Congress

Standing at the edge of the health care precipice, President Barack Obama has reached a defining point in his presidency. The recent news that Anthem Blue Cross is planning to jack up individual premiums as much as 40 percent is just the latest example of our flailing health care system. Spiraling costs are the greatest long-term threat to our nation. Obama must get this one right, otherwise the nation, as well as his presidency, is in trouble.

This week’s last-ditch health care push may or may not prove the defining battle of Barack Obama’s presidency. It may or may not prove a defining moment in the history of the American welfare state. But here’s a good bet: The Democratic Party will never be the same.

If the Democrats use budget reconciliation to bypass the Republicans, they will be making a big mistake.

Reconciliation is not meant to handle these sorts of problems; it’s meant to help Congress get revenues in line with outlays without letting protracted negotiations push us into a budget crisis. It’s not possible to do any sort of comprehensive, rational overhaul of the Senate health bill — which after all, was intended to be the opening salvo in a negotiation, not the final bill.

Yes, President Obama should push his health care package through the Senate via the reconciliation process. Indeed, it is imperative that he do so for two reasons.

First, because the U.S. badly needs health care reform. And second, to restore the constitutional principle of “majority rule” that has been thwarted in the filibuster-gone-wild Senate.

Why is the Republican Party insisting on gridlock in Washington? Why is the Republican minority in California blocking necessary change? The Beltway pundits who attribute everything to electoral cycle gamesmanship do not understand the deeper cause of this scorched-earth policy: demographic decline.

Cantor versus Rangel. Boehner versus Biden. Getting health care done versus more of the same. The White House summit to debate health care reform is being characterized as a political cage match with the highest of stakes. But the meeting is also a story of Obama versus Obama.

Capitol Hill is a wild, rowdy beast, and a president either rides it or gets bucked out of town. President Obama has learned that lesson the hard way over the past 12 months, and the question that loomed largest as he strode into Congress for his first State of the Union address was this: Can he regain control of the Beltway’s always fractious debate—or will the “ways of Washington” tear him down?

Democrats are considering using the reconciliation process to pass health-care reform in the Senate, a maneuver that would require only 51 votes. Republicans are outraged. Using reconciliation to pass health care, they insist, would be undemocratic.

How polarized is America today? Not all that polarized by historical standards. In 1856, a South Carolina Congressman beat a Massachusetts Senator half to death with his cane in the Senate chamber — and received dozens of new canes from appreciative fans. In 1905, Idaho miners bombed the house of a former governor who had tried to break their union. In 1965, an anti–Vietnam War activist stationed himself outside the office of the Secretary of Defense and, holding his year-old daughter in his arms, set himself on fire.