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In what can be described as the least surprising turn of events since another war broke out in the Middle East President Barack Obama’s health care appeal failed to garner and stifle the congressional deadlock on Thursday, which basically is ending all the hopes of the uninsured Americans who were hoping for some kind of support from Washington. Will the Democrats pay a price for causing the last year tumultous health reform bill and debate and then passing nothing?  If Massachusetts is a signal of the mid term elections the answer is surely yes.

The bleak news from Washington is not hampering the conjecture and lies coming from Democratic Congressional leaders who are still insisting health reform will get done which can only lead to one guessing that they are sitting in a garage somewhere with the car running.  Where are the votes?  

“It’s very possible that health care is just a stalemate and you can’t solve it this year,” said Sen. Mark Pryor, D-Ark.

So what does no health bill mean to the economy and our mounting deficits?  Probably the same thing as having health reform, the main difference would have been more people would have had access to medical coverage.

Medicare and Medicaid would still be going bankrupt, health care costs would still be rising, and deficits would keep increasing.

The State of the Union

Obama still pushed lawmakers to advance health reform, but there can be no doubt that it no longer tops his domestic agenda.  More importantly he provided no course of action to lawmakers who have no idea how to pass health reform with no votes and no plan.

Still the Senate Democrats have been huddled all week trying to chart a course and were promising to have some sort of strategy by weeks end. 

Senate Democratic leaders huddled Thursday afternoon to try to determine how to proceed, emerging to report progress, and the White House remained engaged in the negotiations. A Senate aide said lawmakers were hoping to decide on a legislative strategy by the end of next week.

Republican senators said senior White House officials had reached out to several in their ranks, including some conservatives, despite the unanimous GOP opposition to the far-reaching bill.

Sen. Jim DeMint, R-S.C., who last year said stopping Obama on health care could be his Waterloo, said Thursday, “What I was saying was if he continued to push this massive takeover that it could be his Waterloo, and now it very well could be.”

In a sign of how far health care had fallen since Obama campaigned on it, Senate Democrats devoted a weekly policy lunch Thursday to discussing jobs, not health care. In a letter to supporters outlining Democrats’ 2010 agenda, House Majority Leader Steny Hoyer didn’t even mention health care, although a spokeswoman said the e-mail was sent by Hoyer’s campaign team and was not meant to be an exhaustive list of priorities. House and Senate leaders insisted success on health care was still in reach.

“We’re going to move forward on health reform. We’re going to do health care reform this year,” said Senate Majority Leader Harry Reid, D-Nev.

House Speaker Nancy Pelosi acknowledged in her weekly news conference that plenty of work remained if the House was to agree to changes to the Senate bill.

“We will go through the gate. If the gate is closed, we will go over the fence. If the fence is too high, we will pole vault in. If that doesn’t work, we will parachute in,” Pelosi said. “But we are going to get health care reform passed for the American people.”

Just two weeks ago House and Senate leaders were working round the clock at the White House, with Obama personally involved, to merge legislation passed separately by each chamber and finalize a bill for Obama to sign in time for his State of the Union speech. That effort was upended when Republican Scott Brown claimed the Senate seat long held by the late Edward M. Kennedy.

Since then Democrats have struggled to find a way forward. The leading strategy is for the House to pass the Senate bill along with a package of changes approved by both chambers, but that idea is fraught with difficulties both political and substantive. Some Democrats favor retreating from a comprehensive overhaul and taking a less ambitious approach with a series of individual initiatives or a smaller bill.

“Is there a gate someplace to get through and try to save some common areas of health care reform in both the House and the Senate bill? We’ll see,” said Sen. Byron Dorgan, D-N.D.

The powerful seniors’ lobby AARP weighed in Thursday, urging lawmakers in a letter to “continue to work together to enact comprehensive health care reform legislation this year.”

As Democratic leaders sought a way through the health care logjam, they reminded the rank and file that there are no easy solutions, politically or otherwise.

Two unpleasant choices face Democratic lawmakers who voted for the health care changes last year and who now worry about their re-election prospects this fall.

If a bill becomes law, they will have to convince a doubting public of its benefits, and conservatives are bound to keep up the attacks. If no bill passes, it’s possible that public anger over the health care issue will subside a bit. But many Democratic strategists say GOP challengers will constantly remind people of the incumbents’ votes, and Democrats will seek re-election with nothing to show on health care despite controlling the House, Senate and White House — and with hefty majorities.

Compounding the problems was growing distrust between the House and the Senate.

While lawmakers struggle, Wall Street is celebrating the sinking prospects for a sweeping overhaul that would put new taxes and requirements on insurance companies. Insurers have opposed the overhaul even though it aims to insure more than 30 million people over the next decade with a new requirement for nearly everyone to be covered.

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