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.
 

Roxanne Conlin made her candidacy for U.S. Senate official today, releasing this two-minute video:

Conlin narrates the video herself, and it’s mostly a biographical piece. Her parents lived paycheck to paycheck. She worked her way through college and law school.

Conlin was U.S. Attorney for Iowa’s southern district from 1977 to 1981. In this video, she says that as a prosecutor, she “took on drug dealers, corrupt politicians, and corporations who violated the public trust.” She then started a small law firm “to give a voice to everyday people who had none, like taking on the big banks to help family farms at risk of foreclosure.”

Conlin tells viewers, “Taking on the special interests has been the cause of my life,” and she is running for U.S. Senate “to take this fight to Washington.” She promises to help small business and promote renewable energy and other strategies for creating jobs in Iowa.

She doesn’t mention Senator Chuck Grassley directly, but she outlines the case she will make against him. Career politicians in Washington have lost their independence. Iowans were left behind when banks got bailed out and their top executives got huge bonuses. Grassley voted for the Wall Street bailout, which Conlin mentions twice in this video. No doubt we’ll hear more in the coming months about Grassley’s ties to various special interests and his votes for tax breaks companies use when they ship jobs overseas.

Conlin looks at the camera as she delivers her closing line: “Join me in taking on this fight, because the special interests have had their turn. Now, it’s our turn.”

Her campaign logo reads, “Roxanne for Iowa.” I would like to hear from campaign professionals on the merits of branding women candidates with their first names, like the Hillary for president signs and bumper stickers.

I like that we hear her own voice, instead of an actor’s voice-over, and her life experiences that many Iowans can relate to. (Republicans are already referring to Conlin as a “liberal, millionaire trial attorney” from Des Moines.)

What do you think?

UPDATE: The video transcript and further biographical information are after the jump.

Last month was so busy that I didn’t manage to post any event calendars here, but I am back on duty now. The highlight of this month for Democrats is the Iowa Democratic Party’s Jefferson-Jackson Dinner on Saturday, November 21, featuring Vice President Joe Biden. You can buy tickets online.

Please note that November 10 is the deadline for public comments to the Iowa Department of Natural Resources about protecting our Outstanding Iowa Waters. The Farm Bureau is mobilizing public comments against these regulations. The DNR needs to hear from Iowans committed to preserving our highest-quality waterways. Click here for background and an easy to use comment form.

State Senator Staci Appel will officially announce her re-election campaign on November 12, and I’ve posted details about a fundraiser for her campaign below the fold. Appel’s Republican opponent, State Representative Kent Sorenson, is already gearing up for next year’s election. He spent the weekend in Texas attending the WallBuilders ProFamily Legislators Conference. Here’s some background on David Barton’s vision for America, chock full of Biblical interpretations supporting right-wing public policies. Barton spoke to the Iowa Christian Alliance not long ago (click that link to watch videos). Former presidential candidate Ron Paul is headlining a fundraiser for Sorenson on November 14, by the way.

Many more event details are after the jump. As always, please post a comment about anything I’ve left out, or send me an e-mail (desmoinesdem AT yahoo.com).

After many hours of debate, the House of Representatives approved HR 2962, the Affordable Health Care for America Act tonight by a vote of 220-215. In a nice touch, Representative John Dingell (MI-15) presided over the chamber today. He was one of the architects of the original Medicare bill.

President Barack Obama went to the Capitol this morning to urge House Democrats to pass the bill. But as you can see from the roll call, 39 Democrats voted no. All of Iowa’s Democrats voted “aye.” Only one House Republican voted for the bill (Joseph Cao, representing the heavily Democratic LA-02).

I am upset that no House Progressives were allowed to offer amendments today, but Bart Stupak (MI-01) was able to further restrict women’s access to abortion services. His amendment is a very bad deal for women. I’m with Angry Mouse: this is not okay.

The Stupak amendment passed 240-194, gaining 64 Democratic votes (roll call here). That’s almost a quarter of the House Democrats. An embarrassing number of Democrats who aren’t even in the Blue Dog caucus voted for it. As Natasha Chart tweeted tonight, the Stupak amendment is exactly the kind of thing a Democratic majority was supposed to stop from coming to the floor. The DCCC won’t get a dime from me this cycle.

Supposedly Obama told progressives this morning he will try to have the Stupak provision removed from the bill in conference. I would bet money against that happening. I expect to see bipartisan movement to include a similar clause in the Senate health care bill.

According to Jane Hamsher, the AFL-CIO may cut off contributions to Democrats who vote against health care reform. Again, I would bet money against this happening, but some Blue Dogs would have trouble funding their re-election campaigns without support from organized labor.

Speaking of Blue Dogs, I want to give special credit to Leonard Boswell (IA-03) tonight. Unlike most of his fellow Blue Dogs, he voted no on the Stupak amendment and yes on passing the bill.

Bruce Braley (IA-01) noted tonight that we hear a lot of Republican talk about medical liability, but not one word about medical safety.

Also worth noting: the future of the State Children’s Health Insurance Program is uncertain. As fairleft2 notes in this diary, the House bill moves children either to Medicaid or into private plans. It’s not clear whether this provision could pass the Senate.

Meanwhile, a new poll from Virginia suggests opposing the public health insurance option was disastrous for Democratic gubernatorial candidate Creigh Deeds.

Share your own health care reform thoughts in this thread.

UPDATE: Jacob Hacker, “godfather” of the public health insurance option, thinks the House bill is worth supporting. Whether the public option can survive a House/Senate conference committee is another question. A few days ago the Stupak amendment was considered a “poison pill” that would doom the health care reform effort, but last night House Progressives almost all voted for the bill even after the Stupak amendment passed. I think that signals the death of the “progressive block” strategy for demanding a public option in the final version of health care reform.

Representative Steve King (IA-05) enjoyed Thursday’s “House call” rally against health care reform so much that he organized another rally at the Capitol today to “kill the bill.” Unfortunately for fellow Republicans, King and several other wingnuts blew off a House Judiciary Committee hearing on Thursday. In their absence, several Republican amendments to the PATRIOT Act reauthorization bill failed to pass:

Those votes took place, a committee staffer confirmed, between noon and two — the very time when Republican lawmakers were rallying the Tea Party troops on the Capitol steps.

One measure, offered by Rep. Lamar Smith of Texas, the ranking Republican on the committee, would have extended the “lone wolf” provisions of the Act, which would allow the FBI to surveil or search foreign nationals even if it can’t be shown that the person is an agent of a foreign power. Many believe that had this been in effect before 9/11, the FBI might have caught Zacarias Moussaoui. And Republicans had said that extending the lone wolf provision this time around was crucial to protecting national security. Even some Democrats supported the measure, giving it a good chance of passage. But it failed by a single vote, 15-15. Reps. King and Gohmert were absent.

Another measure, offered by Rep. Dan Lundgren (R-CA), failed by a vote of 11 to 8. Reps. King, Gohmert, Jordan, and Poe were all missing.

And a third, brought by Rep. Tom Rooney (R-FL), which would have bolstered the ability of local law enforcement to use a device that records phone numbers from a particular phone, failed by 12 to 10, with King, Gohmert, Jordan, Poe, and Franks all absent. (A subsequent amendment that did essentially the same thing later passed, it’s worth noting.)

Several other members of both parties missed some of these votes as well, but there’s no evidence they were Tea Partying.

I guess King likes preaching to the converted more than doing his job.

UPDATE: In fairness to King, he is apparently missing his son’s wedding today in order to be in Washington for the health care debate.

The Quad-City Times reports today that Roxanne Conlin is “in the midst of putting together a [U.S. Senate] campaign” and will file papers with the Federal Election Commission next week. She seems to have hired at least one campaign staffer already; the newspaper quotes Mark Daley as Conlin’s spokesman.

I expect Conlin to raise large sums of money quickly once she has formed a campaign committee, but she has a ways to go to become competitive with Senator Chuck Grassley. He had $4.4 million cash on hand at the end of the third quarter, and there will be plenty more where that came from. During this election cycle alone, Grassley has raised more than $1.6 million in individual contributions and $1.9 million from political action committees. Health care and insurance interests have generously supported him:

Iowa Sen. Chuck Grassley (R) has raised $154,350 in campaign donations in the 3rd quarter of 2009 from health care interests, including $43,590 from health insurance interests, according to research conducted by the campaign finance watchdog Public Campaign Action Fund. Grassley serves as the ranking Republican on the Senate Finance Committee, which voted out a health care reform bill earlier this year.

Over his career, Grassley has raised at least $3.3 million from the health care and insurance industries during his time in Washington, according to the Center for Responsive Politics.

“Sen. Grassley was showered with health industry contributions while the Finance Committee was meeting to discuss health care legislation,” said David Donnelly, national programs director for Public Campaign Action Fund. “Insurance PACs and executives wanted Grassley to oppose health care reform, and that’s what they got.”

Last week Cityview’s Civic Skinny expressed doubts that Conlin can raise $10 million without taking any money from lobbyists or PACs. $10 million might be a tall order, but Conlin has plenty of major donor contacts around the country, not to mention potential support from small donors who got fed up with Grassley this summer. Conlin probably won’t be able to match Grassley dollar for dollar, but she certainly will raise enough to stage a credible statewide campaign.

Conservative activists gathered in Washington yesterday to protest Democratic-backed health care reform proposals. As usual, right-wingers are completely wrong about the substance of the bills, crying “socialism” when the real problem is not enough government-backed competition for private insurers. Former House Majority Leader Dick Armey, a key figure in the “tea party” movement, claims to believe that “The largest empirical problem we have in health care today is too many people are too overinsured.”

Anyway, when ill-informed right-wingers are causing a spectacle inside the beltway, you can count on finding Representative Steve King (IA-05) nearby. Hey, it’s been almost three weeks since national media last paid attention to his unfounded allegations.

So King gets on MSNBC yesterday and falsely claims that the House Democrats’ bill would cancel every private insurance contract in America. You can watch the clip on the Iowa Democratic Party’s site.

Not only do the Democratic bills not void private insurance contracts, they prevent Americans covered by private insurance from choosing a public health insurance option.

Politifact should add this gem to their fact-checking page on King. I noticed that Representative Michele Bachmann (MN-06) is way ahead of him in terms of the number of “false” and “pants on fire” claims subjected to Politifact’s Truth-o-meter, but it shouldn’t take long for King to catch up.

By the way, I recommend watching the video of Mike Stark’s brief interview with King outside the Capitol, recorded a few days ago. King doesn’t know how many uninsured people live in his district (approximately 83,000), and he doesn’t know how many bankruptcies in his district are related to medical costs (about 700 last year), but he does know that “my people want freedom” from health care reform.

State Senator Brad Zaun may not be the Republican establishment’s favorite choice to run against Representative Leonard Boswell in Iowa’s third Congressional district next year. The first hint was Krusty Konservative’s complaint last week that Zaun’s trial balloon “isn’t very well thought out,” because when you’re in charge of recruiting Republican candidates for the Iowa Senate, you can’t “bail on them and run for Congress.”

Now, Krusty can be a loose cannon, but the top story at The Iowa Republican today makes me think heavyweights in the GOP want Zaun to stay where he is. Craig Robinson speculates about GOP recruiting against Boswell, and he isn’t sold on Zaun:

First, Zaun is one of the Republican state senators who has been tasked to recruit candidates. In a year when 19 of the 25 seats that are up for election are under Democratic control, this is no easy task. Also, if Zaun runs for Congress, it means one less incumbent raising money and mentoring new candidates, something Republicans in the senate desperately need him to do.

Zaun is also not a prolific fundraiser. While he needed to raise significant funds to win his senate seat, it’s not a task that he necessarily enjoyed. While Zaun would bring more donor contacts than the current candidates in the race, it would probably be difficult for him to raise the million plus dollars that it will take to run a competitive race against Congressman Boswell.

While some might think that Iowa Republicans are destined to only recruit token opposition against Boswell, TheIowaRepublican.com has heard rumors that a well known, top-rate recruit will announce before the year ends. TheIowaRepublican.com can also confirm that the recruit is not Senator Zaun.

A top-notch candidate with the ability to raise significant amounts of money would elevate the 3rd District Congressional race to a point where it could be targeted by the National Republican Congressional Committee next fall. If that were to occur, not only would Republicans have a chance at picking up the seat, but it could also help in the statewide U.S. Senate and gubernatorial campaigns, as well as local down-ballot contests.

Any idea who this great fundraiser and “top-rate recruit” may be? Former state GOP chairman Mike Mahaffey has been thinking about this race, and he probably could raise a lot of money, but it sounds as if Robinson is talking about a surprise candidate.

Zaun has said he’ll decide within the next few weeks whether to run against Boswell. I don’t consider him a major threat, while Bleeding Heartland user ragbrai08 somewhat disagrees. I am skeptical about the NRCC pouring money into this race, because they have plenty of other targets, as well as a handful of tough House seats to defend. Also, even if a Republican beats Boswell in 2010, that wouldn’t be a long-term net gain for the GOP, because redistricting will probably pit the IA-03 winner against Representative Tom Latham in the 2012 primary.

Put your own speculation in this thread.

This thread is for any comments or predictions about any election happening today. I expect turnout in Windsor Heights to be relatively high for a local election; this is the most competitive race for mayor and city council that I can remember. I’ve received GOTV calls on behalf of several candidates.

The Virginia governor’s race looks like a blowout for Republican Bob McDonnell. The conservative Creigh Deeds won the primary on an electability argument, but we might have been better off with a candidate who excited the Democratic base more. Probably we would have lost the governor’s race, but with less damage done down-ticket.

The New Jersey governor’s race is a dead heat according to the Pollster.com polling average, but my hunch is that Republican Chris Christie is going to pull out a narrow win. The independent candidate, Chris Daggett, will be buried way down the ballot with a bunch of no-hopers, and I feel that a lot of his leaners will land with Christie when the ballot is in front of them. Given where the race stood in the summer, it’s a miracle that Democratic incumbent Jon Corzine has any prayer of pulling this out in the middle of a severe recession.

Mark “mystery pollster Blumenthal and Chris Bowers also give a slight edge to Christie in this race.

I am cautiously optimistic about no winning the Prop 1 battle in Maine, although the most recent poll of that race showed the yes position ahead. A “yes” vote would overturn same-sex marriage rights, which the Maine legislature approved and the governor signed into law earlier this year. The No on 1 forces have a strong ground game and appear to have banked a lot of early votes there. The main problem is that younger voters are less likely to turn out for an off-year election, and older voters are less likely to support marriage equality. Adam Bink reports from the ground:

The field team is firing on all cylinders. Biggest concern is youth turnout in off-year. In 2005, an anti-discrimination ballot initiative went our way and we had one campus field organizer for the whole state. This year we have nine. But the numbers are tight as hell, and if turnout is like a normal election year, we’ll lose. Everyone is saying we have to execute a flawless [GOTV] program.

New York’s 23rd district will be an easy win for conservative candidate Doug Hoffman, who forced moderate Republican Dede Scozzafava out of the race over the weekend. Although Scozzafava endorsed Democrat Bill Owens and recorded a robocall on his behalf, this district just has too strong a Republican lean for a Democrat to win, in my opinion.

Looking on the bright side, the parade of national Republican politicians and commentators behind Hoffman will crush future GOP recruiting efforts in districts where they need moderates to win. There could be no clearer sign that moderates are unwelcome in the Republican Party. I expect the fallout to affect recruiting for state-level races as well as Congressional ones.

What do you think about any of these races, or local elections in your community?

UPDATE: Unusually heavy turnout (for a local election) in Windsor Heights today. I voted around 3:15 and was voter number 241. An election worker told me there are 1,211 registered voters in my precinct, so even before the after-work rush, turnout was above 20 percent.  

So, former Alaska Governor Sarah Palin won’t headline the Iowa Family Policy Center’s fundraiser on November 21, but she will headline an event for the group some other time. Contrary to what you may have read in this shoddy piece by Jonathan Martin, Palin apparently didn’t demand her usual speaking fee from the Iowa Family Policy Center and won’t charge the group for her future appearance. Consider this another lesson on the need to take Politico reporting with a grain of salt.

In any event, Palin will come back to Iowa sometime. I’ve always believed that having her in the spotlight would be good for Democrats, and quitting her job has further lowered her favorability ratings.

All the same, I have one request for her Iowa detractors: please avoid sexist nicknames for Palin.  

Senate HELP Committee Chairman Tom Harkin told reporters yesterday that he does not expect Senator Joe Lieberman to join a Republican filibuster to block the health care reform bill. He also hinted that Lieberman has a lot to lose by sinking this bill.

I heard it first from Bleeding Heartland user mirage, and now IowaPolitics.com confirms that State Senator Brad Zaun is thinking about challenging Representative Leonard Boswell in Iowa’s third Congressional district next year. Zaun was mayor of Urbandale, a heavily Republican suburb of Des Moines, before winning a hard-fought race in Iowa Senate district 32 in 2004. He was re-elected to a four-year term in 2008, so he wouldn’t risk losing his seat in the upper chamber by running against Boswell.

According to IowaPolitics.com, Zaun will decide in the next few weeks whether to run:

Zaun said Boswell’s speaking out against cap-and-trade legislation this past summer but then voting for it concerned him and sparked his interest in a run for Congress.

“I’m frustrated because I think Leonard as well as so many other elected officials in Washington, D.C. don’t listen to their constituents and don’t represent where their constituents are on issues,” Zaun said. “Most elected officials in Washington, D.C. are out of touch with people they represent.”

Zaun is vice president of R&R Realty and has not yet formed an exploratory committee for the U.S. House. He said his biggest consideration on whether to run is his family. He and his wife have five kids ages 22, 21, 18, 13 and 11. “I’ve had long, long conversations with my wife,” he said.

Conservative and corporate-funded groups ran advertisements against Boswell this summer after he voted for the American Clean Energy and Security Act.

IowaPolitics.com also quoted Mike Mahaffey, a former chairman of the Iowa GOP, as saying “he’ll decide by next week whether he will run” against Boswell. He’s been thinking about the race for several months. Mahaffey was the Republican candidate in IA-03 the first time Boswell won the district in 1996. However, the district was quite different then and did not include Polk County.

Some political analysts, like Isaac Wood and Larry Sabato, consider IA-03 potentially competitive but give a strong advantage to the incumbent. CQ Politics is among the odds-makers who consider IA-03 a “safe Democratic” seat. I tend to agree that Boswell is not vulnerable in 2010. Republicans ran hard against him in 2002, 2004 and 2006 but came up short.

If this race did become competitive, I think a challenger with a strong base in Polk County, like Zaun, would stand a better chance than someone from one of the smaller counties in the district. Mahaffey is from Montezuma in Poweshiek County. But if Zaun doesn’t run, Mahaffey has the connections to put together a stronger campaign than the two currently declared candidates, Dave Funk and Pat Bertroche.

Good news, part 1: Senate Majority Leader Harry Reid announced yesterday that the health care bill he’ll bring up on the Senate floor will have a public health insurance option. That means opponents of the public option will have to try to strip out the measure with amendments on the Senate floor. They don’t have 60 votes to do that.

Good news, part 2: at yesterday’s press conference, Reid “definitively stated that a trigger bill wouldn’t get a [Congressional Budget Office] score – effectively taking it off the table as a legislative option.” The insurance industry and its allies in Congress, including Republican Senator Olympia Snowe, have pushed the “trigger” idea because it would virtually guarantee that the public option would never go into effect.

Bad news, part 1: Reid’s compromise would allow states to opt out of the public health insurance option, and limits participation in the public plan in many other ways too.

Bad news, part 2: At crunch time, President Barack Obama did nothing to help progressives fighting to strengthen the health care bill. On the contrary, he urged Reid to drop the public option in favor of a “trigger.”

More thoughts on that betrayal are after the jump.

Former First Lady Christie Vilsack released a statement today confirming that she will not challenge Senator Chuck Grassley next year. Excerpt:

Commiting to a campaign for the US Senate next year requires more than the confidence that I have the right experience, the necessary support and the resources to be successful. It must come with an understanding that it is the best way for me serve our State and my fellow Iowans in the most effective way possible at this time. I have decided not to run for the United States Senate in 2010. I will continue my work with the Iowa Initiative to Prevent Unintended Pregnancy and will be active in our Party and across the state in issues that affect the quality of life for all Iowans. […]

While I will not be a candidate for office in 2010, never doubt I am committed to a life of service and to Iowa.

So, the mystery challenger Iowa Democratic Party chair Michael Kiernan promised for Grassley is almost certainly Roxanne Conlin, who has said she’s leaning toward running.

I wouldn’t be surprised to see former Governor Tom Vilsack run for the U.S. Senate in the future. I expect Christie Vilsack to run for Congress when Leonard Boswell’s seat (IA-03) becomes open.

Speaking of Boswell’s district, I saw at Iowa Independent that CQ Politics is calling it a “safe Democratic” seat in the House.

According to Bleeding Heartland user mirage, State Senator Brad Zaun is planning to run against Boswell next year. (I am trying to confirm that rumor.) Zaun was mayor of Urbandale, a heavily Republican suburb of Des Moines, before getting elected to represent Iowa Senate district 32 in 2004. He was re-elected to a four-year term in 2008, so he wouldn’t risk losing his seat in the upper chamber by running against Boswell.

UPDATE: Kiernan approached Conlin way back in January about running against Grassley.

Prominent attorney Roxanne Conlin spoke to the Des Moines Register on Thursday about a possible Senate bid next year:

“I never thought I’d run again,” Conlin said at her home in Des Moines. “But in my lifetime, I don’t ever want to say, ‘If only I had followed my dream or followed my heart.’ ”

“What has changed for me is Grassley.”

Conlin said she is “more likely than not” running, but first needs to iron out how she would staff a campaign and handle her law practice before making a final decision, which she expects to announce by next month.

She said she talked about running at length with state party chairman Michael Kiernan, who said last month a well-known Democrat was planning to enter the race. “I don’t know how this is going to come together, but I have reached the point where I would like to do it,” she said. […]

Conlin said Grassley’s tone on health care reform at public appearances in Iowa last summer pushed her toward running. […]

Conlin accused Grassley of being disingenuous, noting that he circulated a fundraising brochure stating he was working to defeat “Obama-care,” while continuing to participate in bipartisan negotiations.

“That’s not the Chuck Grassley I thought this state elected, and it really was a watershed moment for me,” Conlin said.

Conlin was the Democratic nominee for governor in 1982, the first year Terry Branstad was elected. Before that, she ran the civil rights division of the Iowa Attorney General’s Office and was the U.S. attorney for the southern district of Iowa.

She’s been a highly successful plaintiff’s attorney since 1983 and was the first woman president of the Association of Trial Lawyers of America. In addition,

She founded and was the first chair of the Iowa Women’s Political caucus, and was president and general counsel of the NOW Legal Defense and Education Fund. Most recently, she has been named by the National Law Journal as one of the fifty most influential women lawyers in America, one of the 100 most influential lawyers in America and one of the top 10 litigators.

If Conlin runs, she will be a lightning rod for attacks from Republicans and corporate-funded political organizations. On the plus side, she is a powerful public speaker and may be able to drive up turnout, especially among women voters. She will also be able to raise more than enough money to run a serious campaign against Grassley. Earlier this month, Research 2000 found Grassley leading Conlin by 51 percent to 39 percent among Iowa voters.

What do you think, Bleeding Heartland readers?

UPDATE: Declared candidates Tom Fiegen and Bob Krause don’t think Conlin will play well outside Polk County:

Krause called the speculation about Conlin being the mystery candidate promised by Iowa Democratic Party Chairman Michael Kiernan as political theater.

“It’s easy to play political games in Des Moines that might not play as well around the state,” he said.

A key to defeating Grassley, who has rolled up more than 60 percent of the vote in winning re-election four times, is a candidate who appeals to voters outside Polk County, Iowa State University political scientist Steffen Schmidt said.

“Polk County is a nice place, but you have to have someone who can connect other places,” he said.

The folks in “other places” aren’t all that excited about her, Fiegen said late Thursday while driving home from meeting with Winneshiek County Democrats. A Clarence bankruptcy attorney, he said he’s logged 7,000 miles in the past month meeting with Iowans. Those discussions included rumors either Conlin or former Iowa First Lady Christie Vilsack might join the race.

“Frankly, they’re not that interested,” he said. While her campaign activity is impressive, “it’s yesterday’s news to many Democrats. People look at her and say, ‘been there, done that,’” a reference to her failed 1982 bid for governor.

“One analogy I heard is that she’s our party’s Doug Gross – rich, intelligent, well-connected, but can’t talk to rural Iowans,” Fiegen said. “People say she’s already proved that.”

In all fairness, Conlin didn’t lose by that much in 1982 (53 percent to 47 percent). During the Senate primary, Krause and Fiegen will need to show their road map for giving Grassley a competitive race. Iowa Democrats will decide who is the best candidate.

The House of Representatives will soon bring a health care reform bill up for a floor vote. All three relevant committees have approved bills containing a public health insurance option. In August, Jacob Hacker explained one of the key differences between those bills (pdf file):

The versions of the House bill approved by the House Ways and Means Committee and  House Education and Labor Committee contain a Medicare tie-in that has two crucial  characteristics:

    1.  Providers participating in Medicare would automatically be considered participating  providers in the new public plan, although they would have the right to opt out.

    2.  Initial payments to providers would be set at Medicare rates plus 5 percent. After  three years, the Secretary of Health and Human Services could adjust rates. But  during the crucial start-up period, the public plan would be able to piggyback on  Medicare’s payment methodology. 17    

     These are good provisions. They would be even better if they included an explicit  protection of providers’ rights to join the public plan. Private plans (at least those that  participate in the exchange) should be prohibited from setting as a condition of participation  in their networks that providers not join the public plan.

     By contrast, the House Energy and Commerce Committee approved the House bill  with amendments that preserve only the first of these two elements. 18 Providers participating  in Medicare would be presumed to participate in the new public plan (but, again, allowed to  opt out). 19 However, rather than setting the rates the public plan would pay providers on the  basis of Medicare rates, the Secretary of Health and Human Services would have to  “negotiate” rates directly with providers. 20 These rates in the aggregate would have to be  between Medicare rates and private rates, but no other details are given. 21 This is a not-so-good provision that could drive up individual premiums and federal costs, burdening  Americans as health care consumers and taxpayers alike. It threatens the viability of the  public plan because it may require the government to pay providers higher rates than they would otherwise accept if the rates were set.

Click here to download Hacker’s full report, which includes analysis of the Senate HELP Committee’s bill.

When the House Energy and Commerce Committee passed a watered-down bill to placate Blue Dog Democrats, most people assumed that this compromise would be the health care reform bill sent to the House floor. However, House Progressives have been rounding up votes for the stronger public option provisions, and yesterday Progressive Caucus co-chair Raul Grijalva claimed to have 210 votes supporting or leaning toward supporting the stronger bill. Speaker Nancy Pelosi won’t bring that bill to the floor unless she is sure she has the 218 votes needed to pass, however. As many as 19 House Democrats have not decided whether they would support the “Medicare plus 5 percent” public option.

Chris Bowers published a pdf file listing 36 House Democrats who are either undecided, “lean yes” or “lean no” on the stronger public option. Representative Leonard Boswell (IA-03) is on that list. It’s not clear whether he is undecided or leaning one way or the other. I have sought clarification from his office and will update this post when I hear back.

You know the drill. Boswell needs to hear from as many constituents as possible. The “Medicare plus 5 percent” version of the public option is better policy, and if the House approves it, our negotiating position in the Senate will be stronger. I would call Boswell’s office rather than e-mail, because phone calls are harder for staffers to ignore. Office contact information:

Washington DC Office

Phone: (202) 225-3806

Fax: (202) 225-5608

Iowa District Office

Phone: (515) 282-1909

Fax: (515) 282-1785

Toll Free Phone: (888) 432-1984

In related news, Boswell joined Representatives Bruce Braley (IA-01) and Dave Loebsack (IA-02) today in announcing final legislative language to change “the way Medicare pays healthcare providers for services, from its current fee-for-service system into a quality and value-based system.” After the jump I’ve posted a joint press release explaining how this deal will affect Medicare reimbursement rates.

UPDATE: Supposedly there are at least 218 votes in the House for the “robust” public option. The deal on Medicare reimbursement rates helped secure some extra votes for the public option. Also, the House bill will strip the insurance industry of its anti-trust exemption.

CORRECTION: Apparently we don’t have 218 votes for the stronger public option after all.

When a bunch of national blogs write about Representative Steve King, you know it’s not for anything that will make Iowans proud. This week was no exception, as King led a group of more than 50 House Republicans demanding that Kevin Jennings resign as the White House official focusing on “safe schools.”

As you might expect, the basis for King’s campaign against Jennings is a canard, but he didn’t stop even after his office was informed that the allegations were false.

Steve Benen, Greg Sargent and Jed Lewison have more on King’s latest embarrassing crusade.

Council Bluffs resident Mike Denklau announced on October 15 that he is running against King in 2010. His official campaign website is here. Although this district leans strongly Republican, it’s important not to leave people like King unchallenged.

A new Iowa poll confirms that Terry Branstad is the toughest challenger for Chet Culver and that next year’s U.S. Senate race could become competitive. Research 2000 surveyed 600 “likely voters who vote regularly in state elections.” The poll was in the field from October 12 through 14, and you’ll find full results and crosstabs here.

Republicans may dismiss this as a “Democratic poll” because it was commissioned by the Daily Kos blog. However, Research 2000 is not a partisan firm, and the sample for this poll included 32 percent Democrats, 31 percent Republicans and 37 percent independents. That’s a smaller advantage for Democrats than the current Iowa voter registration numbers reflect. The proportion of independents in the sample might be a bit high for an off-year election, but that doesn’t necessarily skew against the Republican candidates.

I’ll highlight some of the key findings after the jump.

Senator Chuck Grassley complained this week that he is not being included in negotiations to merge the health care reform bills passed by the Senate Finance Committee and Committee on Health, Education, Labor and Pensions.

Finance Chairman Max Baucus, a Montana Democrat, “assured us that Republicans would be at the table through the process of negotiating a single bill,” Grassley said. “And obviously that’s kind of ruled out now by the fact that I am not a part of a bipartisan agreement.”

Look, the HELP Committee adopted about 160 Republican-proposed amendments to the health care bill during the markup process, yet not a single Republican voted to send that bill out of committee. Then Baucus bent over backwards to include Grassley in negotiations all summer, but he joined all the Finance Committee Republicans except for Olympia Snowe in voting against the health care bill. Why should Grassley have a say in how the HELP and Finance bills are combined?

Now Steve Benen catches Grassley “going around the bend” in his criticism of health care reform:

This week, Grassley appears to have completely lost it, offering at least tacit support for radical “Tenther” theories that insist that health care reform may be unconstitutional.

    “I’m not a lawyer, but let me tell you, I’ve listened to some lawyers speak on this. And you know, it’s a relatively new issue. I don’t think we’ve ever had this issue before of having to buy something. And a lot of constitutional lawyers, saying it is unconstitutional or at least in violation of the 10th Amendment. Now maybe states can do this, but can the federal government? So, I have my doubts.”

This was specifically responding to a question about individual mandates — a measure he’s already endorsed as a good idea that he supports.

Obvious inconsistencies notwithstanding, the notion that health care reform is “in violation of the 10th Amendment” is demonstrably ridiculous. The idea that “a lot of constitutional lawyers” see health care reform as unconstitutional is absurd.

For more details on Grassley’s previous public support for an individual mandate to purchase health insurance, read this post by Benen or this one by Jason Hancock.

Grassley’s misleading and inconsistent comments about health care reform have greatly harmed his reputation with Iowa Democrats and independents this year. It will be interesting to see whether he can repair the damage before next November. I don’t see him getting nearly as large a crossover vote as he has in his previous elections.

“Sources close to [former Governor Terry] Branstad” tell WHO-TV’s Dave Price that Branstad will announce his candidacy for a fifth term as governor this Friday. Whatever the date, it’s obvious Branstad has committed to the race.

Join me after the jump for recent news and unintentional comedy from the Branstad camp. You’ll also find a Bleeding Heartland reader poll at the bottom of this post.

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.

I learned from Sioux City Journal columnist Bret Hayworth that a Democrat has already filed Federal Election Commission paperwork to run against Representative Steve King in Iowa’s fifth Congressional district:

Mike Denklau has eyed the possibility of running in the strong Republican district since early 2009, and after traveling western Iowa recently he decided to go all-in.

On Oct. 15, Denklau will announce his candidacy 55 weeks out from the election in stops here in Sioux City, Council Bluffs and Des Moines. Denklau will turn 27 next month – he was raised in Blue Grass near Davenport and graduated from the University of Iowa with majors in political science and finance. He worked in New York for two banking firms through June 2009, including Lehman Brothers, until moving to Council Bluffs recently.

Hayworth notes that it’s not clear whether Rob Hubler, King’s 2008 opponent, will run again. Although Democrats cannot realistically hope to defeat King in a district with a partisan voter index of R+9, an energetic challenger may help drive up Democratic turnout across the district. There will be several competitive state legislative races in the counties that make up IA-05.

Meanwhile, Craig Robinson reports at The Iowa Republican that Rod Blum of Dubuque is ready to challenge Representative Bruce Braley in the first Congressional district.

Blum has strong eastern Iowa roots. He graduated from Dubuque Senior High School in 1973, earned a bachelor’s degree from Loras College (Finance) in 1977, and received a Masters in Business Administration from Dubuque University in 1989. In 1989, Blum was one of the initial employees of Dubuque-based Eagle Point Software. In just five years, Eagle Point Software went public on NASDAQ and had 325 employees. In 2000, Digital Canal was created as a result of a leveraged buyout of Eagle Point Software. Digital Canal is a leading provider of home building and structural engineering software. Blum was also named the Iowa Entrepreneur of the Year in 1994.

While Blum has never run for elected office before, he has been making his political views known in eastern Iowa since 2001 as the Dubuque Telegraph Herald’s conservative columnist. Blum’s writings for the Telegraph Herald will be helpful for a couple of reasons. First, having a regular column in the local newspaper helps build credibility and name ID. Secondly, writing a political column means that he has well thought out positions on many of the issues facing our country today, something many first time candidates lack.

He’ll need more than conservative ideology and name ID in the Dubuque area to unseat Braley. Robinson notes that Republican Jim Nussle represented IA-01 before the 2006 election, but Nussle’s position as chairman of a House budget subcommittee helped him hang on in a Democratic-leaning district. That’s different from a Republican challenger trying to swim against the tide in a district with a partisan voting index of D+5. Republicans currently hold only two House disticts with that much of a Democratic lean: Delaware’s at-large seat, which the GOP will lose when Mike Castle runs for U.S. Senate next year, and Louisiana’s second district, which was a fluke in 2008 because of the Democratic incumbent’s apparent corruption.

Braley is a rising star and effective legislator with a spot on the House Energy and Commerce Committee. He won re-election with more than 64 percent of the vote in 2008. Even if 2010 turns out to be a Republican year, Braley’s not losing in a district with 35,000 more registered Democrats than Republicans.

To my knowledge, Republican Tom Latham (IA-04) is Iowa’s only incumbent in Congress with no likely challenger yet. Steve Rathje and probably Mariannette Miller-Meeks will run against Dave Loebsack in IA-02, while Dave Funk and Pat Bertroche are challenging Leonard Boswell in IA-03. I don’t expect either of those districts to be competitive in 2010.

Soon after becoming the new chairman of the Senate Committee on Health, Education, Labor and Pensions, Tom Harkin expressed hope that the Senate would approve a food safety bill this year. However, he was less optimistic about that timetable when speaking with a group of Iowans who came to Washington last week to lobby for passage of the bill.

Senate Democrats have not given up on passing health care reform through normal procedures requiring at least 60 votes to overcome a Republican filibuster. The problem is, several conservative Senate Democrats are on record opposing a public health insurance option. Meanwhile, a bill with no public option will have trouble passing the House of Representatives, where the overwhelming majority of the Democratic caucus supports a robust public option tied to Medicare rates.

The obvious political solution is to include some watered-down public option in the bill, giving cover to Progressive Democrats who insist on a public option while placating House Blue Dogs and Senate conservatives who want to protect private insurers’ market share.

The “triggered” public option favored by many industry allies didn’t fly, because most Democrats understand that the trigger would never be pulled. This past week, a new possible compromise emerged:

It was pulled out of an alternative idea, put forth by Sen. Tom Carper (D-Del.) and, prior to him, former Senate Majority Leader Tom Daschle, to give states the power to determine whether they want to implement a public insurance option.

But instead of starting with no national public option and giving state governments the right to develop their own, the newest compromise approaches the issue from the opposite direction: beginning with a national public option and giving state governments the right not to have one.

I consider this idea’s pros and cons after the jump.  

Via the Senate Guru blog I saw that Survey USA released results from its late September poll of 600 adults in Iowa (margin of error 4.1 percent). The survey measured Senator Chuck Grassley’s approval rating at 50 percent. That’s the lowest figure ever for Grassley by this pollster, and you can see from this graph that Grassley’s trendlines are ugly. A full 40 percent of respondents disapprove of Grassley’s performance. His high-profile role in the health care reform debate seems to have hurt his image. Senate Guru notes, “Grassley is also below 50% approval among independents (48%) and self-described moderates (47%).”

The Des Moines Register published a new article Monday on rumors that a well-known and well-funded Democrat will give Grassley “the race of his life.” Speculation seems to be centering on former First Lady Christie Vilsack, who is now executive director of the Iowa Initiative, and prominent attorney Roxanne Conlin, a onetime U.S. Attorney who was the Democratic nominee for governor in 1982.

Other notable findings from Survey USA in September: Senator Tom Harkin is at 44 percent approval and 46 percent disapproval. President Barack Obama’s approve/disapprove numbers in Iowa are now 46/48, but there is a huge gender gap. Among male respondents, 39 percent approve of Obama and 56 disapprove. Among female respondents, 53 percent approve and only 40 percent disapprove.

I was surprised to see that Survey USA didn’t find nearly as much of a gender gap concerning Governor Chet Culver. Culver’s at 41 percent approve/48 percent disapprove overall. Among men and women, 41 percent approve of Culver’s performance. The difference is that 55 percent of men said they disapprove of Culver, versus only 44 percent of women (a full 15 percent of female respondents answered “not sure”). If I were running Culver’s re-election campaign, I would put a high priority on building support among women voters. If a well-known woman makes a serious run at Grassley, that should help boost turnout among women Democrats and leaners.

Incidentally, Swing State Project changed its rating on the Iowa governor’s race from “race to watch” (but safe for the incumbent) to “likely D.” They may revise that rating again if former Governor Terry Branstad enters the campaign.

Survey USA’s Iowa sample in September consisted of 35 percent Democrats, 29 percent Republicans, and 31 percent independents. The sample for their August Iowa poll was quite different: 28 percent Democrats, 34 percent Republicans, and 35 percent independents. That alone could explain why Grassley’s approval rating fell from August to September, while Culver’s rose a bit from his all-time Survey USA low in August.

It’s obviously way too early to predict what proportion of Democrats and Republicans will turn out to vote in Iowa next November. The GOP primary for governor could energize that party’s base or cause lasting divisions. The Democratic base may or may not be excited, depending on what Culver and state legislators accomplish next session and whether Grassley’s race becomes competitive.  Unemployment seems likely to keep rising.  

Share any relevant thoughts in this thread.

All of the health care reform bills under consideration in Congress would prohibit insurance companies from refusing to cover people because of prior health problems. “Guaranteed issue” is the wonky name for this ban on discrimination because of pre-existing conditions. Unfortunately, various economists and health care experts told David Hilzenrath of the Washington Post that “simply banning medical discrimination would not necessarily remove it from the equation […].”

If insurers are prohibited from openly rejecting people with preexisting conditions, they could try to cherry-pick through more subtle means. For example, offering free health club memberships tends to attract people who can use the equipment, says Paul Precht, director of policy at the Medicare Rights Center.

Being uncooperative on insurance claims can chase away the chronically ill. For people who have few medical bills, it is less of a factor, said Karen Pollitz, research professor at the Georgetown University Health Policy Institute.

And to avoid patients with costly, complicated medical conditions, health plans could include in their networks relatively few doctors who specialize in treating those conditions, said Mark V. Pauly, professor of health-care management at the University of Pennsylvania’s Wharton School. […]

America’s Health Insurance Plans, a lobbying group for health insurers, has endorsed the idea of guaranteeing individuals access to coverage regardless of their medical history — if that guarantee is part of a larger plan to help the uninsured pay for coverage and bring everyone into the insurance market.

At a more nuts-and-bolts level, AHIP has been trying to shape the legislation in ways that could help insurers attract the healthy and avoid the sick, though it has given other reasons for advancing those positions. In a recent letter to Baucus, AHIP President Karen Ignagni said benefit packages “should give consumers flexible options to meet diverse needs.”

If the final health care reform bill has no public health insurance option, many chronically ill Americans are likely to be left outside the system as insurers find new ways of denying coverage or dropping policy-holders.

Even if the final bill includes a limited public option, cherry-picking by private insurers could set up the public plan for failure. President Obama has endorsed the idea of making the public option available only to people who are currently uninsured, meaning it will serve a disproportionate number of chronically ill people. That will drive up costs of operating the public plan.

I don’t have an answer for this problem, beyond feeling depressed that corporate groups like AHIP have so much sway with Congress. If Americans with prior health issues are still facing discrimination after Obama signs what he claims to be sweeping “health insurance reform,” the political backlash against Democrats could be severe.

UPDATE: MyDD user Bruce Webb wasn’t impressed by Hilzenrath’s article. I’ve posted his rebuttal after the jump.

Representative Tom Latham has enjoyed some nice weekends on the dime of his For America’s Republican Majority PAC, I learned from a must-read piece by Jason Hancock at Iowa Independent.

A golf outing in West Virginia and a weekend getaway to Atlantic City, N.J., are just two of the trips taken this year by U.S. Rep. Tom Latham of Ames that have garnered the attention of campaign finance watchdogs.

That’s because the trips were paid for by Latham’s political action committee and touted as fundraising events, a practice that is legal but that government reform advocates contend turns the PAC into little more than a slush fund designed to skirt campaign finance law.

Go read Hancock’s piece for details on Latham’s fundraising trips to the Trump Taj Mahal Casino Resort in Atlantic City and various high-end golf resorts in West Virginia and California. Latham’s PAC “raised $205,447 during the 2008 election cycle, with almost all of it coming from lobbyists, PACs and corporate leaders.”

A new report by ProPublica explains how leadership PACs function:

Legally, lawmakers are free to spend the leadership PAC money pretty much as they wish.

Lobbyists and lawmakers can — and do — use it to travel together to play golf at Pebble Beach, ride snowmobiles in Montana’s Big Sky Country and go deep-sea fishing in the Florida Keys. The lobbyists don’t pay the costs directly. They contribute to the leadership PAC, which then pays the lawmaker’s resort and travel bills.

Leadership PACs have grown steadily since they began cropping up in the 1970s. What separates them from campaign committees is that lawmakers are supposed to pass along the bulk of the money to other members of their party for their campaigns. That way, lawmakers with leadership PACs can earn their beneficiaries’ support when it comes time to divvy up committee chairmanships and other party leadership posts.

This system helps party leaders spread money to candidates with less money or tighter races. On the other hand, it also fuels the Washington money chase, allocates power in Congress based on fundraising prowess, and encourages lawmakers and lobbyists to mingle socially and recreationally as political money changes hands.

In this tough economy, couldn’t Latham encourage his corporate lobbyist buddies to golf, gamble and spread political money around in Iowa?  

In case you’re wondering whether everyone in Congress does what Latham’s been doing with his PAC, ProPublica’s report has lots more information on hundreds of leadership PACs. But Hancock notes that Iowa’s other members of Congress have used their leadership PAC money for campaign contributions and various expenses, as opposed to trips to high-end casinos and golf resorts.

If you’re an insurance company, that is:

Late in the afternoon [on Wednesday], Sen. Chuck Grassley (Iowa), the top Republican on the committee, requested consideration of the “Grassley F-1 Modified Amendment.” Its goal: eliminate $7 billion a year in fees that the government would charge private health insurance companies, and make up the shortfall by reducing benefits to poor people and legal immigrants.

It was dangerously close to a parody: Republicans demanding that fees be reduced on a profitable industry and shifted to low-income Americans. But Grassley pressed on, unafraid. The fees on the corporations, he said, are a “bad idea” and would undoubtedly result in higher insurance premiums. “I urge my colleagues to vote for my amendment, to strike the fees,” he exhorted.

Sen. Jay Rockefeller (D-W.Va.) recognized the fat target that Grassley had just set up. “I think it’s a ‘message amendment,’ ” he said, suggesting Grassley was sending a symbolic signal to the conservative base. “It certainly takes on legal immigrants and Medicaid in a very sharp way.”

Grassley looked hurt. “You don’t really believe that this is a message amendment, do you?”

Why so cynical, Senator Rockefeller? I take Senator Grassley at his word. He would rather reduce health care coverage for poor people and immigrants (during a recession!) than force a profitable industry to pay higher fees.

I encourage Bob Krause and Tom Fiegen to add this Washington Post story to their Senate campaign websites.

In case anyone is wondering, I still have no idea who the mystery Grassley challenger might be.

UPDATE: Grassley also failed on Wednesday to get the committee to adopt “that would have required beneficiaries of Medicaid and the Children’s Health Insurance Program to show a photo ID in order to enroll.” However, the committee unanimously adopted Grassley’s amendment “that would require members of Congress to get their health insurance through a proposed federal exchange.”

The White House agreement with the pharmaceutical industry, which is reflected in the Senate Finance Committee’s health care bill, is one of the most shameful episodes of the health care reform process. Presidential candidate Barack Obama had promised to “put an end to the game-playing” in Washington, citing in one television ad the deal the pharmaceutical industry wrote into the Medicare prescription drug legislation. Yet in order to bring big Pharma on board with health care reform, the White House “stood by a behind-the-scenes deal to block any Congressional effort to extract cost savings from them beyond an agreed-upon $80 billion.”

Senator Byron Dorgan of North Dakota says no deal, according to Ryan Grim of the Huffington Post:

A Senate Democratic leader is hoping to blow up the deal reached between the White House, drug makers and Senate Finance Committee Chairman Max Baucus (D-Mont.), by introducing an amendment on the floor to allow prescription drugs to be re-imported from Canada.

It’s one of the simplest ways to reduce health care costs but was ruled out by the agreement, which limits Big Pharma’s contribution to health care reform to $80 billion over ten years.

North Dakota Sen. Byron Dorgan, a member of Democratic leadership, isn’t a party to that bargain. “Senator Dorgan intends to offer an amendment to the health reform bill and his expectation is that it will be one of the first amendments considered,” his spokesman Justin Kitsch told HuffPost in an e-mail. “Prescription drug importation is an immediate way to put downward pressure on health care costs. It has bipartisan support, and has been endorsed by groups such as the National Federation of Independent Businesses and AARP.” […]

Jim Manley, senior communications adviser to Senate Majority Leader Harry Reid (D-Nev.), said that he sees no reason the amendment won’t get a floor vote.

If an amendment on reimporting drugs from Canada gets to the Senate floor, it is hard to see how it fails to pass. Grim notes that a separate bill to allow re-importation of prescription drugs from Canada “has 30 cosponsors, several Republicans among them.” I hope the White House doesn’t start twisting arms to keep that amendment off the Senate floor.

Giving the government the ability to negotiate prescription drug prices would bring costs down even more. Obama should support that reform, since he says he won’t let the health care bill add a dime to the deficit. But apparently, not taking that step was part of the White House deal with drug companies.

Speaking of backroom deals, Alexander Bolton reports for The Hill, citing “senior Democratic aides,” that Reid will “not include legislation repealing antitrust exemptions for the health insurance industry in the healthcare package he will bring to the Senate floor.”

So far the powerful insurance industry has held back waging a full-out battle against Democratic health reform proposals because companies stand to gain tens of millions of new customers. But adding language that would open health insurance companies to prosecution by the Justice Department would provoke a strong counterattack from the industry.

Hey, why take something valuable away from the insurance industry (the ability to fix prices) just because we’re about to hand them a “bonanza” (individual mandate to buy their products)? They might run ads against us.

It is time to replace Reid as Senate majority leader. Since Senate Democrats are unlikely to take that step, I agree with Chris Bowers that Reid losing re-election next year wouldn’t be such a bad thing. Getting a more effective majority leader, like Dick Durbin of Illinois or Chuck Schumer of New York, would make up for losing Reid’s Senate seat.

As expected, the Senate Finance Committee rejected two amendments yesterday that would have added a public health insurance option to the health care reform bill Chairman Max Baucus drafted with a big assist from industry lobbyists. Five Democrats voted with all the committee Republicans against Senator Jay Rockefeller’s amendment, which would have created a national public option tied to Medicare rates. Three Democrats also joined Republicans to vote down Senator Chuck Schumer’s much weaker “national level playing field” public option. CA Berkeley WV liveblogged yesterday’s hearing for Congress Matters.

Senator Chuck Grassley sang the same old song about the “government run plan” forcing private insurance companies out of business. He got a little tripped up when Senator Chuck Schumer asked him for his views on Medicare, though.

“I think that Medicare is part of the social fabric of America just like Social Security is,” Mr. Grassley said. “To say that I support it is not to say that it’s the best system that it could be.”

“But it is a government-run plan,” Mr. Schumer shot back.

Mr. Grassley, a veteran Senate debater, insisted that Medicare did not pose a threat to the private insurance industry. “It’s not easy to undo a Medicare plan without also hurting a lot of private initiatives that are coupled with it,” he said.

Chairman Baucus scored highest on the chutzpah meter, praising the public option even as he refused to support it. Grassley also held out false hope that maybe someday some other bill will accomplish that goal.

Several Senate Democrats, including Tom Harkin, insisted yesterday that they will get some kind of public option into the bill that reaches the Senate floor. After the jump you’ll find lots of links on the battles to come.

I agree that the public option is not dead yet, but for it to survive, President Barack Obama and Senate Majority leader Harry Reid will need to do a lot more than they’ve done so far to lean on the Senate conservadems.  

Iowa Democratic Party chair Michael Kiernan spoke confidently today about a “first-round draft pick” who is ready to run against Senator Chuck Grassley, Kay Henderson reported for Radio Iowa.

“I’m going to tell you here today that Chuck Grassley is going to be in for the race of his life.” […]

“You’re just going to have to wait to find out,” Kiernan said this morning during taping of this weekend’s “Iowa Press” program.  “We want to wait ’til, obviously, after Terry Branstad announced his candidacy for governor.”

Kiernan isn’t revealing the characteristics this phantom candidate may have either. “I’ll just wait for the announcement,” Kiernan said.  “You will be impressed.” […]

“I’m here to tell you today that it will be the toughest race that Chuck Grassley has faced since John Culver,” Kiernan said.

Grassley defeated Senator John Culver (Governor Chet Culver’s father) in the 1980 Reagan landslide.

Speaking to reporters after today’s taping, Kiernan said the big-name challenger is “100 percent committed” to this race.

Your guess is as good as mine. A retired politician? Christie Vilsack? A celebrity in a non-political field? Someone from the business world? (Retired Principal Financial Group CEO Barry Griswell has ruled out running, as has Fred Hubbell, the incoming interim director of the Iowa Department of Economic Development.)

Grassley’s approval rating has fallen this year, but it’ll take a lot to convince me that we can defeat him. He’s still got a strong brand name and 30 years of constituent service behind him.

For months, White House officials and Senate leaders praised the “gang of six” negotiations toward a bipartisan deal on health care reform, even as other observers doubted the Republicans in that group were negotiating in good faith. At the beginning of the summer recess in August, Senator Jay Rockefeller (who was shut out of the deal-making) warned:

Changes to the bill have been frustrating, Sen. Jay Rockefeller (D-W.V.) told reporters at a press conference, particularly given that the Republicans — Mike Enzi of Wyoming, Chuck Grassley of Iowa and Olympia Snowe of Maine — are, in his opinion, just stalling for time.

“You just watch as the bill diminishes in its scope, in its coverage, in its ferocity to try to attack the problem. I don’t know where it will come out,” Rockefeller said. “My own personal view is that those three Republicans won’t be there to vote it out of committee when it comes right down to it, so that this all will have been a three-or-four-month delay game, which is exactly what the Republicans want.”

No Republicans stood with Senate Finance Committee Chairman Max Baucus last week as he finally unveiled what David Waldman described as “a plan that amounts to capitulating to every Republican demand, and then adding a heaping pile of political suicide on top of it.” The bill is in markup this week, and CA Berkeley WV has been blogging the Senate Finance Committee meetings for Congress Matters (day one, day two and day three).

Where does ranking Finance Committee member Grassley stand after Baucus bent over backwards to keep negotiating with him all summer? After the jump I’ve posted the relevant portion of a transcript from Grassley’s September 24 telephone news conference with Iowa reporters. The short version is, he’s against the bill because:

1. The individual mandate to buy health insurance amounts to “[q]uite a steep tax for people that maybe don’t pay a tax.”

2. Democrats supposedly were “not willing to go far enough” on enforcement to make sure illegal immigrants wouldn’t be covered.

3. Democrats supposedly “weren’t willing to go far enough to make sure that the subsidy through the tax credit was not used to finance abortions.”

4. You shouldn’t be “increasing taxes and cutting Medicare” when “we’re in depression.”

I told Iowa Republicans not to worry about Grassley voting for any health care reform bill. Senate Democrats should reject the concessions Baucus made to win GOP votes that are now off the table.

The Republican polling firm Rasmussen Reports surveyed 500 “likely voters” in Iowa on September 22 and came up with bad numbers for Governor Chet Culver. Former Governor Terry Branstad leads Culver by 54 percent to 34 percent, and Bob Vander Plaats leads Culver by 43 percent to 39 percent. Culver’s approval rating is 43 percent, with 53 percent of respondents disapproving of the job he is doing.

Topline results and favorability ratings are here. Culver was viewed very or somewhat favorably by 43 percent of respondents and viewed very or somewhat unfavorably by 50 percent. Branstad’s favorability was 64 percent, and his unfavorable numbers were just 29 percent. Vander Plaats was viewed favorably by 45 percent and unfavorably by 30 percent.

These numbers will encourage Branstad, who appears likely to seek his old job again. He has said he’ll decide by October, and I’ve heard rumors that Branstad will announce his candidacy very soon (September 28 according to one person, October 3 according to someone else). I believe that the numbers we see for Branstad this month will be his high water mark, since no one has campaigned against him for 15 years.

Vander Plaats will surely cite the Rasmussen poll as proof that he can beat Culver. The whole “draft Branstad” movement grew out of fears that Vander Plaats could not win a general election.

As a rule, Rasmussen polls tend to come in with somewhat better numbers for Republican candidates and worse numbers for Democrats. Go to Pollster.com and click on almost any national or state-level race to compare recent results from different pollsters.

The recent Selzer Iowa poll for the Des Moines Register found much better numbers for Culver (50 percent approve, 39 percent disapprove). Selzer polled 803 Iowans over a three-day period (3.5 percent margin of error), while Rasmussen polled 500 “likely voters” on a single day (4.5 percent margin of error). Selzer did not poll Culver against Branstad or any other Republican.

I am seeking further information about the likely voter screen Rasmussen used, as well as the proportion of Democrats, Republicans and no-party voters in the sample. I will update this post if I receive more details. If any Rasmussen premium subscriber is reading, feel free to post a comment here or e-mail me at desmoinesdem AT yahoo.com.

The same Rasmussen poll shows Senator Chuck Grassley leading Democrat Bob Krause 56 percent to 30 percent. Chase Martyn looks at the trendlines and concludes that Grassley could become vulnerable next year. In my opinion, Grassley is still well outside the danger zone for an incumbent despite his falling approval numbers.

Click here for Rasmussen’s results on how Iowans view President Obama, the economy and health care reform proposals.

UPDATE: The commenters at Swing State Project trust Selzer a lot more than Rasmussen. One person pointed out that in late July, Rasmussen found Senator Barbara Boxer of California leading Republican Carly Fiorina by just four points (45-41), while a few weeks later Research 2000 found Boxer leading Fiorina 52-31. It appears that Rasmussen’s likely voter screen produces a sample skewed a bit toward Republicans.

It would have been helpful if the Des Moines Register’s recent poll had asked respondents about Culver and Branstad and Vander Plaats. Craig Robinson is wrong to imply that the Register might have asked those questions and decided to cover up the results. The Register published the full questionnaire from its recent poll. Some pollsters don’t think head to head matchups are useful this far out from an election.

On Tuesday the U.S. House of Representatives passed the Unemployment Compensation Extension Act of 2009, which “would extend unemployment insurance benefits by 13 weeks in states that have jobless rates above 8.5 percent.” 27 states and the District of Columbia have unemployment rates exceeding that level.

The bill easily passed by a vote of 331 to 83, but as you can see from the roll call, Iowa’s House delegation was divided in an unusual way. Representatives Bruce Braley (IA-01) and Leonard Boswell (IA-03) were among the 17 Democrats who voted against the bill. They opposed it because unemployed Iowans would be ineligible for the extended benefits. Although our state has the eighth-lowest unemployment rate in the country, we also have pockets of higher unemployment, especially in rural areas.

After the jump I’ve posted statements released by Braley and Boswell on this bill. Boswell noted that four counties in the third Congressional districts have unemployment rates above 9 percent. Braley noted, “When you’re unemployed, it doesn’t matter to you what your state’s unemployment rate is.  What matters is that you need to support your family.”

Representative Dave Loebsack (IA-02) did not vote yesterday, because he was meeting with Fema Administrator Craig Fugate and various state and local officials in Cedar Rapids to discuss flood recovery efforts. I contacted his office for comment on the unemployment bill. His spokesperson Sabrina Siddiqui told me that Loebsack had serious concerns about the way Iowans were excluded from the extended unemployment benefits, adding that Loebsack is working with House leaders to address the needs of unemployed Iowans in future legislation.

Extending unemployment benefits during a severe recession is good policy, not only to help struggling families, but because spending on unemployment benefits has a very high economic stimulus “bang for the buck.” That said, it’s unfair to penalize unemployed Iowans for the fact that our state is faring better than many others on the jobs front.

Iowa’s Republicans in the U.S. House were also divided on this bill, with Tom Latham (IA-04) voting yes and Steve King (IA-05) voting no.

The House of Representatives passed the Student Aid and Fiscal Responsibility Act on Thursday on a mostly party-line vote of 253 to 171 (roll call here). Iowa Democrats Bruce Braley, Dave Loebsack and Leonard Boswell all voted for the bill, while Republicans Tom Latham and Steve King voted against it.

Click here to download a pdf file containing the House Education and Labor Committee’s estimates on how many students in each Congressional district will be able to receive Pell Grants during the 2010/2011 academic year under this reform. The estimate is 16,355 students in Iowa’s fourth district (Latham) and 16,301 students in Iowa’s fifth district (King).

Overall, just four Democrats voted against the bill: Allen Boyd (FL-02), Paul Kanjorski (PA-11), Stephanie Herseth-Sandlin (SD-AL), and Mike McMahon (NY-13). Six Republicans voted for the bill: Vern Buchanan (FL-13), Joseph Cao (LA-02), Timothy Johnson (IL-15), Tom Petri (WI-06), Todd Platts (PA-19), and Ileana Ros-Lehtinen (FL-18). At Congress Matters, David Waldman posted details about the amendments proposed to this bill and which ones passed yesterday.

A press release from the Democratic Congressional Campaign Committee included these bullet points about the bill:

*The Student Aid and Fiscal Responsibility Act is the largest single federal investment in higher education in American history and will also be used to pay down the national debt (H.R. 3221, #719, 9/17/09)

*The measure will make federal student lending more efficient through a variety of reforms that will save the federal government $87 billion. Of those savings, $77 billion will be invested toward making college more affordable and $10 billion will be used to pay down the national debt.

*These savings will be achieved through a number of reforms including:

*Converting federal lending to the Direct Loan Program.

*Establishing a competitive bidding process, allowing the U.S. Department of Education to select lenders based on how well they serve borrowers.

*Allowing non-profit organizations to continue servicing student loans.

*This measure will increase the amount of Pell Grants in 2010 and 2011, lower the interest rates of federally subsidized student loans, expand the Perkins Loan program, and streamline the application form for financial aid.

Senate HELP Committee Chairman Tom Harkin is committed to passing student loan reforms this year.

UPDATE: Like Latham and King, all the House Republicans from Kentucky voted against this bill, and I agree with RDemocrat’s assessment at the Hillbilly Report:

I think this once again properly demonstrates the hypocrisy of Kentucky Republicans and the Republican Party as a whole. They constantly lecture us on spending, but they care little about money being wasted as long as it is being wasted on corporate welfare. When presented with a chance to both save money, and help working poor children afford college, they would rather waste that $80 billion.

Senator Jay Rockefeller was excluded from the bipartisan group of Finance Committee members who worked on the bill Chairman Max Baucus unveiled on Wednesday, so he spent part of his summer vacation researching the fake public option favored by some “gang of six” members. He reported on his findings in an open letter to Baucus and ranking member Chuck Grassley. You should click through and read Rockefeller’s whole letter, but here are some excerpts:

“First, there has been no significant research into consumer co-ops as a model for the broad expansion of health insurance. What we do know, however, is that this model was tried in the early part of the 20th century and largely failed. As the USDA states in its response letter, ‘Government support for the cooperative approach to delivering universal health care was reduced during [World War II] and terminated afterward.’ This is a dying business model for health insurance. Moving forward with health insurance cooperatives would expose Americans, who are hoping for a better health care system, to a health care model that has already been tried and largely failed in the vast majority of the country.

“Second, there is a lack of consistent data about the total number of consumer health insurance cooperatives in existence today, and there have been no analyses of the impact of existing health insurance cooperatives on consumers.

“Third, all of the consumer health insurance cooperatives identified by the [U.S. Department of Agriculture] and [National Cooperative Business Association] operate and function just like private health insurance companies. Therefore, it is unclear how expanding consumer health insurance cooperatives would actually achieve greater affordability for consumers or bring about greater competition in the private market…

The Congressional Budget Office doesn’t expect the co-ops to affect the cost of the Baucus bill:

(The proposed co-ops had very little effect on the estimates of total enrollment in the exchanges or federal costs because, as they are described in the specifications, they seem unlikely to establish a significant market presence in many areas of the country or to noticeably affect federal subsidy payments.)

The failure of co-ops to provide competition in Iowa bears out the CBO’s expectations:

In the 1990s, Iowa adopted a law to encourage the development of health care co-ops. One was created, and it died within two years. Although the law is still on the books, the state does not have a co-op now, said Susan E. Voss, the Iowa insurance commissioner.

Wellmark Blue Cross and Blue Shield collects about 70 percent of the premiums paid in the private insurance market in Iowa and South Dakota.

It’s past time for President Obama to stop sending out White House staff and cabinet secretaries to signal that Obama might accept cooperatives as an alternative to a public health insurance option.

Here’s hoping that even in the absence of presidential leadership, Rockefeller can get strong amendments attached to the Baucus bill or make sure it never gets out of the Senate Finance Committee.

In his latest e-mail blast to constituents, Senator Tom Harkin touches on his priorities as the new chairman of the Senate Committee on Health, Education, Labor and Pensions. One point he mentioned hasn’t been on my radar screen this year:

The full agenda of the Committee will focus on reforming federal student loan programs so that we can stop subsidizing private banks and instead focus on loans that the federal government can make more cheaply.  We can save $87 billion over 10 years in that effort, and use that money to increase Pell grants for low- and middle- income college bound students, and to fund other important education initiatives.  

I had forgotten about President Barack Obama’s effort to reform the student loan system:

His plan is to do away with a system in which the Federal Government subsidizes banks and other private finance companies like Sallie Mae to lend money to students. The Administration essentially wants to cut such companies out of the game and run the system itself. Democrats claim the move will save $87 billion over 10 years, which can be used for a laundry list of education priorities, including increasing the maximum amount of Pell Grants, expanding Perkins Loans and investing in community colleges and other programs. […]

Educational institutions currently have two ways to offer federal loans to students. In the Federal Family Education Loan (FFEL, pronounced “fell”) program, the government pays subsidies to banks and lenders to dole out money to borrowers and reimburses companies up to 97% of the cost of any loan that is not paid back. The second way is the direct-loan program, created in 1993 as an alternate option, in which the government cuts out the middle man, lends money directly and gets all the profits. If the Student Aid and Fiscal Responsibility Act (SAFRA) passes both houses of Congress, the approximately 4,500 colleges and universities that are currently signed up for FFEL will have to abandon the program and start using the direct-loan option by July 1, 2010.

Directing federal money toward programs that help needy students, such as Pell Grants, makes a lot more sense than subsidizing private banks to make student loans.

Finding 60 votes in the Senate for this proposal will be challenging, however. This is one banking bailout Republicans will fight hard to protect, and according to Time magazine, at least one Democrat (Ben Nelson of Nebraska) opposes the plan too. If this bill passes, it will probably be through the budget reconciliation process, which requires only 51 votes in the Senate.

Health care reform is sure to take up a lot of Harkin’s time this fall, but I’m glad the HELP chairman will also focus on other bills that could change many lives for the better. Even if the health care project falls apart in the Senate, Harkin could accomplish a lot this year if he gets the student loan bill through and brokers a good compromise on the Employee Free Choice Act.

I see only one downside to Harkin becoming the HELP chairman, and that’s Senator Blanche Lincoln of Arkansas taking over the Agriculture Committee. Jill Richardson has been on this case at La Vida Locavore. I recommend reading her posts on industry lobbyists who used to work for Lincoln, Lincoln’s strong support for corporate ag interests such as Arkansas-based Tyson Foods, and Lincoln’s positions on trade, the climate change bill, and the Clean Water Act.

BruceMcF breaks it down for you:

So: (1) Public Choice

“No Taxation without Representation”. Every single person facing an individual mandate must be provided with the choice of a publicly administered plan. Otherwise the government is forcing the citizen to pay without the elected representatives of the citizen controlling the spending.

You want to put a trigger on the public option. Fine, except the exact same trigger applies to the individual mandate.

You want to restrict access to the public option to some smaller group? Fine, except the same restriction applies to the individual mandate.

The system is not politically legitimate if it requires payment to for-profit commercial corporations.

(2) Robust

It cannot be lumbered down with any restrictions not faced by private insurers.

State by state public options? Really? You are really prepared to restrict the corporations to firms with no commercial activity across state lines? If they are free standing state by state public options, it has to be state by state for profit corporations. Oh, not allowing [United Healthcare] into the exchanges defeats the purpose of lining private pockets at the public expense? Yeah, kind of thought so.

BruceMcF has long been one of my favorite transportation bloggers and has written great stuff on health care reform too, including Axelrod: Government by Consent of the Corporation. His home blog is Burning the Midnight Oil, but he frequently cross-posts his work at Progressive Blue, Daily Kos, My Left Wing, Docudharma, and the Hillbilly Report.

Speaking of real and fake public options, Timothy Noah explains “the sorry history” of triggers enacted by Congress, and slinkerwink has suggestions and talking points to use when contacting House Progressives about health care reform. I still think it’s worth urging Populist Caucus members as well as Progressives to insist on a real, not fake or triggered, public option in the final health care bill.

Bruce Braley (IA-01) leads the Populist Caucus, and Dave Loebsack (IA-02) and Leonard Boswell (IA-03) both belong to the caucus. All of them have advocated for the public option, but to my knowledge none has pledge to vote down any bill that lacks a public option.

For those interested in the nitty gritty of legislative wrangling, David Waldman ponders what might happen if the Senate Finance Committee members can’t agree and consequently fail to report out a health care bill.

Senator Tom Harkin told a crowd of nearly 2,000 people today that health care reform including a public health insurance option will pass before this Christmas. Speaking at his 32nd Annual Steak Fry in Indianola, Harkin joked,

“This is my kind of town-hall meeting,” […] because he didn’t see any Republicans standing up to say, “Keep your government hands off my Medicare.”

Harkin and event headliner Al Franken predicted that health care reform would pass with some Republican votes, which seems unlikely if the final version of the bill contains a public option. Republican Senator Olympia Snowe of Maine has been the focus of White House courting on health care, but she opposes a public option, apparently because it has the potential to provide lower-cost health insurance.

The Senate Committee on Health, Education, Labor and Pensions passed a bill this summer containing a public option, but according to one critic, the HELP bill’s public option is anything but robust:

the actual provisions in the HELP Committee bill call for numerous “community health insurance options,” not the single “Medicare-like” plan promised by “public option” advocates. That means the individual “options” will probably be as small and weak as the co-ops now under discussion in the Senate Finance Committee. More importantly, these “community options” will almost certainly be run by insurance companies.

The public option in the bill that cleared the House Energy and Commerce Committee, HR 3200, is also weak in several respects.

President Barack Obama met with 17 relatively conservative Democratic senators on Thursday, reinforcing many people’s fears that he was ready to discard the public option. The same day, Harkin assured the Progressive Populist blog that 51 votes can be found in the Senate for a bill with a public option.

So what about all the hubub about the Blue Dogs and/or Progressives opting out if the bill doesn’t meet their liking? Harkin said don’t put too much stock in those statements.

“Look, around here people are always jockeying for power. That’s all this is,” Harkin said.

The only chance of making this bill stronger, in my opinion, is getting a large bloc of House Democrats to draw a line in the sand. If you live in Iowa’s first, second or third Congressional districts, please contact Bruce Braley, Dave Loebsack or Leonard Boswell to urge them not to accept any bill containing a “trigger” (which is guaranteed to fail) or some other fake public health insurance option. Organizing for America has a new petition out if you prefer that method of generating an e-mail to your member of Congress.

UPDATE: Don’t miss John Deeth’s entertaining liveblog from this event, with lots of photos. Braley and Loebsack praised Boswell for standing up for a public option (unlike many Blue Dogs).

From Chase Martyn’s write-up at Iowa Independent:

Boswell and fellow Democratic U.S. Reps. Bruce Braley and Dave Loebsack also expressed optimism that a final bill would include measures to reform medicare reimbursement rates. Medicare currently pays doctors in rural states like Iowa less than what doctors in densely populated states receive for the same procedures.