General Discussion
In reply to the discussion: Is this the moment Speaker Pelosi was born for? [View all]karynnj
(60,980 posts)The moment that she led the House to pass - in 2 bills - the ACA was an incredible leadership effort where she needed to craft a path to getting the Senate bill AS IT WAS (because the Senate no longer had 60 Senators) and to add some of the changes the House would have added via a conference bill in a second bill that met the criteria of what could be passed under reconciliation.
It took many people, working very hard and well, to get that bill passed in both chambers and signed by Obama. It is worth considering that Rahm Emmanuel, Obama's then CoS, was publicly saying after Scott Brown won, that they should pass something much smaller. Pelosi was the one who had the position to make the decision to go with the messier passage of the entire ACA.
Even after Republicans, including Rubio, who defunded the catastrophic insurance that allowed insurance companies to offer lower rates knowing that they could pass to the government catastrophic costs if they ended up insuring the sickest people, to enduring through the two years where Trump and the Republicans controlled both Houses.
While ACA has been damaged, a Democrat elected in 2020 starts with the structure of ACA and people using that insurance for 10 years. The design easily allows a public option (medicaid, medicare or whatever program is created) to easily be added to the private insurance plans. If we can add that public option, I predict that the REPUBLICANS will insist on the catastrophic fund be replenished because the insurance companies would demand they do it.
Pelosi, would be there - with all her experience - to design a bill that could pass the House. She will then have been instrumental in its creation and its protection and its recreation making it better.