Why the Gang of Six is deciding healthcare for 300 million of us

Six senators representing 3 percent of the population are running things because the White House wants it that way


Robert Reich
August 24, 2009 4:23AM (UTC)

On Thursday, the so-called Gang of Six – three Republicans and three Democrats on the Senate Finance Committee – met by conference call and, according to Max Baucus, D-Mont., the committee's chair, reaffirmed their commitment "toward a bipartisan healthcare reform bill" (read: less coverage and no public insurance option). The Washington Post reports that the senators shared tales from their home states, where some have been besieged by protesters angry about a potential government takeover of the nation's healthcare system.

It's come down to these six senators. The House has reported a bill, as has another Senate committee, but all eyes are fixed on Senate Finance – and on these three Dems and three Republicans, in particular. But who, exactly, anointed these six to decide the fate of the nation's healthcare?

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I don't get it. Of the three Republicans in the gang, the senior senator is Charles Grassley, R-Iowa. In recent weeks Grassley has refused to debunk the rumor that the House's healthcare bill will spawn "death panels," empowered to decide whether the sick and old get to live or die. At an Iowa town meeting last Tuesday Grassley called the president and Speaker Nancy Pelosi "intellectually dishonest" for claiming the opposite. On Thursday Grassley told the Washington Post that Congress should scale back its efforts to overhaul healthcare in the wake of intense anger at town hall meetings. But – wait – the anger is largely about distortions such as the "death panels" that Grassley refuses to debunk.

This week on Fox News, Grassley termed the House bill "the Pelosi bill," and called it "a government takeover of healthcare, exploding the deficit because it's not paid for and it's got high taxes in it."

I really don't get it. We have a Democratic president in the White House. Democrats control 60 votes in the Senate, enough to overcome a filibuster. It is possible to pass healthcare legislation through the Senate with 51 votes (that's what George W. Bush did with his tax-cut plan). Democrats control the House. The Speaker of the House, Nancy Pelosi, is a tough lady. She has said there will be no healthcare reform bill without a public option.

So why does the fate of healthcare rest in Grassley's hands?

It's not even as if the gang represents America. The three Dems in the gang are from Montana, New Mexico and North Dakota – states that together account for just over 1 percent of Americans. The three Republicans are from Maine, Wyoming and Iowa, which together account for 1.6 percent of the American population.

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So, I repeat: Why has it come down to these six? Who anointed them? Apparently, the White House. At least that's what I'm repeatedly being told by sources both on the Hill and in the administration. "The Finance Committee is where the action is. They'll tee up the final bill," says someone who should know.


Robert Reich

Robert B. Reich is Chancellor's Professor of Public Policy at the University of California at Berkeley and Senior Fellow at the Blum Center for Developing Economies. He served as Secretary of Labor in the Clinton administration, for which Time Magazine named him one of the ten most effective cabinet secretaries of the twentieth century. He has written 15 books, including the best sellers "Aftershock", "The Work of Nations," and"Beyond Outrage," and, his most recent, "The Common Good." He is also a founding editor of the American Prospect magazine, chairman of Common Cause, a member of the American Academy of Arts and Sciences, and co-creator of the award-winning documentary, "Inequality For All." He's also co-creator of the Netflix original documentary "Saving Capitalism."

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Barack Obama Democratic Party Healthcare Reform Republican Party U.s. Senate

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