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adding historical background to bill, originally authored by myself here: http://creationwiki.org/Patient_Protection_and_Affordable_Care_Act
On February 2, 2011, the [[U.S. Senate]] proceeded with a hearing to discuss the Patient Protection and Affordable Care Act and whether or not the individual mandate requiring Americans to purchase health insurance under penalty of a fine is constitutional.<ref>Amanda Carey. [http://dailycaller.com/2011/02/03/senate-hearing-on-health-care-bills-constitutionality-had-more-show-than-substance/ Senate hearing on health care bill’s constitutionality had more show than substance], ''The Daily Caller'', February 03, 2011.</ref> The amendment to repeal ObamaCare failed in the Senate by a 51-47 vote.<ref>[[Michelle Malkin]]. [http://michellemalkin.com/2011/02/02/undoing-obamacare-senate-repeal-fails-47-51-on-party-line-vote-1099-provision-killed-83-17/ Undoing Obamacare: Senate repeal fails 47-51 on party-line vote; 1099 provision killed 83-17], MichelleMalkin.com, February 2, 2011.</ref>
On February 2, 2011, the [[U.S. Senate]] proceeded with a hearing to discuss the Patient Protection and Affordable Care Act and whether or not the individual mandate requiring Americans to purchase health insurance under penalty of a fine is constitutional.<ref>Amanda Carey. [http://dailycaller.com/2011/02/03/senate-hearing-on-health-care-bills-constitutionality-had-more-show-than-substance/ Senate hearing on health care bill’s constitutionality had more show than substance], ''The Daily Caller'', February 03, 2011.</ref> The amendment to repeal ObamaCare failed in the Senate by a 51-47 vote.<ref>[[Michelle Malkin]]. [http://michellemalkin.com/2011/02/02/undoing-obamacare-senate-repeal-fails-47-51-on-party-line-vote-1099-provision-killed-83-17/ Undoing Obamacare: Senate repeal fails 47-51 on party-line vote; 1099 provision killed 83-17], MichelleMalkin.com, February 2, 2011.</ref>
==2009-2010 Bill History==
==Supermajority==
On April 28, 2009, the 2008 Wall Street Journal's prediction of a 'Liberal Supermajority'<ref>(2008, October 17). "[http://online.wsj.com/article/SB122420205889842989.html A Liberal Supermajority]." ''Wall Street Journal''.</ref> proved correct; as the defection of Senator Arlen Specter from the Republican Party to the Democratic Party put the Democrats on the verge of one of the rarest blessings in politics, a Supermajority - complete control of the House, Senate, and Presidency so that they wouldn't need a single Republican vote to pass bills.<ref>Davis, S. (2009, April 28). "[http://blogs.wsj.com/washwire/2009/04/28/sen-specter-to-switch-parties-democrats-near-60-vote-majority/ Sen. Specter To Switch Parties, Democrats Near 60 Vote Majority]." Washington Wire. ''Wall Street Journal''.</ref> Senator Bernie Sanders then urged the Democrat party to pursue single-payer healthcare reform.<ref>keithmsnbcer (2009, April 29). "[http://www.youtube.com/watch?v=iGYBbFMeFNc Bernie Sanders on Ed Show]." ''MSNBC''. YouTube.</ref> On May 16, 2009, Barack Obama urged Congress to pass health care reform within the year, stating, "Our businesses will not be able to compete; our families will not be able to save or spend; our budgets will remain unsustainable unless we get health care costs under control".<ref>(2009, May 16). "[http://www.google.com/hostednews/afp/article/ALeqM5js3WXGJZSiC4UpHS8rzfumBXGd-w Obama Urges Health Care Reform by Year's End]." ''AFP''.</ref> On July 1, 2009, Al Franken was finally declared the winner of his election (narrowly winning by 312 votes<ref>Gilbert, K. (2009, July 1). "[http://www.lifesitenews.com/news/al-franken-win-hands-supermajority-to-senate-democrats Al Franken Win Hands Supermajority to Senate Democrats]." ''LifeSiteNews''.</ref>), giving the Democrats their desired Supermajority, and a clear path towards healthcare reform which Republicans would be powerless to stop.<ref>Hulse, C. (2009, July 1). "[http://www.nytimes.com/2009/07/02/us/politics/02cong.html Congressional Memo - What's So Super About a Supermajority?]" ''New York Times''.</ref> Nevertheless, sickness of Ted Kennedy and Robert Byrd along with several other facts led to question marks about the supermajority's strength.<ref>Pergram, C. (2009, July 1). "[http://www.foxnews.com/politics/2009/07/01/democrats-senate-supermajority-strong-advertised/ Democrats' Senate Supermajority Not As Strong As Advertised]." ''FOX News''.<br>Stewart, J. (2009, July 1). "[http://www.thedailyshow.com/watch/wed-july-1-2009/indecision-2008---franken-s-time Indecision 2008 - Franken's Time]." The Daily Show With Jon Stewart. ''Comedy Central''.</ref> Democrats maintained this Supermajority until February 5, 2010, when Republican Scott Brown was sworn in to replace deceased Senator Edward Kennedy.<ref>(2010, February 5). "[http://www.washingtontimes.com/news/2010/feb/05/democrats-lose-supermajority-brown-sworn/ Democrats Lose Supermajority as Brown Sworn In]." ''Associated Press''.</ref>
===Locking Out Republicans, Literally===
Democrats were so confident that the 2008 elections displayed American backing for the Democratic Party that in October 2009 they even changed the door locks for the House Oversight and Government Reform Committee to keep Republicans from meeting when Democrats weren't present.<ref>Crabtree, S. (2009, October 20). "[http://thehill.com/homenews/house/63941-democrats-lock-republicans-out-of-committee-room Democrats Lock Republicans Out of Committee Room]." ''The Hill''.<br>Pershing, B. (2009, October 23). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/10/22/AR2009102204442.html Democrats on House Committee Lock Out Republicans]." ''Washington Post''.</ref> The debacle occurred because Republicans were trying to launch an investigation into corruption by Democrat Senators Kent Conrad and Chris Dodd for receiving special VIP loans from Countrywide Financial.<ref>Sherman, J. (2009, October 20). "[http://www.politico.com/news/stories/1009/28531.html Towns Locks Republicans Out, Literally]." ''Politico''.<br>Klein, R. & Jaffe, M. (2009, October 21). "[http://abcnews.go.com/blogs/politics/2009/10/dems-lock-out-republicans-literally/ Dems Lock Out Republicans - Literally]." ''ABC News''.</ref> Democrats canceled the meeting by secretly leaving before the meeting was to begin, and a GOP staffer caught this on videotape, set it to the tune of "Hit the Road, Jack", and posted it on the Oversight and Government Reform Committee’s minority webpage for the press. Committee Chairman Sen. Edolphus Towns and the Democrats then had the locks changed in retaliation.<ref>Freeman, J. (2009, October 20). "House Democrats Lock GOP Out of Committee Room]." ''Wall Street Journal''.<br>(2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/oversight-panels-democrats-lock-republicans-dispute/ Oversight Panel's Democrats Lock Out Republicans After Dispute]." ''FOX News''.</ref>
===Public Option Removed===
On July 8, 2009, Barack Obama met with hospital lobbyists and struck a deal with the hospital industry to remove the public option in exchange for the industry's support of the bill, while also reducing costs for hospitals under the plan.<ref>Mogulesku, M. (2010, March 16). "[http://www.huffingtonpost.com/miles-mogulescu/ny-times-reporter-confirm_b_500999.html NY Times Reporter Confirms Obama Made Deal to Kill Public Option]." ''Huffington Post''.<br>Manjunath, Y. (2010, October 6). "[http://www.alan.com/2010/10/06/obamas-not-so-secret-deal-with-the-hospital-industry-to-kill-the-public-option/ Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''AlanColmes.com''.<br>Manjunath, Y. (2010, October 7). "[http://www.dailykos.com/story/2010/10/07/908619/-Obama-rsquo-s-Not-So-Secret-Deal-With-The-Hospital-Industry-To-Kill-The-Public-Option Obama's Not-So-Secret Deal With the Hospital Industry to Kill the Public Option]." ''Daily Kos''.</ref>
{{cquote|"Not to worry, Jim Messina, the deputy White House chief of staff, told the hospital lobbyists, according to White House officials and lobbyists briefed on the call. The White House was standing behind the deal, Mr. Messina told them, capping the industry’s costs at a maximum of $155 billion over 10 years in exchange for its political support... Several hospital lobbyists involved in the White House deals said it was understood as a condition of their support that the final legislation would not include a government-run health plan paying Medicare rates — generally 80 percent of private sector rates — or controlled by the secretary of health and human services. 'We have an agreement with the White House that I’m very confident will be seen all the way through conference,' one of the industry lobbyists, Chip Kahn, director of the Federation of American Hospitals, told a Capitol Hill newsletter."
-David Kirkpatrick, ''New York Times'', [http://www.nytimes.com/2009/08/13/health/policy/13health.html Obama is Taking an Active Role in Talks on Health Care Plan]<ref>Kirkpatrick, D. (2009, August 13). "[http://www.nytimes.com/2009/08/13/health/policy/13health.html?pagewanted=all Obama is Taking an Active Role in Talks on Health Care Plan]." ''New York Times''.</ref>}}
In November 2009, an amendment proposed by Dennis Kucinich to let states have single-payer healthcare systems without insurance industry lawsuits was stripped from the healthcare bill because Nancy Pelosi said it would break Obama's promise to let people keep their current insurance plans if they liked them.<ref>Grim, R. (2010, March 18). "[http://www.huffingtonpost.com/2009/11/05/pelosi-single-payer-amend_n_347017.html Pelosi-Single Payer Amendment Breaks Obama's Health Care Promise]." ''Huffington Post''.</ref> Kucinich expressed frustration with the move, stating, "They took single-payer off the table right at the beginning, because the table was set by insurance companies."<ref>Grim, R. (2010, March 18). "[http://www.huffingtonpost.com/2009/10/29/pelosi-not-planning-to-al_n_339188.html Pelosi Not Planning to Allow Amendments to Health Care Bill]." ''Huffington Post''.</ref> On March 25, 2010, Obama claimed the public option wasn't included "Because we couldn"t get it through Congress, that's why." He also on December 22, 2009 erroneously<ref>(2011, July 27). "[http://www.politifact.com/truth-o-meter/statements/2009/dec/23/barack-obama/public-option-obama-platform/ Public Option Was in Obama's Platform]." Truth-O-Meter. ''Politifact''.<br>Jilani, Z. (2009, December 22). "[http://thinkprogress.org/politics/2009/12/22/74682/obama-repeatedly-touted-public/?mobile=nc FLASHBACK: Obama Repeatedly Touted Public Option Before Refusing To Push For It In The Final Hours]." ''ThinkProgress.org''.<br>Hamsher, J. (2009, September 10). "[http://fdlaction.firedoglake.com/2009/09/10/yes-obama-campaigned-on-a-public-option/ Yes, Obama Campaigned on a Public Option]." ''FireDogLake''.</ref> claimed that he hadn't campaigned on a public option.<ref>Jacobson, L. & Drobnic Holan, A. (2010, March 26). "[http://www.politifact.com/truth-o-meter/promises/obameter/promise/518/create-public-option-health-plan-new-national-heal/ Create a Public Option Health Plan for a New National Health Insurance Exchange]." The Obameter. ''PolitiFact''.<br>Murray, M. & Montanaro, D. (2009, December 23). "[http://firstread.msnbc.msn.com/_news/2009/12/23/4424556-did-obama-campaign-on-public-option?lite Did Obama Campaign on Public Option?]" First Read. ''MSNBC''.</ref> Following Obama's claim, a liberal group, The Progressive Change Campaign Committee, began airing television ads accusing Obama of breaking his promise of a single-payer healthcare plan.<ref>Seelye, K. (2009, December 23). "[http://prescriptions.blogs.nytimes.com/2009/12/23/liberal-group-accuses-obama-of-reneging-on-promises/ Liberal Group Accuses Obama of Reneging on Promises]." ''New York Times''.</ref>
===Tax on Medical Device Makers===
The only healthcare industry to not readily acquiesce to the administration's demands for cooperation, medical device manufacturers, were hit with a 2.3% excise tax.<ref>LeBlanc, S. (2010, June 7). "[http://www.boston.com/business/taxes/articles/2010/06/07/medical_device_makers_new_tax_will_cost_jobs/ Medical Device Makers: New Tax Will Cost Jobs]." ''Associated Press''.<br>Morris, D. & McGann, E. (2009, October 23). "[http://thehill.com/blogs/pundits-blog/healthcare/64493-obama-taxes-pacemakers-heart-valves Obama Taxes Pacemakers, Heart Valves]." Pundits. ''The Hill''.<br>Musgrove, M. (2009, October 14). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/10/13/AR2009101303015.html Planned Tax on Medical-Device Makers Too High, Firms Say]." ''Washington Post''.</ref> The Wall Street Journal suggested this was due to retaliation since the tax would add just $40 billion in funds for a bill costing $900 billion.<ref>(2009, September 18). "[http://online.wsj.com/article/SB10001424052970204518504574418941379207328.html The Innovation Tax]." ''Wall Street Journal''.</ref> Medical device makers continue to accuse the tax of costing jobs in 2012.<ref>Kelly, S. (2012, April 18). "[http://www.reuters.com/article/2012/04/18/medicaldevices-tax-idUSL2E8FI25620120418 Medical Device Tax May Spur Price Hike, Cost Cuts]." ''Reuters''.<br>Pecquet, J. (2012, March 26). "[http://thehill.com/blogs/healthwatch/medical-devices-and-prescription-drug-policy-/218151-medical-device-makers-decry-cost-of-new-tax- Medical Device Makers Decry Cost of New Tax]." HealthWatch. ''The Hill''.<br>Flavelle, C. (2012, March 22). "[http://www.businessweek.com/articles/2012-03-22/how-much-will-the-medical-device-tax-hurt How Much Will the Medical Device Tax Hurt?]" ''Bloomberg Businessweek''.</ref>
==Role of Pro-Life Democrats==
===House Bill: H.R. 3962===
====Stupak's Resistance====
In June and July 2009 some 200 Planned Parenthood activists arrived in Washington<ref>Connolly, C. (2009, July 13). "[http://voices.washingtonpost.com/health-care-reform/2009/07/state_of_play_democrats_dig_in.html State of Play: Democrats Dig In Despite Senate Focus on Hearings]." Daily Dose. ''Washington Post''.</ref> and a number of Pro-Choice bills began receiving support, as the Pro-Choice movement sought to ensure [[abortion]] would be mandated in health care reform.<ref>Novak, V. (2009, July 31). "[http://www.factcheck.org/2009/07/surgery-for-seniors-vs-abortions/ Surgery for Seniors vs. Abortions?]" ''FactCheck.org''.</ref> The Republicans would find an unlikely ally in the Pro-Life Democrats (Democrats for Life of America). On June 25, 2009, 19 of them sent a letter to House leader Nancy Pelosi expressing refusal to support any healthcare bill with an abortion agenda<ref>Kenworthy, Z. (2009, June 30). "[http://www.foxnews.com/story/0,2933,529632,00.html President Obama's Approval Index Rating Takes a Dive]." ''FOX News''.<br>Russert, L. (2009, July 16). "[http://firstread.msnbc.msn.com/_news/2009/07/16/4429288-health-bill-to-floor-in-two-weeks Health Bill to Floor in Two Weeks]." First Read. ''MSNBC''.</ref>, which firmly stated, "''Therefore, we cannot support any health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan... By ensuring that abortions are not funded through any health care reform package, we will take this controversial issue off the table so that Congress can focus on crafting a broadly-supported health care reform bill.''"<ref>Gilbert, Kathleen (2009, June 26). "[http://www.lifesitenews.com/news/archive/ldn/2009/jun/09062608 Pro-Life Democrats Unite to Protect Unborn Children in Healthcare Restructuring]." ''LifeSiteNews''.</ref>
In July, Stupak introduced the Stupak-Pitts amendment to ensure [[abortions]] would not be subsidized in the healthcare bill<ref>(2009, July 22). "[http://www.cbsnews.com/8301-503544_162-5180854-503544.html Dem Says Abortion Language a Must in Healthcare Bill]. ''CBS News''.</ref>, but it was defeated 30-29 in the Energy and House Committee, the committee responsible for drafting it for proposal to the entire House of Representatives, when Bart Gordon sneakily switched his vote from Yes to No last minute.<ref>McCormack, J. (2009, July 31). "[http://www.weeklystandard.com/weblogs/TWSFP/2009/07/house_democrat_introduces_comp.asp Waxman Strong-Arms Vote to Allow Abortion Coverage in Public Plan]." ''The Weekly Standard''.</ref> Chairman Henry Waxman replaced it with the Capps amendment, which mandated one healthcare plan in each state must cover abortions.<ref name=menges>Menges, D. (2009, October 30). "[http://www.washingtontimes.com/news/2009/oct/31/stupak-on-the-attack/ Stupak On the Attack]." ''The Washington Times''.</ref> On July 17, 2009, Obama once more urged rapid passage of the healthcare bill.<ref>(2009, July 17). "[http://www.google.com/hostednews/afp/article/ALeqM5hXW-UnAKQIiTxd2SoCN6TDQ0Fm3Q Obama Urges Congress to Pass Health Care Reform]." ''AFP''.<br>Ferraro, T. & Smith, D. (2009, September 10). "[http://www.reuters.com/article/2009/09/10/us-usa-healthcare-obama-idUSTRE5881V520090910 Democrats Seek to Build Momentum On Healthcare]." ''Reuters''.</ref> Pro-Life Democrats then, in mid-July, nearly stopped the healthcare process in its tracks by initially defeating a rule required to start healthcare reform legislation, 215-214, but Democrats managed to persuade a few members to change their votes, barely passing it.<ref>Pergram, C. (2009, July 17). "[http://www.foxnews.com/politics/2009/07/17/abortion-debate-complicate-efforts-overhaul-health-care Abortion Debate May Complicate Efforts to Overhaul Health Care]." ''FOX News''.</ref>
Obama on July 16 pressured Republicans to support the healthcare bill, even as the Congressional Budget Office criticized the proposed healthcare reform for not paying for itself.<ref>Dixon, K. (2009, July 16). "[http://www.reuters.com/article/2009/07/16/usa-healthcare-idUSN1641208920090716?pageNumber=2 WRAPUP 2-Obama Looks for Republican Healthcare Backing]." ''The New York Times''.</ref> Republicans criticized the lack of tort reform and insistence on covering 5.6 million illegal immigrants.<ref>(2009, July 22). "[http://www.foxnews.com/politics/2009/07/22/president-obama-uses-magnetism-political-capital-push-health-care/ President Obama Uses Magnetism, Political Capital to Push Health Care Bill]." ''FOX News''.</ref> Obama predicted he would be held responsible if the bill failed, stating:
{{cquote|"You know, I intend to be president for a while and once the bill passes, I own it. And if people look and say, 'You know what? This hasn't reduced my costs. My premiums are still going up 25 percent, insurance companies are still jerking me around,' I'm the one who's going to be held responsible."<ref>Kroft, S. (2009, September 13). "[http://www.cbsnews.com/2100-18560_162-5301098.html?pageNum=2&tag=contentMain;contentBody Obama on Health Care: 'I Own It']." 60 Minutes. ''CBS News''.</ref>}}
Obama initially claimed that allegations of abortion in the healthcare bill were "fabrications" by "people who are bearing false witness."<ref>Bordlee, D. (2009, September 30). "[http://www.npr.org/templates/story/story.php?storyId=113335539 Pelosi & Co. Talk Abortion]." ''The National Review''.<br>Winfield, P. (2009, October 23). "[http://www.christianitytoday.com/ct/2009/octoberweb-only/142-52.0.html Health Care Reform Splits Democrats on Abortion]." ''Christianity Today''.</ref> On August 21, he said, in a radio talk show, that claims of abortion in the bill were "not true".<ref name=menges /> However, a detailed FactCheck.org analysis concluded Obama went too far in decrying claims of abortion in healthcare as fabrications, since his own previous promise of "reproductive services" in the bill coupled with the bill's wording showed that abortion likely would be subsidized by government under the bill.<ref>Jackson, B. (2009, August 21). "[http://www.factcheck.org/2009/08/abortion-which-side-is-fabricating/ Abortion: Which Side Is Fabricating?]" ''FactCheck.org''.</ref> On September 9, Obama continued to assert the bill would not fund abortions, promising immediately after Joe Wilson famously stood up and yelled "You lie!", that "Under our plan, no federal dollars will be used to fund abortions."<ref name=menges />
In late September after 31 different Pro-Life Democrats had signed various letters opposing abortion in the healthcare bill, Nancy Pelosi and Obama began meeting with their leader, Bart Stupak, for the first time.<ref>Kirkpatrick, D. (2009, September 28). "[http://www.nytimes.com/2009/09/29/health/policy/29abortion.html Abortion Fight Complicates Healthcare Debate]." ''New York Times''.<br>Gilgoff, D. (2009, November 9). "[http://www.usnews.com/news/religion/articles/2009/10/09/the-countrys-emerging-shift-on-abortion?page=2 The Country's Emerging Shift on Abortion]." ''U.S. News & World Report''.</ref> Stupak denied claims that he was trying to "kill" healthcare reform, stating publicly at the time, "I believe we need comprehensive healthcare reform and I am excited that we are closer than we have ever been to passing a healthcare reform bill in Congress. But any reform must address legitimate concerns, including using public funding for abortions, even if party leaders disagree."<ref>Stupak, B. (2009, October 29). "[http://thehill.com/opinion/op-ed/65297-i-am-not-trying-to-kill-health-reform-abortion-issue-is-key Stupak: I am Not Trying to Kill Health Care Reform; Abortion Still a Concern]." ''The Hill''.</ref> On October 21, a coalition of Pro-Life groups led by key Republicans, including Mike Pence, delivered a petition signed by 137,000 Americans to Congress expressing disapproval with the healthcare reform legislation.<ref>Brandt, J. (2009, October 21). "[http://www.foxnews.com/politics/2009/10/21/house-members-raise-concerns-abortion-funding-health-reform/ House Members Raise Concerns Over Abortion Funding in Health Reform Bill]." ''FOX News''.</ref>
====Bill Introduced====
On October 26, the House healthcare bill was unveiled, a 1,930 page piece of legislation, the Affordable Healthcare for America Act (H.R. 3962).<ref>Allen, J. & Soaghan, M. (2009, November 29). "[http://thehill.com/homenews/house/65409-pelosi-unveils-healthcare-bill-house-moves-toward-floor-vote Pelosi Unveils Healthcare Bill; House Moves Toward Floor Vote]." ''The Hill''.<br>Jackson, J. (2009, November 7). "[http://www.cbsnews.com/8301-503544_162-5570605-503544.html Key Provisions of the House Healthcare Bill]." ''CBS News''.</ref> Representative Mike Pence (R-IN) accused the bill of being a "government takeover of health care in America".<ref>Barrett, T., Bash, D., et. al. (2009, October 29). "[http://edition.cnn.com/2009/POLITICS/10/29/health.care/ House Democrats Unveil $894 Billion Health Care Bill]." ''CNN''.</ref> By early November, the House was trying to pass the healthcare bill<ref>(2009, November 4). "[http://www.foxnews.com/politics/2009/11/04/democrats-running-time-address-abortion-dispute-health-care-reform/ Democrats Running Out of Time to Address Abortion Dispute]." ''FOX News''.<br>Oliphant, J. (2009, November 4). "[http://articles.chicagotribune.com/2009-11-04/news/0911030597_1_abortion-rights-activists-supporters-of-abortion-rights-hyde-amendment Delay on Health Care Bills Loom in Congress]." ''The Chicago Tribune''.<br>(2009, November 2). "[http://www.foxnews.com/politics/2009/11/02/abortion-health-care-reform-question/ Abortion Part of Health Care Reform Still in Question]." ''FOX News''.<br>(2009, November 2). "[http://www.usatoday.com/printedition/news/20091102/editorial02_st.art.htm Abortion Foes Seek to Use Health Plan to Curb Access]." ''USA Today''.</ref> but Bart Stupak claimed 40 Pro-Life Democrats could vote with him if his Stupak-Pitts Amendment was not voted on to prevent abortion funding in the bill.<ref>Bacon Jr., P. (2009, November 3). "[http://www.washingtonpost.com/wp-dyn/content/article/2009/11/02/AR2009110203232.html Some Democrats Concerned Over Abortion Provisions in Health Bill]." ''The Washington Post''.<br>McCormack, J. (2009, September 21). "[http://www.weeklystandard.com/Content/Public/Articles/000/000/016/941kghiv.asp Democratic Dissenters]." ''The Weekly Standard''.</ref> With 218 votes required for passage, this would derail the historic vote set to occur on November 7.<ref>Whitesides, J. (2009, November 4). "[http://www.reuters.com/article/2009/11/05/us-usa-healthcare-congress-idUSTRE5A233B20091105 Democrats Wrestle With Abortion on Health Bill]." ''Reuters''.<br>Soraghan, M. (2009, October 22). "[http://thehill.com/homenews/house/64439-whip-count-shows-dems-lack-votes-on-public-plan Whip Count Shows Democrats Lack Votes on 'Robust' Public Option for Healthcare]." ''The Hill''.</ref> While Senate Leader Harry Reid (D-UT) sought to create a separate bill in the Senate, he continued to lack the 60 votes needed for a public option, i.e. a government insurance program.<ref>Jen.sen, K. & Litvan, L. (2009, November 2). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aTYrPXF97cFw Senate, House Move Closer on Health Bills as Battle Goes Public]." ''Bloomberg''.</ref>
====Passage====
Bart Stupak and his 40 Pro-Life Democrats refused to budge,<ref>(2009, November 6). "[http://www.npr.org/templates/story/story.php?storyId=120161271 No Public Money for Abortion]." ''The National Review''.</ref> and Pelosi until the last day tried to play 'chicken', denying the Stupak Amendment its vote.<ref>McCormack, J. (2009, November 5). "[http://www.weeklystandard.com/weblogs/TWSFP/2009/11/post_149.asp Pelosi Likely to Allow Vote on Phony Abortion Compromise Ellsworth Amendment (Update)]." ''The Weekly Standard''.</ref> On November 7 Obama made personal last-minute contact with moderate Democrats in an attempt to persuade them to vote for the healthcare bill without Stupak's amendment.<ref>Haberkorn, J. (2009, November 7). "[http://www.washingtontimes.com/news/2009/nov/07/furious-scramble-for-health-reform-support/ Furious Scramble for Health Reform Support]." ''The Washington Times''.<br>Allen, J. & Hooper, M. (2009, November 7). "[http://thehill.com/homenews/house/66787-health-bill-reaches-moment-of-truth Health Bill Reaches Moment of Truth]." ''The Hill''.</ref> A desperate Nancy Pelosi met with Bart Stupak last-minute and at his request, the Conference of Catholic Bishops<ref>''Associated Press'' (2009, November 11). "[http://www.foxnews.com/politics/2009/11/11/catholic-bishops-inserting-influence-health-care-fight/ Catholic Bishops Sway Health Care Fight]." Retrieved from ''FOX News''.</ref>, ultimately allowing the Stupak-Pitts amendment its vote, which passed by a vote of 240-194.<ref>Silva, C. (2009, November 23). "[http://www.ama-assn.org/amednews/2009/11/23/gvsa1123.htm Abortion Amendment Threatens to Derail Health Reform]." ''The American Medical Association''.<br>Duin, J. (2009, November 19). "[http://www.washingtontimes.com/news/2009/nov/19/duin-catholics-celebrate-their-stand-on-health-bil/ Catholics Celebrate Their Stand on Health Bill]." ''The Washington Times''.</ref> While some Republicans had considered voting 'Present' on the Stupak amendment to defeat it and thus perhaps healthcare reform, Pro-Life groups opposed the strategy and were scoring the vote so less than a 'Yes' would change a member's perfect Pro-Life rating.<ref>Hooper, M. (2009, November 9). "[http://thehill.com/homenews/house/67091-house-gop-mulled-present-strategy-on-abortion-amendment House GOP Mulled 'Present' Strategy on Abortion Amendment]." ''The Hill''.</ref> Republican House leader John Boehner confronted Democrat Charles Rangel on the House floor, asking whether the Stupak language would be preserved in the final bill or removed in the end, stating, "I have my doubts this language if it passes has any chance of being in the final version of this bill".<ref>(2009, November 9). "[http://www.foxnews.com/politics/2009/11/07/republicans-question-abortion-agreement-effort-stop-health-care-momentum/ Republicans Question Abortion Agreement in Effort to Stop Health Care Momentum]." ''FOX News''.</ref> Boehner refused to vote for the bill without a guarantee the language would be kept.<ref>Phillips, K. (2009, November 7). "[http://prescriptions.blogs.nytimes.com/2009/11/07/rangel-boehner-tangle-over-ethics-abortion/ Rangel and Boehner Tangle Over Ethics and Abortion]." ''The New York Times''.</ref> {{cquote|"Republican congressional leaders have to be chuckling right now. In the end, all the tea-party town halls, Glenn Beck rallies and 'death panel' rumors may have less of a hand in bringing down health care reform than an intraparty Democratic culture war. Congressman Bart Stupak of Michigan, whose amendment restricting abortion coverage on all policies sold through the new insurance exchange paved the way for passage of health reform in the House of Representatives, vows that 'there will be hell to pay' if his language gets stripped out of, or weakened in, the final legislation."
-Amy Sullivan, ''Time Magazine'', [http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]<ref>Sullivan, Amy (2009, November 16). "[http://www.time.com/time/politics/article/0,8599,1939600,00.html#ixzz1vJ6ILjRr Can Dems Resolve Their Abortion Split?]" ''Time Magazine''.</ref>}}
On November 8, 2009, the House healthcare bill, newly amended with the Pro-Life Stupak-Pitts amendment, narrowly passed the House by a vote of 220-215.<ref>''Associated Press'' (2009, November 9). "[http://www.cbsnews.com/stories/2009/11/07/politics/main5570400.shtml House Passes Landmark Healthcare Bill]." ''CBS News''.<br>Condon, S. (2009, November 16). "[http://www.cbsnews.com/stories/2009/11/09/politics/main5588038.shtml Health Care Progress Report: November 9]." ''CBS News''.</ref> Joseph Cao was the only Republican to vote in favor of the bill.<ref>Haberkorn, J. (2009, November 12). "[http://www.washingtontimes.com/news/2009/nov/12/cao-explains-his-breaking-rank-in-health-care-vote/ Lone GOPer: Health Vote Could End Career]." ''The Washington Times''.</ref> 39 Democrats still voted against the bill, including many fiscally conservative Blue Dog Democrats and socially conservative Pro-Life Democrats affiliated with DFLA.<ref>Blake, A. (2009, November 10). "[http://thehill.com/homenews/campaign/67097-at-risk-dems-defend-their-tough-votes At-Risk Democrats Defend Their Tough Votes on Healthcare Reform Bill]." ''The Hill''.</ref>
====Reaction====
Afterwards, Obama stressed that it was time for the Senate to "take the baton."<ref>(2009, November 8). "[http://articles.cnn.com/2009-11-08/politics/health.care_1_public-option-republican-filibuster-health-insurance?_s=PM:POLITICS Obama: Time For Senate to 'Take the Baton' on Health Care Reform]." Healthcare Insurance. ''CNN''.</ref> Several Democrats including Debbie Wasserman Schultz (D-FL) revealed they voted for the bill only with the understanding that it would be removed from the final bill version.<ref>O'Brien, M. (2009, November 9). "[http://thehill.com/index2.php?option=com_content&task=view&id=66969&pop=1&page=8&Itemid=70 Senior Democrat is 'Confident' that Stupak Amendment Will be Stripped]." ''The Hill''.</ref> The passage of Stupak's Pro-Life amendment in the House healthcare bill led to a letter signed by 40 Pro-Choice Senate Democrats, led by Dianna DeGette<ref name=thrush>Thrush, G. (2009, November 17). "[http://www.politico.com/news/stories/1109/29651.html Abortion Causes Family Feud for Democrats]." ''Politico''.<br>Halloran, L. (2009, November 10). "[http://www.npr.org/templates/story/story.php?storyId=120254656 Democrats Face Backlash Over House Abortion Limits]." ''NPR''.<br>Cooper, C. (2009, November 10). "[http://www.cbsnews.com/8301-504365_162-5605926-504365.html?tag=contentMain;contentBody The Left's Stupak Stupification]." Coop's Corner. ''CBS News''.</ref>, saying that they would not pass healthcare reform unless Stupak's amendment was removed,<ref>Litvan, L & Rowley, Rowley, J. (2009, November 9). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aaqkPE6p_8ig Abortion Curbs Draw 40 Democrats' Threat of 'No' Vote (Update 1)]." ''Bloomberg''.<br>Young, J. (2009, November 9). "[http://thehill.com/homenews/house/67099-liberals-threaten-to-sink-health-bill-over-abortion Liberals Threaten to Oppose Healthcare Bill Over Stupak Abortion Amendment]." ''The Hill''.<br>(2009, November 27). "[http://www.thedailybeast.com/newsweek/2009/11/27/abortion-s-new-battleground.html Abortion's New Battleground]." ''Newsweek Magazine''.</ref> even as Senate Pro-Life Democrats vowed to reject any bills with abortion agendas. Senator Ben Nelson (D-NE) promised, "If it isn’t clear that government money is not to be used to fund abortions, I won’t vote for it," and Obama assured that "This is a health-care bill, not an abortion bill."<ref>Jen.sen, K. & Litvan, L. (2009, November 10). "[http://www.bloomberg.com/apps/news?pid=newsarchive&sid=aI.clKoFb__M Abortion Issue Threatens Healthcare Overhaul Plan (Update 1)]." ''Bloomberg''.<br>(2009, November 10). "[http://www.foxnews.com/politics/2009/11/10/abortion-haggling-looms-health-care-debate-senate/ Abortion Haggling Looms Over Health Care Debate in Senate]." ''FOX News''.<br>Franke-Ruta, G. (2009, November 13). "[http://voices.washingtonpost.com/44/2009/11/a-new-frontier-opens-up-in-the.html A New Frontier in the Abortion Wars: Health Insurance]." 44 - Politics and Policy. ''The Washington Post''.</ref>
On the Pro-Life side, a website, StopTheAbortionMandate.com, was created, and Susan's B. Anthony's List, an [[Abortion#Activist|anti-abortion group]], fund-raised in attacks on the bill, receiving contributions over 50% above the previous year's levels, which it used in advertising attacks on Sen. Harry Reid. On the Pro-Choice side, Stupak's stand drew the anger of liberal groups.<ref>Kirkpatrick, D. (2009, November 23). "[http://www.nytimes.com/2009/11/24/health/policy/24abortion.html?_r=1 Health Bill Revives Abortion Groups]." ''The New York Times''.<br>(2009, November 27). "[http://www.thedailybeast.com/newsweek/2009/11/27/abortion-s-new-battleground.html Abortion's New Battleground]." ''Newsweek Magazine''.</ref> The Progressive Change Campaign Committee performed three "Stop Stupak" fundraisers and began issuing attack ads against him in his home state of Michigan.<ref>Price, D. (2009, November 12). "[http://nl.newsbank.com/nl-search/we/Archives?p_product=DTNB&s_site=detnews&f_site=detnews&f_sitename=Detroit+News%2C+The+%28MI%29&p_multi=DTNB&p_theme=gannett&p_action=search&p_maxdocs=200&p_topdoc=1&p_text_direct-0=12BEFFE1532DF538&p_field_direct-0=document_id&p_perpage=10&p_sort=YMD_date:D&s_trackval=GooglePM Group Raises Cash, Will Take Stupak to Task]." ''The Detroit News''.<br>Clift, E. (2009, November 12). "[http://www.thedailybeast.com/newsweek/2009/11/12/both-parties-abandon-women-s-rights.html Both Parties Abandon Women's Rights]." ''Newsweek''.</ref> CNN's Rachel Maddow predicted a revolt among women.<ref>Depke, D. (2009, November 13). "[http://www.thedailybeast.com/newsweek/2009/11/13/stupak-is-as-stupak-does.html Stupak Is as Stupak Does]." ''Newsweek Magazine''.</ref>
Democratic Senator Barbara Boxer vowed to keep the Stupak-Pitts amendment from passing in the Senate.<ref name=thrush /> White House Senior Advisor David Axelrod claimed Obama would intervene to change the Stupak language, and Stupak responded with "They're not going to take it out. If they do, health care will not move forward,. We won fair and square. ... That's why Mr. Axelrod's not a legislator. He doesn't really know what he's talking about."<ref>(November 17, 2009). "[http://www.foxnews.com/politics/2009/11/17/stupak-health-care-stall-white-house-strips-abortion-restrictions/ Stupak: Health Care Bill Will Stall if White House Strips Abortion Restrictions]." ''FOX News''.</ref> Polls taken in mid-November showed public support for the Pro-Life Democrat position. 61% of Americans, according to a CNN/Opinion Research Corp. survey, oppose using federal money for abortions, while a CBS News poll found 56% oppose federal subsidies for abortions.<ref>Black, N. (2009, November 18). "[http://www.christianpost.com/news/most-americans-against-abortion-coverage-in-health-care-bill-41906/ Most Americans Against Abortion Coverage in Health Care Bill]." ''The Christian Post''.</ref>
===Senate Bill: H.R. 3963===
On November 18 the U.S. Senate under Senate Leader Harry Reid introduced its own health care bill (H.R. 3963 The Affordable Health Care for America Act), separate from the House bill. Obama called this bill a 'milestone' and urged Congress to pass it quickly.<ref>Bazinett, K. & McAuliff, M. (2009, November 19). "[http://articles.nydailynews.com/2009-11-19/news/17939142_1_reform-bill-illegal-immigrants-public-health-insurance-plan Senate Rolls Out $849 Billion Health Care Reform Bill; President Obama Urges Congress To Act Quickly]. ''New York Daily News''.</ref>
Senator Ben Nelson of Nebraska attempted to introduce the Nelson Amendment, a Pro-Life amendment identical to the Stupak-Pitts amendment, but it was defeated 54-45.<ref>Feldmann, L. (2009, December 9). "[http://www.minnpost.com/christian-science-monitor/2009/12/nelson-amendment-fails-health-care-abortion-battle-isn’t-over Nelson Amendment Fails, But Healthcare Abortion Battle Isn't Over]." ''The Christian Post''.</ref>
== Basic Requirements ==
== Basic Requirements ==