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North Carolina's Blue Dogs and health bill: It's complicated

Barbara Barrett | McClatchy Newspapers • Published November 06, 2009

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WASHINGTON — Surely, the chants this week of "Kill! The! Bill!" from thousands of conservative protesters outside Congress floated up to the ears of North Carolina House members who were inside considering their views on health care.

If not, then the piles of letters or the constituents jammed inside their front offices might have offered clues about the political difficulty of today's anticipated vote — especially for conservative-to-moderate Democrats.

Inside the small welcome area for Rep. Bob Etheridge, a receptionist hurriedly handed comment cards to some 15 protesters crowding around her desk. "Y'all want some peanuts?" she offered, passing out snacks.

House Speaker Nancy Pelosi needs 218 votes to pass the Affordable Health Care for America Act, meaning only 40 Democrats can oppose it. A vote is expected as early as this evening after a House floor debate.

North Carolina's five Republican House members are solid "no" votes. Its four most liberal Democrats, solid "ayes."

"The legislation would correct the failures of the American health care system without compromising its many strengths, or adding to the budget deficit," said Rep. David Price, in announcing his support. "I believe health insurance reform is an essential investment in our nation's long-term fiscal and economic well-being."

But in between stand Blue Dog conservatives Heath Shuler and Mike McIntyre, along with moderate Democrats Larry Kissell and Etheridge.

All represent rural, conservative-leaning districts.

Kissell announced this week he will oppose the massive health overhaul, called the Affordable Health Care for America Act, because it finds cost savings in $399 million in cuts to Medicare.

"From the day I announced my candidacy for this office, I promised to protect Medicare," Kissell said in his statement. "I gave my word I wouldn't cut it and I intend to keep that promise."

Price, a bill supporter, said the bill does cut taxpayer subsidies to private Medicare plans, but he said it strengthens the program overall by improving prescription drug coverage, lowering private Medicare co-payments and offering no-cost preventive care.