excerpts:
The party's growing problem is twofold: On one hand, the White House and Senate are keeping their distance from the House's proposal to divvy up hundreds of billions of dollars between a progressive push for a massive expansion of Medicare benefits and a leadership-driven quest to permanently strengthen Obamacare. On the other, progressives who got a lot of what they wanted in draft legislation the House Ways and Means Committee released Tuesday night are still unhappy with colleagues who would rather use the party's health care dollars on making expanded subsidies for Affordable Care Act coverage permanent.
The speed with which Democrats' health care drama leaked from behind closed doors underscores just how bumpy the ride will be as they attempt, in just a few weeks, to muscle through the most expansive shakeup of the social safety net in decades.
And the angst on the left is more complicated than the typical progressives-versus-moderates dynamic ā it's the latest chapter in a long-running debate between those who want to focus on shoring up Obamacare and those who want to move toward a "Medicare for All"-style model. As both factions battle, the bulk of President Joe Biden's domestic agenda is hanging in the balance.
āIām not going to be quietly sitting on the sidelines and watching all the people eligible for Medicare treated royally and the people who depend on Medicaid be neglected,ā House Majority Whip Jim Clyburn (D-S.C.) said, noting heās made Biden aware of his preference for solidifying an Obamacare Medicaid expansion aimed at low-income Americans, including minority communities in red states like his. āIāll stand up to anybody with that position. I donāt care who it is.ā
"We need to be 100 percent for universal health care, and we are so far from that today," said Rep. Pramila Jayapal (D-Wash.), the Progressive Caucus chief who is pushing for Medicare to cover more people with more generous benefits. "We need to recognize that while the ACA did many good things, just providing subsidies to private insurance is not the way to move forward."
āIām not going to pick among my children,ā said Rep. Diana DeGette (D-Colo.), referencing the different Democratic health components of the social spending bill. āBut we need to keep the ACA subsidies ā thatās what is enabling millions of people to get health care coverage.ā