Here's what John Conyers has to say about the Senate bill, and what he'll be pushing for leadership to do in conference.
"Last night’s vote in the Senate should be applauded for what it was: an affirmative statement by that body that comprehensive health care reform legislation should not be held captive any longer by a select few. As this legislation moves towards its constitutionally mandated reconciliation with the House of Representatives, I also want to make it clear that, in my mind, this bill does not adequately address many of the problems that plague our current system. Without material changes, this legislation will be reform in name only.
"In order to pass the House of Representatives, a final health care bill must provide universal affordability and competition to the American people. Additionally, it should be financed by those with the ability to pay and not by working class Americans lucky enough to receive quality health coverage through their employers....
"I supported the House bill because I believe that it is immoral to continue to allow the private health insurance industry to operate without any real checks on its ability to charge unaffordable premiums and deny needed care. That is why I believe competition, as provided through a national Medicare-like public health insurance option and the repeal of the industry’s antitrust exemption, is a necessary component of true reform.
"The sole remaining ‘competition’ provision that remains in the Senate’s bill is woefully insufficient. These multi-state non-profit plans run by the Office of Personnel Management will not be transparent; they will not have a built in network of doctors; they will not allow us to move away from the wasteful fee-for-service system that inflates costs; and they will not attract a risk pool big enough to create real savings and efficiencies for consumers.
"The American people have already experienced private non-profit health insurance. It hasn’t worked in the past and there’s no reason to think it’s the answer now. Relying on private insurers to police other private insurers is like asking the fox to guard the hen house."
"I look forward to working with the Senate and House Leadership to ensure that the final health care bill address these core principles of affordability, competition, and progressive financing.
"Lastly, I am troubled that some Senators believe that the House must accept the majority of the concessions embodied in this Senate bill. My message to the these Senators is this: Just as it took compromise to pass your bill last night, so now will it require additional compromise to successfully reconcile your legislation with the House. The Constitution established a bicameral legislature so that neither body would dominate the other."
It's not just "some Senators" who seem to believe that the Senate bill as compromised is the bill that must be passed, though Conyers was undoubtedly reaction to the latest from Kent Conrad who has basically told the House to bow down before the glory that is the Senate.
There is still an opportunity to improve this bill, to get it somewhat closer to the reform that we've been promised, and many of the provisions in the House bill would be much better at achieving that.