President Obama, rallying last-minute support for landmark health-care legislation nearing a crucial vote in the House, announced Sunday that he will issue an executive order after passage attesting that the bill is consistent with longstanding restrictions on the use of federal funds for abortions.

The arrangement won the support of a key bloc of anti-abortion House Democrats, whose leader, Rep. Bart Stupak D-Mich.), said at a news conference, “I’m pleased to announce we have an agreement.”

Appearing with Stupak were half a dozen other holdout Democrats. With them on board, “we’re well past” the 216 votes needed in the House to approve the health-care legislation, Stupak said.

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In a final, urgent plea to prevent the passage of the current form of the Senate health care bill, the United States Conference of Catholic Bishops (USCCB) on Saturday evening sent a letter to Congressmen asking them to vote “no.”

“For decades,” the letter says, “the United States Catholic bishops have supported universal health care. The Catholic Church teaches that health care is a basic human right, essential for human life and dignity.”

“Our community of faith,” the bishops continue, “provides health care to millions, purchases health care for tens of thousands and addresses the failings of our health care system in our parishes, emergency rooms and shelters. This is why we as bishops continue to insist that health care reform which truly protects the life, dignity, consciences and health of all is a moral imperative and an urgent national priority.”

Nevertheless, they add, “we are convinced that the Senate legislation now presented to the House of Representatives on a ”˜take it or leave it’ basis sadly fails this test and ought to be opposed.”

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As the House Rules Committee labored to set the formal terms of the debate, the dispute over the abortion provisions was shaping up as a bitter stand-off between the abortion opponents, led by Representative Bart Stupak of Michigan, and lawmakers who favor abortion rights, led by Representative Diana DeGette of Colorado. At the center was Nancy Pelosi, the first woman to serve as House speaker, who is a champion of abortion rights.

The issue has divided Roman Catholic groups in the United States, with the United States Conference of Catholic Bishops opposing the bill and other organizations, including the Catholic Health Association and a coalition of nuns from leading religious orders, favoring it.

In a similar showdown in November, Mr. Stupak succeeded in winning approval of tight limits on insurance coverage of abortions in the House health care bill. But the current package now includes language from the Senate-passed bill, negotiated by Senators Bob Casey of Pennsylvania and Ben Nelson, who have built up solid credentials in their political careers as opponents of abortion.

Mr. Stupak and many of the lawmakers insisting on the tighter restrictions are Catholic, as is Ms. Pelosi, and all have cited their faith in justifying their position on the legislation.

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Caterpillar Inc. said the health-care overhaul legislation being considered by the U.S. House of Representatives would increase the company’s health-care costs by more than $100 million in the first year alone.

In a letter Thursday to House Speaker Nancy Pelosi (D-Calif.) and House Republican Leader John Boehner of Ohio, Caterpillar urged lawmakers to vote against the plan “because of the substantial cost burdens it would place on our shareholders, employees and retirees.”

Caterpillar, the world’s largest construction machinery manufacturer by sales, said it’s particularly opposed to provisions in the bill that would expand Medicare taxes and mandate insurance coverage. The legislation would require nearly all companies to provide health insurance for their employees or face large fines.

The Peoria-based company said these provisions would increase its insurance costs by at least 20 percent, or more than $100 million, just in the first year of the health-care overhaul program.

“We can ill-afford cost increases that place us at a disadvantage versus our global competitors,” said the letter signed by Gregory Folley, vice president and chief human resources officer of Caterpillar. “We are disappointed that efforts at reform have not addressed the cost concerns we’ve raised throughout the year.”

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Here is the chart.

Roman Catholic opposition to the health care overhaul package is crumbling, with some church officials and lawmakers concluding that their long-sought goal of health care overhaul trumps the desire to adopt the severest restrictions on abortion funding.

A coalition of 59,000 nuns released a letter yesterday calling on Congress to approve the overhaul, defying the US Conference of Catholic Bishops, which opposes the measure. The Catholic Health Association, which represents 1,200 Catholic hospitals, has endorsed the package, as have Catholics United and Catholic groups promoting social justice.

That split mirrors a division among some antiabortion US representatives. In preparing to cast perhaps one of the most important votes on a domestic issue in their careers, they are wrestling with questions that strike at the core of their beliefs and that threaten to embolden voters in November.

Ardently antiabortion Representative Dale Kildee, a Michigan Democrat who once studied in a Catholic seminary, said yesterday he will vote for the package despite language that some believe is not strict enough in ensuring that no federal funds are used for abortions.

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Many House Democrats strongly disliked the Senate’s proposed excise tax on high-cost, employer-sponsored insurance policies. In the Senate-passed bill, that provision would have raised $150 billion over 10 years. Mr. Obama and White House officials reached a deal with organized labor groups to delay the implementation and limit the impact of that tax. As a result, the excise tax will raise only $32 billion over 10 years, according to the budget office.

Of course, that meant coming up with another $118 billion elsewhere to plug the hole. Not a problem: the final legislation imposes a 3.8 percent tax on “unearned income” such as dividends and interest, or on regular income above $200,000 a year for individuals and $250,000 for couples.

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Lingering fear of defections from the Democratic left — among those who believe the bill does not go far enough to expand access to healthcare — was allayed Wednesday when Rep. Dennis J. Kucinich (D-Ohio) became the first liberal opponent of the House bill approved last year to announce that he would support the more restrictive Senate legislation.

“If I can vote for this bill, there are not many others that shouldn’t be able to,” said Kucinich, a leader of the movement to provide universal healthcare by offering the Medicare program to all Americans.

Among social conservatives, the legislation won an important new endorsement from dozens of leaders of Catholic nuns, including a group that says it represents more than 90% of the 59,000 nuns in the United States. That contrasted with the staunch opposition of the U.S. Conference of Catholic Bishops, which issued a statement Monday arguing that the bill would not adequately guard against using federal funds for abortion. The nuns disagreed, and so did a retired bishop.

And a senior antiabortion Democrat, Rep. Dale E. Kildee of Michigan, issued a statement Wednesday announcing that he would support the bill.

The political pressure intensified in the Capitol, as the House’s telephone switchboard was jammed with incoming phone calls — apparently about the healthcare bill. Democratic leaders pleaded with uncommitted House members — even if they were inclined to vote “no” — to stand ready to support the bill if their vote would be decisive.

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Because of congressional rules and partisan politics, Democratic leaders are pushing the House to adopt the Senate version. The Catholic Health Association, which represents 2,000 health care sponsors, systems, hospitals, and long-term facilities, calls the Senate bill a “major first step” toward covering all Americans. CHA officials say the abortion language can be “corrected” after it passes.

George acknowledged the CHA’s difference of opinion. “The bishops, however, judge that the flaws are so fundamental that they vitiate the good that the bill intends to promote,” he said.

“Assurances that the moral objections to the legislation can be met only after the bill is passed seem a little like asking us, in Midwestern parlance, to buy a pig in a poke,” he said.

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The forced march to pass ObamaCare continues, and all that matters now is raw politics. But opponents should go down swinging, and that means exposing such policy debacles as President Obama’s 11th-hour decision to apply the 2.9% Medicare payroll tax to “unearned income.”

That’s what savings and investment income are called in Washington, and this destructive tax wasn’t in either the House or Senate bills, though it may now become law with almost no scrutiny.

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House Democratic leadership: They’re trying to see if they have the 216 votes needed to get the bill passed. No Republicans have said they will vote for the bill. According to an ongoing CNN analysis, 26 of 253 House Democrats, including nine who supported the House plan in November, have said they would oppose the Senate plan, and nine say they would vote no but might reconsider if their concerns are addressed.

Of the remaining Democrats, 34 are undecided and 31 have declined to respond or state a position after numerous inquiries from CNN

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The U.S. Conference of Catholic Bishops said Monday it opposes the Democratic health care plan heading for a vote in the U.S. House of Representatives because of its language on abortion.

The group noted that it liked the House health care bill because it would continue the strict ban on federal financing of abortion. But it said the Senate version would open the door to federal financing, and it is the Senate version heading to the House for a vote.

Senate Democrats have insisted their bill would not allow federal financing of abortion, but George and the Catholic group disagreed.

“The Catholic bishops regretfully hold that it must be opposed unless and until these serious moral problems are addressed,” said Cardinal Francis George of Chicago, the president of the conference.

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The U.S. Conference of Catholic Bishops said Monday it opposes the Democratic health care plan heading for a vote in the U.S. House of Representatives because of its language on abortion.

The group noted that it liked the House health care bill because it would continue the strict ban on federal financing of abortion. But it said the Senate version would open the door to federal financing, and it is the Senate version heading to the House for a vote.

Senate Democrats have insisted their bill would not allow federal financing of abortion, but George and the Catholic group disagreed.

“The Catholic bishops regretfully hold that it must be opposed unless and until these serious moral problems are addressed,” said Cardinal Francis George of Chicago, the president of the conference.

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It could all come down to abortion. Health-care reform hangs in the balance. Nancy Pelosi, the speaker of the House of Representatives, is desperately trying to round up the last few votes. If the House passes a bill the Senate passed in December, it can then be tweaked through the “reconciliation” process and sent to President Barack Obama for signature. But every single House Republican is likely to vote no, so Ms Pelosi needs 216 Democratic votes (out of 253) for a majority. This is proving surprisingly hard. Among the holdouts are a dozen or so pro-life Democrats, several of them Midwestern Catholics, who object to the abortion provisions in the Senate bill.

Thanks to the Supreme Court, abortion has been legally protected since 1973 and neither Congress nor any state has the power to ban it. But a law called the Hyde amendment bars federal funding for abortion, except in cases of rape or incest, or to save the life of the mother. The question now is whether Obamacare will use taxpayers’ money to subsidise abortion more widely. Mr Obama insists that it will not. Under his plan, many individuals and small businesses will buy subsidised health insurance through state-sponsored exchanges. Under the Senate bill, they would only be able to obtain abortion coverage through these exchanges if they paid for it with a separate, unsubsidised, cheque. Thus, federal dollars would be kept out of abortion clinics, say the bill’s supporters. But many pro-lifers are not convinced. So the version of the health bill that was passed by the House would have required those who wanted abortion coverage to buy a completely separate insurance policy. The Democrat who wrote the House abortion provision, Bart Stupak, says he won’t back the Senate bill. Several other pro-life Democrats may also balk.

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It could all come down to abortion. Health-care reform hangs in the balance. Nancy Pelosi, the speaker of the House of Representatives, is desperately trying to round up the last few votes. If the House passes a bill the Senate passed in December, it can then be tweaked through the “reconciliation” process and sent to President Barack Obama for signature. But every single House Republican is likely to vote no, so Ms Pelosi needs 216 Democratic votes (out of 253) for a majority. This is proving surprisingly hard. Among the holdouts are a dozen or so pro-life Democrats, several of them Midwestern Catholics, who object to the abortion provisions in the Senate bill.

Thanks to the Supreme Court, abortion has been legally protected since 1973 and neither Congress nor any state has the power to ban it. But a law called the Hyde amendment bars federal funding for abortion, except in cases of rape or incest, or to save the life of the mother. The question now is whether Obamacare will use taxpayers’ money to subsidise abortion more widely. Mr Obama insists that it will not. Under his plan, many individuals and small businesses will buy subsidised health insurance through state-sponsored exchanges. Under the Senate bill, they would only be able to obtain abortion coverage through these exchanges if they paid for it with a separate, unsubsidised, cheque. Thus, federal dollars would be kept out of abortion clinics, say the bill’s supporters. But many pro-lifers are not convinced. So the version of the health bill that was passed by the House would have required those who wanted abortion coverage to buy a completely separate insurance policy. The Democrat who wrote the House abortion provision, Bart Stupak, says he won’t back the Senate bill. Several other pro-life Democrats may also balk.

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The survey shows astonishing intensity and sharp opposition to reform, far more than national polls reflect. For 82% of those surveyed, the heath-care bill is either the top or one of the top three issues for deciding whom to support for Congress next November. (That number goes to 88% among independent women.) Sixty percent want Congress to start from scratch on a bipartisan health-care reform proposal or stop working on it this year. Majorities say the legislation will make them and their loved ones (53%), the economy (54%) and the U.S. health-care system (55%) worse off””quite the trifecta.

Seven in 10 would vote against a House member who votes for the Senate health-care bill with its special interest provisions. That includes 45% of self-identified Democrats, 72% of independents and 88% of Republicans. Three in four disagree that the federal government should mandate that everyone buy a government-approved insurance plan (64% strongly so), and 81% say any reform should focus first on reducing costs. Three quarters agree that Americans have the right to choose not to participate in any health-care system or plan without a penalty or fine.

That translates into specific concerns with the Senate legislation””and none of these objections would be addressed by the proposed fixes. Over 70%””indeed in several districts over 80%””of respondents, across party lines, said that the following information made them less supportive: the bill mandates that individuals purchase insurance or face penalties; it cuts Medicare Advantage; it will force potentially millions to lose existing coverage; it will cost an estimated $2.3 trillion over its first 10 years; and it will grant unprecedented new powers to the Health and Human Services secretary.

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The survey shows astonishing intensity and sharp opposition to reform, far more than national polls reflect. For 82% of those surveyed, the heath-care bill is either the top or one of the top three issues for deciding whom to support for Congress next November. (That number goes to 88% among independent women.) Sixty percent want Congress to start from scratch on a bipartisan health-care reform proposal or stop working on it this year. Majorities say the legislation will make them and their loved ones (53%), the economy (54%) and the U.S. health-care system (55%) worse off””quite the trifecta.

Seven in 10 would vote against a House member who votes for the Senate health-care bill with its special interest provisions. That includes 45% of self-identified Democrats, 72% of independents and 88% of Republicans. Three in four disagree that the federal government should mandate that everyone buy a government-approved insurance plan (64% strongly so), and 81% say any reform should focus first on reducing costs. Three quarters agree that Americans have the right to choose not to participate in any health-care system or plan without a penalty or fine.

That translates into specific concerns with the Senate legislation””and none of these objections would be addressed by the proposed fixes. Over 70%””indeed in several districts over 80%””of respondents, across party lines, said that the following information made them less supportive: the bill mandates that individuals purchase insurance or face penalties; it cuts Medicare Advantage; it will force potentially millions to lose existing coverage; it will cost an estimated $2.3 trillion over its first 10 years; and it will grant unprecedented new powers to the Health and Human Services secretary.

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Too much cancer screening, too many heart tests, too many cesarean sections. A spate of recent reports suggests that many Americans are being overtreated. Maybe even President Barack Obama, champion of an overhaul and cost-cutting of the health care system.

Is it doctors practicing defensive medicine? Or are patients so accustomed to a culture of medical technology that they insist on extensive tests and treatments?

A combination of both is at work, but new evidence and updated guidelines are recommending a step back and more thorough doctor-patient talks about risks and benefits of screening tests.

Americans, including the commander in chief, need to realize that “more care is not necessarily better care,” wrote cardiologist Rita Redberg, editor of Archives of Internal Medicine. She was commenting on Obama’s recent physical.

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Too much cancer screening, too many heart tests, too many cesarean sections. A spate of recent reports suggests that many Americans are being overtreated. Maybe even President Barack Obama, champion of an overhaul and cost-cutting of the health care system.

Is it doctors practicing defensive medicine? Or are patients so accustomed to a culture of medical technology that they insist on extensive tests and treatments?

A combination of both is at work, but new evidence and updated guidelines are recommending a step back and more thorough doctor-patient talks about risks and benefits of screening tests.

Americans, including the commander in chief, need to realize that “more care is not necessarily better care,” wrote cardiologist Rita Redberg, editor of Archives of Internal Medicine. She was commenting on Obama’s recent physical.

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The Democrats have not been completely irresponsible. It’s just that as the health fight has gone on, their passion for coverage has swamped their less visceral commitment to reducing debt. The result is a bill that is fundamentally imbalanced.

This past year, we’ve seen how hard it is to even pass legislation that expands benefits. To actually reduce benefits and raise taxes, we’re going to need legislators who wake up in the morning passionate about fiscal sanity. The ones we have now are just making things worse.

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A US Catholic group on Friday accused Roman Catholic bishops of meddling in health care reforms by making backroom deals to ensure the bill does not allow funding for abortion.

“Religious and ethical concerns can legitimately inform public policy, but the bishops have overstepped the mark,” said Jon O’Brien, president of Catholics for Choice.

“Interference by the US Catholic bishops in health care reform does not help women. The bishops should not be allowed to use health care reform to restrict women’s access to safe and legal reproductive healthcare services,” he said.

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A new congressional report released Friday says the United States’ long-term fiscal woes are even worse than predicted by President Barack Obama’s grim budget submission last month.

The nonpartisan Congressional Budget Office predicts that Obama’s budget plans would generate deficits over the upcoming decade that would total $9.8 trillion. That’s $1.2 trillion more than predicted by the administration.

The agency says its future-year predictions of tax revenues are more pessimistic than the administration’s. That’s because CBO projects slightly slower economic growth than the White House.

The deficit picture has turned alarmingly worse since the recession that started at the end of 2007, never dipping below 4 percent of the size of the economy over the next decade. Economists say that deficits of that size are unsustainable and could put upward pressure on interest rates, crowd out private investment in the economy and ultimately erode the nation’s standard of living.

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A dozen House of Representatives Democrats opposed to abortion are willing to kill President Barack Obama’s healthcare reform plan unless it satisfies their demand for language barring the procedure, Representative Bart Stupak said on Thursday.

“Yes. We’re prepared to take responsibility,” Stupak said on ABC’s “Good Morning America” when asked if he and his 11 Democratic allies were willing to accept the consequences for bringing down healthcare reform over abortion.

“Let’s face it. I want to see healthcare. But we’re not going to bypass the principles of belief that we feel strongly about,” he said.

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Of the remaining issues with the potential to bring down the entire health overhaul effort, the one that lawmakers fear most is abortion.

Abortion is such a politically hazardous issue that sponsors of both the House and Senate health bills have said their object was to maintain the status quo. “It is not the intention of this bill to, as the speaker has said, to change the policy that has been in place for three decades,” said House Majority Leader Steny Hoyer, (D-MD), on Tuesday. Hoyer was referring to what is known as the Hyde Amendment. It has barred federal funds from being used to pay for abortions since 1977.

But keeping the health bills abortion-neutral has proved impossible. And now the abortion language in the Senate-passed bill in particular could threaten the strategy Democratic leaders hope to use to get a final measure to President Obama’s desk for a signature.

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Read it all (and follow the link to the original NPR story).

As always with the Obama compromise offers, this offer seemed to be both sincere and insincere. Embodying the core contradiction of the Obama presidency, the president seemed both to want to craft a new package and also to defend the strictly Democratic approach. I think he’s a bipartisan man stuck in a partisan town, but maybe he’s an iron partisan fist in a velvet postpartisan glove.

Fourth, you got to see how confident Republicans are. Obama’s compromise offer is one the Republicans can happily refuse. In their eyes, he is saying: If you don’t make some concessions now, I’m going to punch myself in the face. If you don’t embrace parts of my bill, I will waste the next three months trying to push an unpopular measure through an ugly reconciliation process that will probably lead to failure anyway.

Fifth, you got to see at least one area of bipartisan agreement. Neither side was willing to be specific about how to cut costs and raise revenue. The Republicans continued to demagogue efforts to restrain Medicare spending. The Democrats (and the Republicans) conveniently neglected to mention the fact that they had just gutted the long-term revenue source for their entire package, the excise tax on high-cost insurance plans. That tax was diluted and postponed until 2018. There is no way that members of a Congress eight years from now are going to accede to a $1 trillion tax increase to pay for a measure that the 2010 Congress wasn’t brave enough to pay for itself.

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The future of President Obama’s health care overhaul now rests largely with two blocs of swing Democrats in the House of Representatives ”” abortion opponents and fiscal conservatives ”” whose indecision signals the difficulties Speaker Nancy Pelosi faces in securing the votes necessary to pass the bill.

With Republicans unified in their opposition, Democrats are drafting plans to try on their own to pass a bill based on one Mr. Obama unveiled before his bipartisan health forum last week. His measure hews closely to the one passed by the Senate in December, but differs markedly from the one passed by the House.

That leaves Ms. Pelosi in the tough spot of trying to keep wavering members of her caucus on board, while persuading some who voted no to switch their votes to yes ”” all at a time when Democrats are worried about their prospects for re-election.

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