The U.S. Senate votes 60 to 39 for health care debate


The U.S. Senate voted along party lines, 60 to 39, to proceed with debate on health care reform.

The last two holdouts, Senator Blanche Lincoln of Arkansas and Mary Landrieu of Louisiana decided to finally vote with the majority.

Details of the bill are sketchy at this point. The Senate version would require most everyone to purchase health care. Coverage would be extended to an additional 30 million persons. Coverage could not be denied for preexisting conditions.

As a special concession to Landrieu, $100 million dollars was added to the bill to cover the cost of Medicaid for the state of Louisiana. Quoting Landrieu: "I am not going to be defensive about asking for help in this situation. I'm proud to have asked for it."

Given passage, the final bill would then be reconciled with the House version, which passed by a vote of 220 to 215 last week.

Several major sticking points need to be settled. In the House version, a tax on upper income individuals would help pay the cost. The Senate version would tax high-value insurance policies.

The House version would require employers to purchase coverage for small- and medium-sized businesses. This is not in the Senate version. Instead, the government would subsidize employers. The numbers here are not clear.

Both House and Senate versions would include cuts of $400 billion in Medicare.

The Senate bill has 2,074 pages, so stay tuned for more information. As they say, "the devil is in the details."

Please express your ideas on these bills.

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