alternatehistory.com

Apparently during the negotiations to pass the ACA in the senate the Democrats spent months trying to get 1 GOP senator to sign on to the bill to have bi-partisan support and made heaps of concessions, only to fail in the end...but then they didn't take back any of the concessions made to the GOP in negotiations. What if the Obama administration and Harry Reid recognized that the GOP would not have any defecting Senators and purposely rammed the bill through based on a pure party line? Beyond that even things like the Stimulus package made a bunch of concessions to the GOP and got no votes, but then didn't remove any concessions. What if Obama upon McConnel's speech about making Obama a one term president and his intention to stop his agenda just opted to negotiate within the party and the one defecting senator to make things happen?
http://www.theatlantic.com/politics/archive/2015/07/the-real-story-of-obamacares-birth/397742/
We know that congressional Republicans pursued a conscious strategy not to cooperate with Democrats on the stimulus, voting in unison in the House against it. Very early on, Dave Obey, then chairman of the House Appropriations Committee, asked his counterpart on the committee, Republican Jerry Lewis, to get his leaders and rank-and-file to provide Republican ideas to include, and non-starters to exclude, in a stimulus plan and was told that there were orders from “on high” not to cooperate. But despite that, the stimulus package was adopted over a Senate GOP filibuster before a healthcare reform effort moved into full bloom. Could the stimulus have done more to create jobs in the short term? Certainly—but in part to accommodate Senate Republicans like Charles Grassley, who nonetheless ended up voting against the bill, 40 percent of the stimulus package was tax cuts that mostly did little either to add jobs or stimulate the economy.

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But with Obama’s blessing, the Senate, through its Finance Committee, took a different tack, and became the fulcrum for a potential grand bargain on health reform. Chairman Max Baucus, in the spring of 2009, signaled his desire to find a bipartisan compromise, working especially closely with Grassley, his dear friend and Republican counterpart, who had been deeply involved in crafting the Republican alternative to Clintoncare. Baucus and Grassley convened an informal group of three Democrats and three Republicans on the committee, which became known as the “Gang of Six.” They covered the parties’ ideological bases; the other GOPers were conservative Mike Enzi of Wyoming and moderate Olympia Snowe of Maine, and the Democrats were liberal Jeff Bingaman of New Mexico and moderate Kent Conrad of North Dakota.

Baucus very deliberately started the talks with a template that was the core of the 1993-4 Republican plan, built around an individual mandate and exchanges with private insurers—much to the chagrin of many Democrats and liberals who wanted, if not a single-payer system, at least one with a public insurance option. Through the summer, the Gang of Six engaged in detailed discussions and negotiations to turn a template into a plan. But as the summer wore along, it became clear that something had changed; both Grassley and Enzi began to signal that participation in the talks—and their demands for changes in the evolving plan—would not translate into a bipartisan agreement.

What became clear before September, when the talks fell apart, is that Senate Republican Leader Mitch McConnell had warned both Grassley and Enzi that their futures in the Senate would be much dimmer if they moved toward a deal with the Democrats that would produce legislation to be signed by Barack Obama. They both listened to their leader. An early embrace by both of the framework turned to shrill anti-reform rhetoric by Grassley—talking, for example, about death panels that would kill grandma—and statements by Enzi that he was not going to sign on to a deal. The talks, nonetheless, continued into September, and the emerging plan was at least accepted in its first major test by the third Republican Gang member, Olympia Snowe (even if she later joined every one of her colleagues to vote against the plan on the floor of the Senate.)

Obama could have moved earlier to blow the whistle on the faux negotiations; he did not, as he held out hope that a plan that was fundamentally built on Republican ideas would still, in the end, garner at least some Republican support. He and Senate Democratic leaders held their fire even as Grassley and Enzi, in the negotiations, fought for some serious changes in a plan that neither would ever consider supporting in the end. If Obama had, as conventional wisdom holds, jammed health reform through at the earliest opportunity, there would have been votes in the Senate Finance Committee in June or July of 2009, as there were in the House. Instead, the votes came significantly later.

To be sure, the extended negotiations via the Gang of Six made a big difference in the ultimate success of the reform, but for other reasons. When Republicans like Hatch and Grassley began to write op-eds and trash the individual mandate, which they had earlier championed, as unconstitutional and abominable, it convinced conservative Democrats in the Senate that every honest effort to engage Republicans in the reform effort had been tried and cynically rebuffed. So when the crucial votes came in the Senate, in late December 2009, Harry Reid succeeded in the near-impossible feat of getting all 60 Democrats, from Socialist Bernie Sanders and liberal Barbara Boxer to conservatives Joe Lieberman, Ben Nelson, Mark Pryor, and Blanche Lincoln, to vote for cloture, to end the Republican filibuster, and to pass their version of the bill. All sixty were needed because every single Republican in the Senate voted against cloture and against the bill. Was this simply a matter of principle? The answer to that question was provided at a later point by Mitch McConnell, who made clear that the unified opposition was a ruthlessly pragmatic political tactic. He said, “It was absolutely critical that everybody be together because if the proponents of the bill were able to say it was bipartisan, it tended to convey to the public that this is O.K., they must have figured it out.”

The delays engendered in large part by the extended negotiations with Republicans in the Gang of Six, meant in the end that the normal legislative process—in which separate bills passed by House and Senate would be reconciled in a conference committee—was not going to work in this case. When the vacancy caused by the death of Senator Edward M. Kennedy was filled via a January 2010 special election by Republican Scott Brown, Democrats lost their 60th vote—and the McConnell strategy meant that there was no way, no matter what changes Democrats were willing to make in the final package, that there would be a single Republican vote to get them past the filibuster hurdle. Hence, the fallback to using reconciliation to bypass the filibuster in the Senate, and the inability to smooth out the rough edges and awkward language in the final bill that was enacted.
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