Thanks to Joe Liebergrinch (and
Ben Nelson as well) any perception of progressive victory has been sucked out of the Senate health care reform bill. Just in time for Christmas! Yay!
By the way, before we get started, I want these people:

to know that they can stop worrying about a government run health care system and go on back to their presidential birth certificate scavenger hunt.
The liberal freakout over the shoddy state of health reform seems to be coalescing around two poles--the optimists, who say that the bill sucks but still does plenty of good and should be passed. This group is fronted by the people I trust a great deal including Nate Silver and President Obama. Nate has plenty of content that is well worth consideration
here,
here, and
here.
As for the liberals who are disappointed and pissed at President Obama, I get where you're coming from. I want him to change the game with his leadership. Even if he doesn't lead and if he does settle for what looks like a very disappointing outcome to this
interminable debate then go ahead, let him know how mad you are, but remember two words--BUSH ADMINISTRATION. Please, everyone, chill out with the whole
we're-not-going-to-support-his-re-election business. I'm looking at you,
Governor Dean. JG at TPM
said it well. We can not risk 4, 8 or any amount of years under that kind of administration ever again.
The other group, those who see disaster on the horizon and want to kill the bill, is also fronted by people I trust a great deal, like Governor Dean,
Sen. Bernie Sanders and plenty of very good bloggers (including, apparantly,
myself in this July post) and
even McClatchy.
I agree with all of these people, at least in spirit. This whole fucking thing suuuuucks big donkey balls. Still, I'm leaning toward taking what legislation we can get now AND advocating that we stay fiercely engaged in pushing for the rest of the needed health care reform absent from the final bill starting the minute this piece of shit passes.
I am also nudged in this direction for the same reason Joe Lieberman says he knew to crush the medicare buy in
when he saw the enthusiasm of liberals over the provision. In my case, the fact that
Sen. Tom Coburn would give his soul if he had one to kill this bill makes me feel a lot better about passing it.
Without a second act, I agree with Robert Reich's assesment. Reich
writes, "In all likelihood, the White House and the Dems eventually will get a bill they can call 'reform,' but they will not be able to say with straight faces that the reform is a significant improvement over the terrible system we already have."
In order to get the rest of what is missing in this bill in round two, we need to get around this ridiculous 60 vote threshhold in the Senate either with
Tom Harkin's proposal to transform the filibuster into a slow down mechanism or with budget reconciliation, which has its limits. Of the reconciliation process, Ezra Klein
writes, "[If] you think we can get these pieces in reconciliation, why not pass the bill and then go back and get these pieces in reconciliation?" The pieces he refers to are the medicare buy-in and the public option. All the other positives in the bill can't be passed under budget reconciliation due to the rules of the Senate (this is the subject of some debate--
FDL says Dems can use it). Taking what we can get now and then using reconciliation for the rest later is a good strategy. One a smart guy like that President Obama might very well come up with.