Health care reform’s endgame

Now that the House and Senate both have health-care bills to vote on, the final round begins

House Speaker Nancy Pelosi dropped a 1,990-page bill into the health care overhaul mix, where it joins the Senate plan recently outlined by Majority Leader Harry Reid. The House bill includes a public option, expands Medicaid, and covers 96 percent of Americans, at a 10-year net cost of $894 billion—though the Congressional Budget Office says it will reduce the deficit over 20 years. Besides whipping up votes, what’s left to work out?

The final countdown starts: Nancy Pelosi has started the clock on health-care reform, say Patrick O’Connor and Chris Frates in Politico. And while House Democrats are “bullish” about passing the bill by Nov. 11, they have some internal hurdles to clear first—the biggest “involve abortion and immigration.” But trading away her “more liberal vision” for the bill, especially a robust public option, should help ensure House passage and ease differences with the Senate version.

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