Sunrise vote nudges health care bill forward

WASHINGTON — Exhausted but happy Democratic leaders began nudging their painstakingly crafted health care compromise a step closer to pre-Christmas passage with three votes that started as the sun rose Tuesday.Only one requires the difficult tally of 60 senators, and the outcome of that vote — to overcome GOP opposition to the sweeping legislation — is preordained. Majority Leader Harry Reid, D-Nev., has herded 58 Democrats and two independents into line through a combination of wheedling, cajoling and dispensing special deals. The strategy has Republicans irate."That's not change you can believe in. That's sleazy," Sen. Lindsey Graham, R-S.C., told NBC's "Today" show Tuesday, just before the voting began.Reid makes no apologies."I don't know if there's a senator that doesn't have something in this bill that was important to them, and if they don't have something in it important to them, then it doesn't speak well of them," Reid said Monday.Graham cited the example of $100 million in the legislation to pay the full cost of a Medicaid expansion in Nebraska — home to Democratic Sen. Ben Nelson, the crucial 60th vote for the bill. Another concession, sought by Sen. Bill Nelson, D-Fla., exempts roughly 800,000 seniors in Florida from potential benefit cuts by private Medicare Advantage plans.The 10-year, nearly $1 trillion plan would extend coverage to some 30 million uninsured Americans, with a new requirement for almost everyone to purchase insurance. Subsidies would be provided to help lower-income people do so, and businesses would be encouraged to cover their employees through a combination of tax breaks and penalties.Unpopular insurance company practices such as denying coverage to people with existing health conditions would be banned. Uninsured or self-employed Americans would have a new way to buy health insurance, via marketplaces called exchanges where private insurers would sell health plans required to meet certain minimum standards.The legislation will make a "tremendous dif

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