This is one of the most important stages in Congress’ health care reform process, but it’s happening in complete secrecy. The negotiations are basically an informal process of arm twisting and deal making that are taking place in closed-door discussions beyond the public’s view. The only chances we’ll get to see in will be from anonymous “inside sources” and prepared statements from the people involved. For one of the most important parts of the most contentious national policy debate in recent history, that’s not good enough.
Below, I’ve put together a table showing the major differences between the bill approved by the Health, Education, Labor and Pensions (HELP) Committee and the bill as amended (soon to be approved) by the Finance Committee that are being ironed out by the negotiators. It’s not meant to be comprehensive – it only covers the areas of health care reform that were addressed by both committees. Financing and Medicare provisions, for example, which fall solely under the jurisdiction of the Finance Committee, are not included.
Take a look for yourself and start thinking about what you would keep from each bill and what you would leave out. This is far from an ideal scenario for public involvement in this crucial stage of the legislative process, but it’s a first step at using the tools and information available to us to start building awareness of the decisions being made by Congress behind the scenes.
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