To: longnshort who wrote (12042 ) 12/11/2009 10:28:58 AM From: Peter Dierks Respond to of 42652 The shrew likes the end run against public opinion: Pelosi Indicates Support for Senate's Medicare Deal DECEMBER 11, 2009. WASHINGTON -- House Speaker Nancy Pelosi expressed support Thursday for a Senate Democratic proposal to expand Medicare, raising prospects that the two chambers of Congress can work out differences on health-care legislation. The proposal would open Medicare to some people ages 55 to 64, and is a key feature of a deal among senior Senate Democrats that would abandon efforts to enact a big government-run health-insurance program. The deal would also empower the government's Office of Personnel Management to contract with private insurers to offer new low-cost insurance plans. The deal is a key difference between the Senate bill and the House's measure, which was passed in November and includes a direct government-run insurance plan. Ms. Pelosi (D., Calif.) stopped short of endorsing the full Senate compromise, saying she needed to see "something in writing." But she said "there is certainly a great deal of appeal" in expanding Medicare. Other House Democrats were more cautious. Jim Cooper of Tennessee, a member of the fiscally conservative Blue Dog coalition, said he was "watchful and hopeful" about the idea, but couldn't commit to supporting it. Top Democrats want to wrap up action on the health bill quickly and turn to other priorities, including jobs. Senate Democratic leaders hope to pass a bill as soon as late next week, though they have yet to lock up the 60 votes they need to ensure passage. The House speaker said she would be willing to begin negotiations on a House-Senate compromise bill the weekend of Dec. 19-20 if the Senate is done by then. Senate Republicans attacked the bill Thursday, saying it would impose big costs on taxpayers and business. "Americans want us to stop," said Senate Minority Leader Mitch McConnell (R., Ky.). "They want us to start over and get it right." The Senate plowed through an 11th day of debate on health care Thursday, as Senate Majority Leader Harry Reid (D., Nev.) worked behind the scenes to clear the way for a vote. Senators were waiting for the nonpartisan Congressional Budget Office to analyze the latest compromise. If Mr. Reid has his way, test votes likely will come early next week that will show whether he has 60 senators behind him. It has been an open question whether the Senate, where the majority has much less sway to dictate action than in the House, would ever approve anything. If Mr. Reid is able to hold together his 60-member caucus and win passage of a bill, the Senate measure is likely to form the backbone of any final bill. That is because Mr. Reid will be able to argue that any tinkering with details could cast new questions about support in the Senate. Ms. Pelosi said the House and Senate bills "are probably 75% compatible," and suggested efforts to reconcile differences could go quickly. "We have just a few issues we have to deal with," she said. The House and Senate bills have different approaches to paying for expanding health-insurance coverage. The House bill includes a new surtax on the wealthy, while the Senate would impose a range of health-related taxes including a levy on insurance companies that sell high-value health plans. Another major issue is abortion. The House bill includes strict limits on abortion coverage, while the Senate's bill is less restrictive. Write to Greg Hitt at greg.hitt@wsj.com online.wsj.com