women and interfere with the information they receive from their doctors. I agree with Charles Lemos: this is a sign of how extreme today’s Republican Party has become.

Iowans who don’t take reproductive rights for granted may want to know that Arianna Huffington is coming to Des Moines next Tuesday to help raise money for Planned Parenthood of the Heartland (formerly Planned Parenthood of Greater Iowa). Click the link for event details.

Share any relevant thoughts in this thread. I recommend this post from the Ms. Magazine blog on the 10 worst myths about abortion in the United States.

It’s crunch time for health insurance reform, and Senator Tom Harkin and the three Iowa Democrats in the House “announced a major breakthrough today on the issue of Medicare payment reform in the final health care reform bill,” according to a joint press release. Excerpt:

[Representatives Dave] Loebsack, [Senator Tom] Harkin, [Leonard] Boswell and [Bruce] Braley have been outspoken advocates for changing the way Medicare pays health care providers for services, from its current fee-for-service system into a quality and value-based system.

Loebsack, Harkin, Boswell and Braley helped negotiate a compromise adding language to the health care reform bill that provides an immediate $800 million to address geographic disparities for both doctors and hospitals, as well as written guarantees from Health and Human Services Secretary Kathleen Sebelius for further action to reform Medicare reimbursement rates that do not qualify for reconciliation under the Byrd Rule. The Senate bill previously only provided a Medicare reimbursement fix for doctors.

The House reconciliation package maintained automatic implementation of a value index as part of the reimbursement structures for doctors, beginning in 2015.  This language was secured in the Senate bill with the help of Harkin and is based on Braley’s Medicare Payment Improvement Act, introduced in June 2009. Under the fixes secured in the Senate bill and the House reconciliation package, Iowa doctors will see five percent increases in current Medicare reimbursement rates in both 2010 and 2011.

I posted the whole press release, containing more details, after the jump. This deal appears to have secured the vote of Peter DeFazio (OR-04) as well. Yesterday he threatened to vote no because of language on the Medicare payments disparity.

President Barack Obama gave House Democrats a pep-talk today, and his speech (which wasn’t pre-written) got rave reviews from many Democrats. If only the Senate bill were as good as Obama made it sound. (UPDATE: I posted the White House transcript of Obama’s speech after the jump.)

House Democratic leaders have decided to ditch the “deem and pass” method for passing health insurance reform with a single vote, even though the legislative procedure isn’t as rare or controversial as Republicans would have you believe. Instead, the House will hold an hour of flood debate tomorrow on “the rule to allow reconcilation to get to the floor,” then House members will vote on the rule, then they will debate the Senate health insurance reform bill and vote on it. I assume this means that House Speaker Nancy Pelosi is confident she has the 216 votes she needs.

Bart Stupak is now claiming only about half a dozen Democrats are willing to vote against the bill unless it contains major new restrictions on private insurance coverage of abortion. Stupak was supposed to hold a press conference this morning, but he cancelled it, so maybe that means he didn’t get the deal he was hoping for from Pelosi. David Dayen speculates on who is still in the Stupak bloc. David Waldman warns about the prospect that Stupak will use a “motion to recommit” to try to get his anti-abortion language into the reconciliation fix package.

Outside the Capitol, tea party protesters shouted racist insults and held signs threatening gun violence if health care reform passes. Congressional Republicans should disavow this reprehensible behavior, but of course they won’t.

Written by Amie Newman for RHRealityCheck.org – News, commentary and community for reproductive health and justice.

When anti-choice advocates dream up and manage to pass bills in the name of being “pro-life,” make no mistake – there is no question they know that these laws have the potential to ruin lives.

In the case of Christine Taylor, an Iowa mother of two girls and pregnant with her third child, a feticide law enacted in that state because of anti-choice efforts has wreaked havoc on her life.

It all started last month, according to Change.org:

Last month, after an upsetting phone conversation with her estranged husband, Ms. Taylor became light-headed and fell down a flight of stairs in her home. Paramedics rushed to the scene and ultimately declared her healthy. However, since she was pregnant with her third child at the time, Taylor thought it would be best to be seen at the local ER to make sure her fetus was unharmed.

The coming week will be busy at the state capitol, because February 12 is the first “funnel” date. All bills excluding appropriations bills that have not been approved by at least one committee by February 12 will be dead for the 2010 session, unless something extraordinary happens.

Also, Iowa House Republicans are expected to try to suspend the rules this week to force consideration of a constitutional amendment to ban same-sex marriage. If last April’s events are any guide, they can expect help from two Iowa House Democrats: Geri Huser and Dolores Mertz. Meanwhile, Mertz is working with a group of Republicans on a constitutional amendment that would “recognize human eggs as persons worthy of legal protection.” Such an amendment would outlaw abortion and probably some forms of birth control as well.

With the compressed legislative calendar and severe budget restraints, there may be fewer bills passed in 2010 than in previous sessions. If you’re keeping your eye on any bill, let us know in this thread. I hope the Iowa Senate Labor and Business Relations Committee will pass Senate File 2112, introduced by Senator Pam Jochum, on “workplace accommodations for employees who express breast milk.” It’s already cleared the subcommittee. Last hear State Representative Ako Abdul-Samad introduced a similar measure in the Iowa House, and I think there’s a decent chance of getting this bill through the House Labor Committee. Employers also benefit from practices that make it easier for their employees to continue breastfeeding.

Jochum is an all-around outstanding legislator. If I lived in the first district, she would definitely have my vote for Congress whenever Bruce Braley decides to run for U.S. Senate.

This thread is for anything on your mind this weekend. Am I the only one out there who doesn’t care who wins the Superbowl?

After the jump I’ve posted details on other Iowa political events scheduled for this week.

After deliberating for less than an hour, a Kansas jury found anti-abortion fanatic Scott Roeder guilty of first degree murder for shooting Dr. George Tiller in church last May. Roeder admitted killing Tiller and will be sentenced in March. Prosecutors are seeking a 50-year sentence with no possibility for parole. If Roeder is sentenced to life in prison, he could be eligible for parole in 25 years. During the trial,

[Sedgwick County District Judge Warren] Wilbert had barred Roeder from using a so-called necessity defense, aiming for an acquittal by arguing that the killing was necessary to prevent a greater harm – killing babies. But the judge allowed Roeder to present evidence that he sincerely believed his actions were justified to save unborn children – a defense that could have led to a conviction on the lesser offense of voluntary manslaughter.

On Thursday afternoon, however, Wilbert ruled that he would not give jurors the option of considering a voluntary manslaughter conviction, because such a defense requires that a person must be stopping the imminent use of unlawful force.

Unfortunately, Roeder succeeded in shutting down Tiller’s clinic, one of very few facilities where women could receive late-term abortions. Contrary to the propaganda you may have heard from the anti-choice movement, women seeking care from Dr. Tiller didn’t just casually decide during the second or third trimester that they didn’t feel like having children.

Kansas state law allows abortions on viable fetuses after the 21st week only if carrying the pregnancy to term would endanger the mother’s life or cause a “substantial and irreversible impairment” of a major bodily function. Courts have interpreted a “major bodily function” to include mental health.

Amanda Marcotte wrote before Tiller was murdered,

The argument for attacking Tiller is that he performs late term abortions, which are supposedly worse than early term ones, even though anti-choicers claim that a fertilized egg is the same thing as a 5-year-old child, so that shows that their targeting of late term providers is cynical politicking on its face.  But if you actually bother to look at why women get late term abortions, the targeting Dr. Tiller becomes even more horrifying.  Generally speaking, you’re talking about women who really wanted to have a baby, but who can’t have this one, because something is wrong with her health or that of the fetus.  Because of the sensitive nature of the situation, Dr. Tiller’s office offers a great deal of counseling services to their patients, who are often suffering trauma because of what’s happening to them.  In addition to counseling, there are baptism and funerary services, as well as photographing and footprinting, for people who want to say goodbye to the baby that they expected to have but couldn’t.  The levels of hate projected at Dr. Tiller are directly proportional to the levels of care he shows for women during this rough period of their lives.

Although Roeder will spend a long time in prison, it’s hard to feel justice has been served when he accomplished his goal.

Following up on my review of news from the first half of last year, I’ve posted links to Bleeding Heartland’s coverage of Iowa politics from July through December 2009 after the jump.

Hot topics on this blog during the second half of the year included the governor’s race, the special election in Iowa House district 90, candidates announcing plans to run for the state legislature next year, the growing number of Republicans ready to challenge Representative Leonard Boswell, state budget constraints, and a scandal involving the tax credit for film-making.

It took me a week longer than I anticipated, but I finally finished compiling links to Bleeding Heartland’s coverage from last year. This post and part 2, coming later today, include stories on national politics, mostly relating to Congress and Barack Obama’s administration. Diaries reviewing Iowa politics in 2009 will come soon.

One thing struck me while compiling this post: on all of the House bills I covered here during 2009, Democrats Leonard Boswell, Bruce Braley and Dave Loebsack voted the same way. That was a big change from 2007 and 2008, when Blue Dog Boswell voted with Republicans and against the majority of the Democratic caucus on many key bills.

No federal policy issue inspired more posts last year than health care reform. Rereading my earlier, guardedly hopeful pieces was depressing in light of the mess the health care reform bill has become. I was never optimistic about getting a strong public health insurance option through Congress, but I thought we had a chance to pass a very good bill. If I had anticipated the magnitude of the Democratic sellout on so many aspects of reform in addition to the public option, I wouldn’t have spent so many hours writing about this issue. I can’t say I wasn’t warned (and warned), though.

Links to stories from January through June 2009 are after the jump. Any thoughts about last year’s political events are welcome in this thread.

Last night the U.S. Senate voted 60 to 40 to move forward with debate on the health insurance reform bill. All senators who caucus with Democrats voted for cloture, and all Republicans voted against. The breakthrough came on Saturday, when Senate Majority Leader Harry Reid secured Senator Ben Nelson’s support with extra money for Medicaid in Nebraska and new language on abortion.

At Daily Kos mcjoan published a good summary of what’s in the latest version of the bill.

Reid reportedly promised Nelson a “limited conference” on this bill, meaning that very few changes will be made to the Senate version. However, it’s far from clear that the House of Representatives will approve the Senate’s compromise. About two dozen House Democrats plan to vote against health care reform no matter what, meaning that it will only take 15-20 more no votes to prevent supporters from reaching 218 in the House.

Bart Stupak, lead sponsor of the amendment restricting abortion coverage in the House bill, has been working with Republicans against the Senate’s abortion language. Meanwhile, the leaders of the House pro-choice caucus have suggested the Senate language may be unconstitutional.

Even before Reid struck the final deal with Nelson, Representative Bruce Braley told the Des Moines Register, “I think the real test is going to be at the conference committee and if it doesn’t improve significantly, I think health care reform is very remote based on what I’m hearing in the House.”

Senator Tom Harkin has done several media appearances in recent days defending the Senate compromise. He seems especially pleased with the Medicaid deal for Nebraska:

The federal government is paying for the entire Medicaid expansion through 2017 for every state.

“In 2017, as you know, when we have to start phasing back from 100 percent, and going down to 98 percent, they are going to say, ‘Wait, there is one state that stays at 100?’ And every governor in the country is going to say, ‘Why doesn’t our state stay there?’” Harkin said. “When you look at it, I thought well, god, good, it is going to be the impetus for all the states to stay at 100 percent. So he might have done all of us a favor.”

Ezra Klein has posted some amazing spin this morning about how the Senate bill is “not very close to the health-care bill most liberals want. But it is very close to the health-care bill that Barack Obama promised.” Sorry, no. Obama campaigned on a health care plan that would control costs and include a public insurance option, drug re-importation, and letting Medicare negotiate for lower drug prices. Obama campaigned against an individual mandate to purchase insurance and an excise tax on insurance benefits.

Those of you still making excuses for Obama should listen to what Senator Russ Feingold said yesterday:

“I’ve been fighting all year for a strong public option to compete with the insurance industry and bring health care spending down,” Feingold said Sunday in a statement. “Unfortunately, the lack of support from the administration made keeping the public option in the bill an uphill struggle.”

Republican Senator Olympia Snowe was about as unprincipled and two-faced during this process as White House officials were. She voted for the Senate Finance Committee’s bill in October and had suggested her main objection to Reid’s compromise was the inclusion of a public health insurance option. Yet Snowe remained opposed to the bill even after the public option was removed last week. Because of her stance, Reid cut the deal with Nelson. The supposedly pro-choice Snowe could have prevented the restrictions on abortion coverage from getting into the bill if she had signed on instead.

Speaking of Republicans, the Iowa Republican posted this rant by TEApublican: “Nebraska And Huckabee Respond To Ben ‘Benedict’ Nelson’s Christmas Senate Sellout.” If you click over, be prepared to encounter mixed metaphors and misunderstandings about what this “reform” does. Still, the rant is a good reminder of how Republicans will still scream about government takeovers even though corporate interests got everything they wanted out of the bill.

Last night a group of Senate Democrats reached some kind of compromise on the health care reform bill. Senator Tom Harkin “told reporters he didn’t like the agreement but would support it to the hilt” in order to get a bill through the Senate. Reports on the nature of the compromise varied, but Talking Points Memo seems to have the most details:

If this trade-off carries the day, the opt out public option is gone. […]

As has been widely reported, one of the trade-offs will be to extend a version of the Federal Employees Health Benefits Plan to consumers in the exchanges. Insurance companies will have the option of creating nationally-based non-profit insurance plans that would offered on the exchanges in every state. However, according to the aide, if insurance companies don’t step up to the plate to offer such plans, that will trigger a national public option.

Beyond that, the group agreed–contingent upon CBO analysis–to a Medicare buy in.

That buy-in option would initially be made available to uninsured people aged 55-64 in 2011, three years before the exchanges open. For the period between 2011 and 2014, when the exchanges do open, the Medicare option will not be subsidized–people will have to pay in without federal premium assistance–and so will likely be quite expensive, the aide noted. However, after the exchanges launch, the Medicare option would be offered in the exchanges, where people could pay into it with their subsidies.

It appears as if liberals lost out on a Medicaid expansion that would have opened the program up to everybody under 150 percent of the poverty line. That ceiling will likely remain at 133 percent, as is called for in the current bill.

In addition to the new insurance options, the group has tentatively agreed to new, and strengthened, insurance regulations, which the aide could not divulge at this time.

Those unspecified insurance regulations might refer to this:

Additionally, there was consensus support for a requirement long backed by Sen. Jay Rockefeller, D-W.Va., and other liberals for insurance companies to spend at least 90 percent of their premium income providing benefits, a step that supporters argue effectively limits their spending on advertising, salaries, promotional efforts and profits.

The health care bill approved by the House would require insurers to spend 85 percent of premium income on providing benefits. Upping that to 90 percent is even better; my concern is that if enforcement is left to state insurance commissioners, evasion will be widespread.

Chris Bowers is excited about three “meaningful concessions” Senate progressives received in exchange for dropping the (already weak) public option.

I’m off the bus, however, unless further details come to light about very good provisions buried in this compromise. This bill creates millions more customers for private insurers but doesn’t give Americans enough choices, doesn’t create a government plan to keep private insurers honest, and therefore is unlikely to reduce costs or solve the various problems of our current health care delivery system.

In the good news column, last night the Senate tabled (killed) Ben Nelson’s abortion amendment modeled on the Stupak language in the House health care bill. The vote was 54-45, with seven Democrats from conservative states voting with all but two Republicans (roll call here). Harkin voted to table this amendment, like most Democrats, while Chuck Grassley was on the other side.

UPDATE: Can any Obama fans defend this kind of action from his administration?

A proposal to enable the importation of cheaper prescription drugs could endanger the U.S. medicine supply and would be difficult to implement, the Food and Drug Administration said Tuesday. […]

But the Obama administration’s declaration on the eve of the vote could derail the amendment despite the fact that Obama co-sponsored Dorgan’s drug imports bill while a member of the Senate and that White House Chief of Staff Rahm Emanuel was a vocal proponent of the House version of the bill when he served as a member of the lower chamber.

Feel the hope and change!

SECOND UDPATE: The compromise still may not be enough for Joe Lieberman. They shouldn’t have given up on using the budget reconciliation process to pass a better bill with 51 votes.

I’m looking forward to the Iowa Democratic Party’s Jefferson-Jackson dinner this weekend. It will be live-streamed for those who can’t be there in person. The Iowa branch of Organizing for America is having a grand opening on Saturday as well, right before the JJ dinner.

Details for those and other events are after the jump. Post a comment or send me an e-mail (desmoinesdem AT yahoo.com) if you know if something I’ve left out.

Linn County Dems: Don’t forget that November 24 is the special election in Iowa House district 33.

One more “save the date”: the Culver-Judge campaign’s holiday party will be on Saturday, December 5 at the Val-Air Ballroom in West Des Moines from 7:30 pm to 11:00 pm. Tickets are just $35 for an individual, $10 for students and $50 for a family. Call 515-244-5151 or go to www.chetculver.com for more information.

Health Care for America NOW and the American Federation of State, County and Municipal Employees are running television ads this week thanking 20 Democrats in relatively tough districts who voted for the House health care reform bill last Saturday. If you live in the Des Moines viewing area, you may have seen this commercial about Congressman Leonard Boswell:

Corporate-funded conservative groups have targeted Boswell in negative ads this year because of his vote for the climate-change bill in June. Ads attacking the health care reform project (many funded by insurance industry fronts or the Chamber of Commerce) have been plentiful this summer and fall too. It makes sense for reform advocates to thank Boswell, as Iowa Republicans are gearing up to challenge him with State Senator Brad Zaun or some other well-known figure.  

In other health care reform news, Tom Harkin is among the Senate Democrats trying to keep the "Stupak amendment" language on abortion out of the Senate's version of health care reform. He's absolutely right that some people pushing amendments are trying to kill the bill rather than make it better. A lot of questions have been raised about whether defeating the bill was Representative Bart Stupak's main goal. Since 1992, Stupak has been involved with the fundamentalist Christian "Family" group and has lived in their house on C Street in Washington.  

Stupak claims that as many as 40 House Democrats would reject health care reform without his amendment, but yesterday House Whip James Clyburn said the Stupak amendment only gained 10 votes for the bill. Meanwhile, more than 40 House liberals are threatening to vote down the final bill out of conference if it contains the Stupak language.  

Final note: MyDD user Bruce Webb wrote an interesting piece about what he views as "the most important and overlooked sentence" in the House health care reform bill:  

Most of the criticism of HR3962 coming from the left revolves around the belief that the House bill has no premium and so no profit controls, that it in effect delivers millions of Americans into the hands of insurance companies who can continue to raise premiums at will while denying care by managing the risk pool in favor of those unlikely to make claims. This just is not true, not if the provision in this one sentence is properly implemented. In a stroke it guts the entire current business model of the insurance companies, based as it is on predation and selective coverage, and replaces it with a model where you can only make money by extending coverage to the widest range of customers and or delivering that coverage in a more efficient way.

 Like they say, go read the whole thing.
 

Bob Vander Plaats was the clear front-runner in the Republican field of gubernatorial candidates a few months ago. He’s been campaigning for the job longer and more actively than anyone else. He had contacts statewide from his 2006 campaign for lieutenant governor, and from Mike Huckabee’s presidential campaign. He also had several endorsements from state legislators and a big lead in a Republican poll taken in July.

During the past six months, various potential Republican candidates have ruled out a campaign for governor, including Secretary of Agriculture Bill Northey and State Auditor David Vaudt. Efforts to recruit a business leader (like Mary Andringa) failed too. Some Iowa politicos believe that these people backed off not because they thought Governor Chet Culver was unbeatable, but because they couldn’t see a way to defeat Vander Plaats in the Republican primary.

Most people would now agree that Vander Plaats is an underdog. Branstad will have more money, more media coverage and more support from Republican power-brokers. He’ll be able to cite last week’s Research 2000 poll, showing Branstad narrowly ahead of Culver, but Vander Plaats way behind the incumbent.

Vander Plaats won’t give up without a fight, though. He has promised to stay in this race through the June primary, and he has some strong cards to play, as I’ll discuss after the jump.  

The Senate Finance Committee approved its health care reform bill on a 14-9 vote yesterday, with all Democrats and Republican Olympia Snowe of Maine voting in favor. Ranking Republican Chuck Grassley, a key member of the committee’s “gang of six” negotiators this summer, joined the rest of the Republicans in voting against the bill. Speaking to the Des Moines Register Grassley “said he has no regrets about working with majority Democrats on the committee, only to oppose the bill. Given more time, he might have struck a deal, he said.”

This guy is the perfect picture of a bad-faith negotiator. From the Register:

Grassley said he objects most to provisions in the bill that would require Americans to obtain health insurance. But Grassley also said the bill does too little to block federal money being spent to provide abortions and provide coverage for illegal immigrants.

“Those aren’t the only things, but I think they are the most controversial or the most difficult to deal with,” Grassley told The Des Moines Register.

As Jason Hancock reported for the Iowa Independent last week, Grassley publicly supported the idea of an individual mandate to purchase health insurance this summer. I agree that requiring individuals to purchase insurance is problematic if there is no broad-based public health insurance option (because then the government is just subsidizing private insurers), but of course Grassley opposed the public option too.

In addition, the “gang of six” made changes in the bill before markup to address groundless Republican claims about illegal immigrants. According to PolitiFact, the “Baucus plan explicitly states that no federal funds – whether through tax credits or cost-sharing credits – could be used to pay for abortions (again, except for rape, incest, or the life of the mother).”

Trying to cut deals with Grassley is a waste of time. For more on that point, check out the skipper’s recent diary.

Speaking of Grassley, Cityview’s Civic Skinny thinks he should be worried about a potential race against attorney Roxanne Conlin. When a reporter asked Secretary of Agriculture Tom Vilsack whether his wife, Christie Vilsack, might run against Grassley, he replied, “You should ask her about that.” (UPDATE: Dave Price did ask her and wonders whether she is the mystery candidate.)

As for the health care bill, the Finance Committee and HELP Committee versions have to be merged before a floor vote. It’s imperative that a public option be included in the version sent to the floor, and HELP Committee representative Chris Dodd says he will fight for that. On the other hand, Snowe and a few Democrats, like Blanche Lincoln of Arkansas, might vote against the bill on the floor if it contains a public option. Chris Bowers wrote more at Open Left about the merging process in the House and Senate.

UPDATE: Branstad did file papers to form an exploratory committee today.

The Iowa Republican blog reported today,

This morning, former Governor Terry Branstad will file paperwork with the Iowa Ethics and Campaign Disclosure Board (IECDB), essentially launching his campaign for governor.

All state candidates are required to file with the IECDB once they spend or raise more than $750.00. While some candidates have claimed that filing this paperwork is like opening an exploratory committee, there are no special distinctions allowed under Iowa law for such committees, meaning that when you file with the IECDB, you are announcing that you are a candidate.

Branstad announced this summer that he would decide in October whether to run for governor again. It’s been clear he was planning to be a candidate since the Draft Branstad PAC started raising big money and running statewide radio ads last month, so why wait? Some people think Branstad, now president of Des Moines University, wanted to make his decision known to that university’s Board of Trustees at this month’s scheduled meeting before announcing his candidacy.

I have been wondering whether Branstad wanted to remain outside the campaign during September so that the Des Moines Register’s Iowa poll by Selzer and Co. would measure his support at the highest possible level. After he formally enters the race, his record will face tougher scrutiny, and his favorability ratings are likely to go down. The Register’s poll (released on September 20 and 21) showed that 70 percent of Iowans approved of his performance as governor, but only 48 percent thought it would be a good idea for him to run again. That poll did not include a head to head matchup against Governor Chet Culver. Republican firm Rasmussen conducted a one-day poll on September 22, which showed Branstad leading Culver by 20 points.

In the coming months, rival Republican candidates are likely to open three main lines of attack on Branstad:

1. During his first three terms as governor, Branstad kept two sets of books in order to run illegal deficits. His fiscal mismanagement was the main factor driving support for then Congressman Fred Grandy during the 1994 Republican primary. State Representative Chris Rants has already started hitting Branstad on this front. Last week he asserted,

“Culver’s repeating the mistakes Branstad made in the 80’s. He moved money on paper and delayed payments from one fiscal year to another until it finally caught up to him and he raised the sales tax to square the books. He could only hide his deficits for so long. It’s these kinds of accounting gimmicks that caused the fallout between Auditor Johnson and Branstad.”

“We Republicans need to be better than that if we expect to earn the trust of Iowans,” added Rants.

Richard Johnson, state auditor during most of Branstad’s tenure, is now co-chairing Bob Vander Plaats’ campaign. Expect to hear more from him in the future.

2. During his four terms as governor, Branstad didn’t deliver on various issues of importance to conservatives. Branstad selected a pro-choice lieutenant governor and didn’t get an abortion ban through the legislature even when it was under Republican control during his final term. Vander Plaats has already promised not to balance his ticket with a moderate, and if Branstad announces a pro-choice running mate, a lot of the Republican rank and file will be furious.

Branstad campaigned every four years on a promise to reinstate the death penalty, but he never got it done as governor.

Last week Rants promised to press for an amendment on gun rights to the Iowa Constitution. Perhaps we’ll hear more in the future about Branstad’s failure to do enough on this front.

3. Branstad raised sales taxes, the gas tax, and favored other tax increases as well.

Tax hikes are never popular with the GOP base, and Rants and Vander Plaats are certain to educate primary voters about Branstad’s record. If Christian Fong decides to stay in the race, we’ll be hearing from him about this issue too. Ed Failor, head of Iowans for Tax Relief, is one of Fong’s key political backers and fundraisers.

The Iowa Democratic Party has already started responding to the Draft Branstad PAC’s revisionist history, and will continue to call attention to how Branstad governed. I’ve posted the Iowa Democratic Party’s response to the first pro-Branstad radio ad after the jump. The IDP has also created the entertaining Iowa Knows Better website, with information about all of the GOP candidates for governor. Here is the page on Branstad, with details on Branstad’s two sets of books, tax increases, use of state bonding, and failure to pay state employees what they had earned.

Branstad will have more money and institutional support than the other Republican candidates and will be heavily favored to win the primary. But I doubt public approval for his work as governor will still be at 70 percent six months from now.

UPDATE: Swing State Project is now calling the Iowa governor’s race a tossup.

WHO reporter Dave Price posted a good scoop at the Price of Politics blog about a flyer attacking Terry Branstad, which appeared on some cars in Des Moines on Saturday. The flyer says “Paid for by Iowans For Truth and Honest Government,” but it reads like the case that supporters of Bob Vander Plaats would make against Branstad in the Republican gubernatorial primary. The distributors seem to have wanted publicity, because they put the flyers on at least one car in the WHO-TV parking lot.

The line about the “pro-infanticide Lieutenant Governor” refers to Joy Corning, who is pro-choice and has criticized activists who make the abortion issue a “litmus test” for Republican candidates.

Attacking Branstad for saying nice things about Mitt Romney may reflect the fact that Branstad’s former top aide, Doug Gross, was Romney’s Iowa chairman before the 2008 caucuses. However, it should be noted that one of Vander Plaats’ campaign co-chairs is State Representative Jodi Tymeson, who also supported Romney for president.

If Branstad gets back into politics, most of the Republican establishment will support him, but a significant number of rank-and-file Republicans may be swayed by the arguments made in this flyer. It would be ironic for Branstad’s main obstacle to be the religious conservatives, who carried him to victory in the 1982 and 1994 GOP primaries.

Iowa Democratic Party chair Michael Kiernan released a memo on Friday making the case against Branstad from a different perspective. I’ll have more to say on that in a future post.

An assailant shot and killed Dr. George Tiller at a church in Wichita, Kansas this morning. Tiller has long been demonized by the anti-choice movement because he performs late-term abortions. He was shot in 1993 and has faced numerous threats, and his clinic has been bombed and vandalized. The Wichita Eagle has background here and is updating the story. (Note: police arrested a 51-year-old male suspect about three hours after the shooting.)

Daily Kos user wiscmass discusses other violent attacks against abortion providers here. As wiscmass notes, every murder or assault is a deterrent to medical professionals considering whether to provide abortion services. By intimidating doctors, anti-choice activists can restrict access to abortion where legal and political methods have failed. I would add that even non-violent methods of intimidation can be effective. For instance, the Sioux City medical community has made clear hospital privileges will be denied to any local doctor who performs abortions at Planned Parenthood of Greater Iowa’s clinic there.

Tiller was not only serving women in Kansas. Many states, including Iowa, lack any clinic where women with a compelling medical reason can get a late-term abortion. (Contrary to propaganda you may have heard, healthy women with healthy pregnancies can’t just walk into Tiller’s clinic and get an abortion in the third trimester.) I have no idea where these women will go now.

Incidentally, Tiller’s donations to Kansas Governor Kathleen Sebelius and her political action committee prompted 31 Senate Republicans to vote against confirming Sebelius as Health and Human Services secretary in April.

Cecile Richards, leader of Planned Parenthood Federation of America, told a story about Sebelius during a recent speech at Planned Parenthood of Greater Iowa’s 75th anniversary celebration. Richards recalled a noisy group of protesters with graphic signs outside a Planned Parenthood event in Kansas. Everyone who attended the event, including then-Governor Sebelius, had to walk through the group of protesters. During her speech that night, Sebelius said she was glad everyone had to face those protesters, because it gave them a sense of what women in Kansas go through every day just trying to access reproductive health care.

Unfortunately, Tiller’s murder reminds us that standing up for reproductive rights in this country sometimes means putting your life in danger. I echo wiscmass in urging pro-choice Americans to support the organizations that are on the front lines in this battle.

If all you knew about 2nd Circuit U.S. Appeals Court Judge Sonia Sotomayor came from conservative commentators, you would think Barack Obama had nominated a far-left reverse racist for the Supreme Court. A typically unhinged assessment by Iowa’s own Ted Sporer, chairman of the Polk County Republican Party, is titled “The Supreme Court pick: Justice denied, racism and sexism exalted.” Like most conservatives who are freaking out, Sporer is reacting to one quotation from a speech Sotomayor gave in 2001:

“I would hope that a wise Latina woman with the richness of her experiences would more often than not reach a better conclusion than a white male who hasn’t lived that life.”

Conservative commentator Rod Dreher read the whole speech and concluded on Wednesday, “seeing her controversial comment in its larger context makes it look a lot less provocative and troubling.” However, the right-wing noise machine continues to sound the alarm about Sotomayor’s alleged radical, racist agenda.

You won’t be surprised to learn that people who have examined her judicial record (as opposed to one sentence from one speech) have reached substantially different conclusions. Some reality-based links are after the jump.

State Auditor David Vaudt’s a pretty good bean-counter, but he did not read the fine print of the stimulus bill Congress recently passed. (In fairness, the document was more than 1,000 pages long.) Vaudt told the Iowa Political Alert blog that

the state should consider the nearly $1.9 billion expected to flow to Iowa through the package in cafeteria style – taking millions here but potentially leaving money on the table elsewhere if he thinks the short-term gain would give birth to unwieldy bureaucracy down the road.

“I would sort through each piece of the stimulus package and try and say ‘where does it fit Iowa the most,’” he said.

(Hat tip to Iowa Independent.)

But Senator Charles Schumer of New York has bad news for Republican governors (or in this case a would-be governor) advocating an a la carte approach to the stimulus:

As you know, Section 1607(a) of the economic recovery legislation provides that the Governor of each state must certify a request for stimulus funds before any money can flow. No language in this provision, however, permits the governor to selectively adopt some components of the bill while rejecting others. To allow such picking and choosing would, in effect, empower the governors with a line-item veto authority that President Obama himself did not possess at the time he signed the legislation. It would also undermine the overall success of the bill, as the components most singled out for criticism by these governors are among the most productive measures in terms of stimulating the economy.

Vaudt may run for governor in 2010, but I don’t give him much chance of winning a Republican primary. A few days ago he dared to suggest that Iowans may have to pay higher gas taxes in order to adequately fund road projects. That will rile up the base in the wrong way.

Speaking to Iowa Political Alert, Vaudt acknowledged that he hasn’t focused much on social issues in the past. He added that on abortion he’s a “pro-life person” who would make exceptions in the case of rape or when the mother’s life is in danger.

Correct me if I’m wrong, but I think Republican Congressional candidate Mariannette Miller-Meeks had exactly the same stance on abortion and was consequently attacked by Iowa Right to Life. Amazingly, the State Central Committee of the Republican Party of Iowa barely had the votes to censure RNC committeewoman Kim Lehman for failing to support Miller-Meeks during her campaign against Congressman Dave Loebsack last fall.

I don’t think Vaudt will satisfy the social conservatives who dominate GOP primaries in Iowa unless several candidates of the Bob Vander Plaats variety split those votes.  

Skip this post if you think it’s too early to start talking about the 2012 presidential campaign just because Barack Obama hasn’t been inaugurated yet.

Former Arkansas Governor Mike Huckabee, the winner of the 2008 Iowa caucuses, was back in the state this week in more ways than one. On Thursday he held book signings that attracted some 600 people in Cedar Rapids and an even larger crowd in a Des Moines suburb. According to the Des Moines Register, he “brushed off talk of a 2012 run” but

brought to Iowa a prescription for the national Republican Party, which he said has wandered from its founding principles.

“There is no such thing as fiscal conservativism without social conservativism,” Huckabee said. “We really should be governing by a moral code that we live by, which can be summed up in the phrase: Do unto others as you’d have them do unto you.”

Governing by that principle would lead to a more humane society, with lower crime and poverty rates, creating less demand on government spending, he said.

Huckabee was accompanied on Thursday by Bob Vander Plaats, who chaired his Iowa campaign for president. Vander Plaats has sought the Republican nomination for Iowa governor twice and is expected to run again in 2010. He recently came out swinging against calls for the Iowa GOP to move to the middle following its latest election losses. The Republican caucuses in the Iowa House and the Iowa Senate elected new leadership this month, and the state party will choose a new chairman in January. Vander Plaats is likely to be involved in a bruising battle against those who want the new chairman to reach out more to moderates.

Many Iowans who didn’t come to Huckabee’s book signings heard from him anyway this week, as he became the first politician to robocall Iowa voters since the November election. The calls ask a few questions in order to identify voters who oppose abortion rights, then ask them to donate to the National Right to Life Council. According to Iowa Independent, the call universe included some Democrats and no-party voters as well as registered Republicans. Raising money for an anti-abortion group both keeps Huckabee in front of voters and scores points with advocates who could be foot-soldiers during the next caucus campaign.

Meanwhile, Louisiana Governor Bobby Jindal made two stops in Iowa yesterday. Speaking in Cedar Rapids,

Jindal said America’s culture is one of the things that makes it great, but warned that its music, art and constant streams of media and communication have often moved in the wrong direction.

“There are things we can do as private citizens working together to strengthen our society,” he said. “Our focus does not need to be on fixing the (Republican) party,” he said. “Our focus needs to be on how to fix America.”

I’m really glad to hear he’s not worried about fixing the party that has record-high disapproval ratings, according to Gallup.

Later in the day, Jindal headlined a fundraiser in West Des Moines for the Iowa Family Policy Center. He said he wasn’t there to talk politics (as if what follows isn’t a politically advantageous message for that audience):

“It all starts with family and builds outward from there,” said the first-term Jindal, who was making his first visit to Iowa. “As a parent, I’m acutely aware of the overall coarsening of our culture in many ways.”

The governor said technology such as television and the Internet are conduits for corrupting children, which he also believes is an issue agreed upon across party lines.

“As governor, I can’t censor anything or take away anyone’s freedom of speech – nor do I want to if I could,” he said, “but I can still control what my kids watch, what they hear and what they read.”

The problem is that parents who want to control what their kids read often try to do so by limiting what other people’s kids can read. A couple near Des Moines

are fighting to restrict access to the children’s book “And Tango Makes Three” at East Elementary School in Ankeny. The book is the story of two male penguins who raise a chick together.

The Ankeny parents want it either removed or moved to the parents-only section, arguing that it promotes homosexuality and same-sex couples as normal and that children are too young to understand the subject.

Gay rights are sure to be an issue in the next Republican caucus campaign, especially if the Iowa Supreme Court rules in favor of marriage equality next year. The court will soon hear oral arguments in a gay marriage case.

For now, though, it’s enough for Jindal to speak generally about “family” and “culture” and raise his name recognition among the religious conservatives who have often crowned the winner in the Iowa caucuses.

I am disappointed that the Democrats did not gain as many seats in the Iowa legislature as I’d hoped. With Barack Obama winning this state by 9 percent and Democrats enjoying a big voter registration advantage, we should have done better in the statehouse races. We need to analyze what sank some of our down-ticket candidates so we can do better in 2010.

None of that should obscure the much bigger problems currently facing the Republican Party of Iowa.

Six days after the fourth straight election in which Republicans have lost seats in both the Iowa House and Senate, the Republicans House caucus voted to replace Christopher Rants of Sioux City as their leader. Kraig Paulsen of Hiawatha (a suburb of Cedar Rapids) will take on the job. According to the Des Moines Register,

Rants and Paulsen have starkly different governing styles. Rants is known at the Capitol as a fighter, often using sharp language to rally for his party. For years, he has been the main go-to guy for his party, advising them on nearly every issue.

Paulsen has been described by his peers as being rather mellow. He’s also got a reputation of being able to work well with Democrats. This summer, for example, he was seen frequently working with other legislators such as Sen. Robert Hogg, a Democrat from Cedar Rapids, on flood-related issues.

With two House races yet to be decided, Republicans are likely to end up with only 44 of the 100 seats in the lower chamber. Eight years ago they had 56 seats. The delegation is not only smaller, but also more conservative than it was in the past. For instance, my own House distict 59 has traditionally been represented by moderates (Janet Metcalf, Gene Maddox, Dan Clute), but incoming representative Chris Hagenow was backed by right-wing interest groups.

Speaking of those two House seats that are still too close to call, let this be a lesson to voters about the importance of filling out the whole ballot. Democratic incumbent Wes Whitead leads by six (!) votes in House district 1, and some ballots are being challenged because an estimated 100 to 120 Woodbury County voters received absentee ballots listing candidates in the wrong state House district.

In House district 37, highly targeted Democratic incumbent Art Staed trailed Republican Renee Schulte by less than 50 votes on election night and by only 14 votes as of Friday. If Whitead’s lead holds and a recount changes the outcome of Staed’s race, House Republicans would end up with with only 43 seats for the next two legislative sessions.

Speaking of contested ballots, the votes of 50 Grinnell students who listed the address where they receive mail, rather than the address of the dorm they live in, will be counted in House district 75. As I predicted, that race turned out not to be close enough for the challenged votes to be decisive. Targeted Democratic incumbent Eric Palmer beat former state representative Danny Carroll by about 1,200 votes (54 percent to 46 percent).

About those close races: the Republicans might have picked up more seats if the Democrats had not banked so many early votes. Rants announced after being ousted as House Republican leader that “he’ll now take on a personal crusade to spark Republican voter registration drives and early voting as a way to help his party rebound.” Building an effective early-voting campaign will not happen overnight, though.

Republicans in the Iowa Senate are considering changing their leadership as well, now that their Senate caucus will be the smallest in history. Depending on the outcome of the extremely close race in Senate district 10, Republicans will hold just 18 or 19 seats out of 50.

The national economic and political climate could be very different in 2010, which may give some Republicans hope. But don’t imagine it will be easy for them to defeat Governor Chet Culver and win back a net six or seven seats in the House and the Senate. A few years ago, Republicans and Democrats had about the same number of registered voters in Iowa. Yet Culver beat Congressman Jim Nussle (who was considered a strong candidate) by about 100,000 votes in 2006. Culver goes into the next campaign with the advantages of incumbency as well as a Democratic lead in voter registration.

The Republican Party of Iowa also faces divisive battles between social conservatives and moderates. Stewart Iverson announced last week that he will not seek another term as state party chairman. Polk County Republican Chairman Ted Sporer wants the job and wants to make the party more confrontational:

“We need to fight with the Democrats. I want to fight with the Democrats every day,” he said. “I want our party leadership to join me in that.”

The current GOP leadership has led the party to the bottom, he said.

“If 2009 doesn’t look like the bottom has dropped out, I mean if this isn’t truly where you bottom out, what’s it going to look like?” he said. “We have to turn around and start fighting back.”

Sporer said the party must return to its conservative values, from fiscal to social and everywhere in between.

“We were so not conservative in the last election cycle,” he said, adding: “[Republicans] are so afraid of losing power that they pander to the middle instead of running hard and proud as who they are.”

But even before the election, moderate Iowa Republicans were planning to “fight back against the evangelicals and goofballs who have taken over the party.” Goofballs such as U.S. Senate candidate Christopher Reed and Kim Lehman, who was elected Republican national committeewoman this summer at the GOP state convention (replacing Sandy Greiner). Steve Roberts, another moderate Republican who lost his RNC slot to a social conservative, suggested before the election that Lehman should choose between leading Iowa Right to Life and serving on the RNC.

The moderates (including 2002 gubernatorial nominee Doug Gross according to Cityview) think Republicans should not take such a hard line on social issues. Former Republican lieutenant governor Joy Corning, who is pro-choice, took issue with Lehman in this letter to the Des Moines Register:

Pro-life can and does mean pro-choice to great numbers of Republicans. It means they want government to let individual citizens decide on matters best left to each person’s dignity, freedom, ability and responsibility.

If Kim Lehman, one of two Iowa representatives on the Republican National Committee, makes being anti-choice a litmus test, it only further divides the Republican Party.

We are defined by principles that have been our foundation since the time of Lincoln – limited government, strong defense, fiscal responsibility, self-determination and opportunity. We are not defined by a National Right to Life survey.

Last week’s election results strengthen the moderate Republicans’ argument, in my opinion. Lynda Waddington of Iowa Independent showed in this piece that Republican statehouse candidates who emphasized abortion as a campaign issue did not do very well.

But who will take on and defeat Sporer in a campaign to lead the state party? His belief that the GOP has been losing because it’s not conservative enough is shared by most Republicans, even if the overall electorate disagrees.

I don’t give the moderates much chance against the “goofballs” if Republican activists are doing the choosing.

UPDATE: I forgot to mention that as a rule, the party out of power sees more of its members retire from the state legislature. It’s not much fun being in the minority during the legislative session. In all likelihood, Republicans will go into the 2010 cycle with more open seats to defend in the Iowa House and Senate.

I also want to link to a few conservative bloggers’ commentaries on the situation facing the Republican Party of Iowa.

At his own blog, Ted Sporer lays out his vision for a “Republican Rebirth” in Iowa. Many of his ideas are grounded in the Republican mainstream, but make no mistake: Sporer is more closely aligned with the “goofballs” than with the moderates.

After Christopher Reed went way over the top in his debate with Tom Harkin last month, Sporer defended Reed’s description of the four-term incumbent as the “Tokyo Rose of al-Qaeda.” To hear Sporer tell it, this phrase was “accurate,” and “we need more discussion of objective factual truths in politics.” Furthermore, he argued that Reed’s line of attack against Harkin could have been a winning message if only Reed had had “more money, a staff and some TV advertising.” This tells me that if Sporer does become Iowa GOP chairman, we’re in for a lot of Newt Gingrich-style rhetorical bomb-throwing in 2010.

The well-connected Krusty Konservative notes that groups of Republican moderates and conservatives have met in recent days to discuss the way forward:

While I’m glad that both the establishment crowd and conservative activists are meeting, I just wish they would sit down and meet together. If this turns out to be a battle between the two groups only one thing will come of it; defeat.

Krusty also wants social conservatives to be “more inclusive and tolerant of people and candidates who don’t comply with a strict anti-abortion litmus test.” But he had this to say to the Republicans who blame the religious right for losing elections:

It amazes me that the social conservatives are being blamed for the lack of message within the Republican Party. This couldn’t me farther from the truth. The liberal media would lead you to believe that our candidates only talk about gay marriage and abortion. […]

When you look at the message breakdown on economic/kitchen table issues it’s been the establishment candidates who have failed us. In this last presidential campaign we saw John McCain lose the kitchen table issues to Obama, but we shouldn’t have been surprised, our Republican standard barers [sic] have not been able to win the debate on economic issues vs. their Democrat challengers for more than a decade.

Commenting on my post about the problems facing Republicans nationally, Bleeding Heartland user dbrog recommended watching the latest Iowa Press program on Iowa Public Television. The video is here, and you can download the transcript at the same page on the IPTV website.

Krusty Konservative wasn’t optimistic after watching:

Interestingly enough both National Committeeman Steve Scheffler and Doug Gross discussed the future of the Republican Party in Iowa on Iowa Press this past weekend. The interview didn’t generate any real fireworks, but it also lacked any specific ideas to move our party forward. All I took out of it was to expect more of the same, which means we should prepare to lose more legislative seats in 2010 and maybe a statewide elected Republican unless we can rally around the cause of winning elections.

Blogger abregar of the Iowa Defense Alliance describes what he wants to see in a party chairman:

The Republican Party of Iowa is in crisis. As a party we have just come off another losing election cycle. There were a few areas that provided a sense of optimism, but they are few and far between. It has become obvious that the current party leadership does not know how to win. Their strategy has led us down the road to defeat yet again.  The party is fractured and in need of healing yet our leadership has not attempted to do just that. The next RPI Chair needs to be someone that understands and supports all the values and ideals that our party stands for. Essentially the next Chair should eat, sleep, and drink the party platform. The next RPI Chair must unite our crippled and fractured party. There are deep divisions in the party right now that current leadership has done little to heal.

To my mind, a GOP chair who “eats, sleeps and drinks the party platform” will be unable to heal the party’s divisions, because social conservatives have been so dominant in crafting that platform. But that’s not the most interesting part of abregar’s analysis:

I cannot deny that under normal circumstances I think that [Sporer] would excel as Chair of RPI. Ted is solid on all the issues that represent the Republican Party here in Iowa. He most definitely is outspoken and has great ideas. At this point in time, Ted may not be the right person for the job. Far too many people across the state Ted is a symbol of the Polk County political machine and they resent that. […] Other party members across the state see the influence that Polk County has and they resent it. I hate to say this, but I don’t think that Ted would bring the party together like we need.

Right now RPI needs a leader that can reach across the state to bring Republicans together. We need someone that is going to be a strong leader that will promote our issues and values. We need a strong leader that will loudly and vocally support all of our candidates, not just one or two. We need someone that is going to be solid on all Republican issues. In order to do this RPI is going to need to look outside of Polk County.

Not surprisingly, the most influential Republican moderates in this state are based in Polk County, which contains Des Moines and most of its suburbs. Polk County is also where a lot of the heavy-hitter Republican donors live (both moderate and conservative). If the state GOP takes abregar’s advice and looks outside Polk County, will unifying the party become any easier?

The bottom line is that there is no easy path forward for the Republican Party of Iowa.

On Wednesday, I hurried out of school at lunch to go see John Kerry at the Iowa Veterans Home. Kerry was in Iowa today campaigning for Barack Obama. He made stops in Waterloo, Marshalltown, Ames, Waukee, and Des Moines.

The event was scheduled to start at 11;30, but I couldn't leave school until 11:40. Knowing there was a good chance that the event would start a few minutes behind schedule, I thought I'd get to see a good portion of it. However, the event must have started on time because I only caught the last few questions.

Kerry was asked by a veteran about the possibility of another economic stimulus check. The person said many residents of the Iowa Veterans Home were not eligible for a stimulus check and if they give out another one if something could be done. Kerry said that the government needs to focus on creating jobs and not on writing more checks.

Kerry was then asked by a man, who is supporting Obama and is Catholic, about the abortion issue.

As I was walking out, there were veterans registering to vote and filling out requests for absentee ballots. I didn't get a head count of how many people were there, but you could feel the excitement for the upcoming election in the room.

Midnight tonight (September 25) is the deadline to submit comments on a rule proposed by the U.S. Department of Health and Human Services. A few weeks ago Planned Parenthood Action sounded the alarm about this proposal, which would allow health care providers to refuse to provide care that goes against their personal beliefs. This diary contains a link to a pdf file of the relevant document from HHS and explains how it could affect women’s health care:

Tweaking the interpretation of existing law, ALL employees of health care organizations would be able to refuse to be associated with providing services to which they are opposed.  The administration says the new rule is targeted at abortion, but the trouble is they have made the rule so vague it could apply across the spectrum in health care, including the birth control women need to prevent abortions.

Creating a special class of employees based on personal beliefs allows everyone from the doctor to the receptionist have a say in your health care.  Any employee can deny care to a patient, and the organization is helpless to take action to correct the situation.

   * The receptionist who schedules your appointment may not do so because he or she does not agree with the type of contraception you use.

   * The doctor may not tell you about all of your options because they are opposed based on their religious beliefs.

A health care organization that ensures patients get access to necessary services may lose its ability to provide federal assistance to low-income patients because of one employee.  And they can take no corrective action.

Cecile Richards, who leads the Planned Parenthood Action Fund, sent out an e-mail yesterday urging concerned citizens to submit a public comment:

The Bush administration has issued a rule that would limit the rights of patients to receive complete and accurate reproductive health information when they visit a health care provider. It’s more of the Bush administration’s bad medicine, and this is our last chance to stop it.

This new rule could allow individual health care providers to redefine abortion to include the most common forms of birth control – and then refuse to provide these basic services. A woman’s ability to manage her own health care is at risk of being compromised by politics and ideology. We have until September 25 at midnight to voice our opposition.

If elected, the McCain/Palin ticket promises to be the most anti-choice administration ever. But first, the current president seems determined to do as much damage as he can before he leaves office. We have just one more day to voice our opposition to the Bush administration rule. Please take a moment right now to add your name to the hundreds of thousands of others who will not stand by and let this happen without a fight.

The Planned Parenthood Action Center has created a page where you can submit your comments on this proposed rule. It’s easy, so please do weigh in.

Ben Smith reported yesterday at Politico that Barack Obama’s campaign is running radio ads about John McCain’s stand on abortion. His readers reported hearing the ads in at least seven states, including Iowa.

I heard this ad in the car yesterday on two Des Moines-area radio stations: the oldies station KIOA, and once on LITE 104.1. LITE heavily skews toward female listeners. I don’t know about the gender breakdown of KIOA listeners, but that station generally appeals to an older audience, many of whom would remember when abortion was illegal.

Because I was driving, I was unable to take notes on the ad. Audio does not seem to be available at the Obama campaign website.

This morning I was heard a longer version of the same ad on both the LITE station and the oldies station. I was able to take notes, but this is not a verbatim transcript.

UPDATE: Edited out my rough transcript and replaced with the script Smith published at Politico:

   OBAMA: I’m Barack Obama, candidate for president, and I approved this message.

   VAL BARON: As a nurse practitioner with Planned Parenthood, I know abortion is one of the most difficult decisions a woman will ever make. I’m Val Baron. Let me tell you: If Roe v Wade is overturned, the lives and health of women will be put at risk.  That’s why this election is so important.  John McCain’s out of touch with women today. McCain wants to take away our right to choose. That’s what women need to understand. That’s how high the stakes are.

   ANNCR: As president, John McCain will make abortion illegal.  McCain says quote, “I do not support Roe v. Wade. It should be overturned.” And listen to McCain’s answer on Meet the Press:

       RUSSERT: “A constitutional amendment to ban all abortions. You’re for that?”

       McCAIN: “Yes, sir.”

   VAL BARON: We can’t let John McCain take away our right to choose. We can’t let him take us back.

   ANNCR: Paid for by Obama for America.

The short version of the radio ad does not have the Planned Parenthood nurse practitioner speaking at the beginning. Otherwise, it is identical, beginning where the female voice-over picks up.

A few points worth noting about this ad:

It does not mention Sarah Palin or the fact that McCain picked an anti-choice running mate. The entire focus is on McCain’s record on abortion.

Including the undated audio clip with Russert and McCain is effective, in my opinion. That is more memorable than anything a voice-over could say about McCain’s position on abortion.

I prefer the long version of the ad, because I think it’s powerful to have a nurse say abortion is a difficult decision for women. The anti-choice forces try to make it sound as if pro-choice people celebrate or even encourage “abortion on demand.” However, most Americans understand that whatever their own views about the issue, abortion is not something women take lightly. Complicated personal circumstances lead to the decision.

These ads mark a major shift in strategy for the Obama campaign. Up to now, the campaign has been emphasizing economic issues rather than abortion at its women’s outreach events. Click the link to read about the Obama women’s event I attended a few weeks ago, during which Roe v Wade was only mentioned in passing.

Although Democratic candidates have not often made abortion the focus of paid advertising, I think this is a smart ad. Way too many women wrongly believe McCain is pro-choice. Even my stepmother, who is well-informed politically, thought that.

Now that McCain has played his hand and picked a running mate who appeals to evangelicals seeking to overturn Roe v. Wade, it’s the right time to educate pro-choice women about McCain’s true record on the issue.

The potential downside is that these ads will increase McCain’s support among anti-choice voters. Although McCain scores zero on Progressive Punch’s rankings on abortion as well as a perfectly anti-choice zero on Planned Parenthood’s scorecard, many evangelical conservatives believe McCain does not have a pro-life voting record.

Incredibly, some figures on the Christian right believe McCain has a pro-abortion voting record (see here for more details on that perspective).

This ad makes crystal clear that McCain would make abortion illegal if elected president.

On the other hand, McCain has presumably already energized anti-choice voters by selecting Palin for vice-president. Also, I have yet to see any poll showing that a majority of Americans would like to see abortion criminalized.

Please put up a comment if you have heard these ads, with details about when and what kind of radio station aired them.

What do these three things have in common?

• The cashier at a movie theatre refuses to sell tickets for R rated films because the movies are too violent…
• A waiter at a restaurant refuses to serve meat because they are a vegetarian…
• A geography teacher refuses to teach students about China because they are opposed to communism…

If a new rule from the Bush Administration was applied to all of jobs, none of these people could be fired for not doing their jobs!

The U.S. Department of Health and Human Services has released a new rule that will impact the way basic and reproductive health care will be provided in America.  This new rule broadly expands refusal clauses to allow ideology into the doctor’s office—even the waiting room!

Tweaking the interpretation of existing law, ALL employees of health care organizations would be able to refuse to be associated with providing services to which they are opposed.  The administration says the new rule is targeted at abortion, but the trouble is they have made the rule so vague it could apply across the spectrum in health care, including the birth control women need to prevent abortions.

Creating a special class of employees based on personal beliefs allows everyone from the doctor to the receptionist have a say in your health care.  Any employee can deny care to a patient, and the organization is helpless to take action to correct the situation.

• The receptionist who schedules your appointment may not do so because he or she does not agree with the type of contraception you use.
• The doctor may not tell you about all of your options because they are opposed based on their religious beliefs.

A health care organization that ensures patients get access to necessary services may lose its ability to provide federal assistance to low-income patients because of one employee.  And they can take no corrective action.  This is just another example of the Bush Administration protecting the “haves” and cutting off the “have-nots”.

This rule is being sold as a “protection” for health care workers, but seems like it’s more about imposing the beliefs of others on you—and your health care.  Be prepared to start interviewing your health care provider and all their staff once this law is passed, because if you don’t you’ll never know what you should have been told that you were not told.

This rule is a last ditch effort by the Bush Administration to cut off science based medicine and impose ideology.  It’s about placing the rights of a few ahead of medically accurate healthcare for everyone, and it’s about overturning state laws that go against the will of the Bush Administration.  On September 23rd the “Provider Conscience Regulation” will go into effect. Without a strong grassroots opposition, the personal beliefs of others will be a factor in your health care—and millions of low-income patients may lose life-saving services.

For more information or to take action visit: http://www.ppaction.org/campaign/hhs_regulation

Steve King likes nothing better than to stake out a conservative position on a hot-button social issue. I learned yesterday from the One Iowa advocacy group that this week Congressman King “has introduced a Federal Constitutional Amendment to codify discrimination and ban same sex marriages nationwide.”

Please consider donating to Democrat Rob Hubler’s Congressional campaign. Even though Iowa’s fifth district has a partisan index of R+8, turnout among hard-line conservatives may be depressed this November. John McCain has little organization in Iowa, and he is not popular with the anti-immigration wingnuts. Many moderate Republicans are embarrassed by King, so perhaps they would be open to ticket-splitting.

It’s not as if King has been effective in bringing money home to his district, which would give people a reason to vote for him even if they disagreed with some of his antics.

Need more reasons to support a good Democrat taking on this horrible Republican?

King received a perfect 100 rating from the American Conservative Union in 2007, and has a near-perfect 98 rating from that organization during his three terms in Congress.

King wrote Iowa’s English-only law when he was in the legislature and successfully filed suit to prevent the Secretary of State’s office from providing voter information in languages other than English.

He thinks it’s fine for pharmacists to refuse to prescribe the morning-after pill.

He has sponsored a constitutional amendment to ban the federal income tax and has warned against creating a “condom culture” in Africa.

And of course, he said a few months ago that terrorists would be dancing in the streets if Obama were elected president.

Click that last link for more of King’s “greatest hits,” including his defense of Senator Joseph McCarthy and his characterization of torture at Abu Ghraib as “hazing.”

Hubler deserves our support for taking on this challenge. I’ll be writing more about this race in the coming months. Click here to get involved in his campaign.

The full text of the e-mail I received from One Iowa about the newly proposed federal constitutional amendment is after the jump. You can donate to that organization’s Fairness Fund PAC at this ActBlue page. They have a matching gift pledge that runs through July 14.

Last week was a significant one in Bill Richardson's campaign for President, with a major address in Washington, D.C. on climate change and how to end the bloodshed in Iraq, along with a visit to Iowa. 

It was also a significant week for peace and stability in Korea and Asia – which highlights Richardson's expertise in foreign affairs and his diplomatic skills. With Richardson as President we get two for the price of one – a can-do leader on domestic issues and an experienced diplomat that knows how to bring people and nations together.