President Barack Obama and top congressional Democrats insist they will push ahead with efforts to overhaul healthcare, though they aren't explaining how they will proceed in that uphill fight.
The president acknowledged Friday that the effort ran into a "bit of a buzz saw" of opposition. And a leading member of his party suggested Congress slow it down on healthcare, a sign of eroding political will in the wake of Tuesday's Republican election upset in Massachusetts.
Sen. Chris Dodd, D-Conn., who ushered the overhaul legislation through the Senate's health committee last year after the death of his friend, Sen. Edward M. Kennedy, said Obama and lawmakers could "maybe take a breather for a month, six weeks."
Just a week ago, the health legislation had appeared on the cusp of passage after Obama threw himself into marathon negotiations with congressional leaders to work out differences between the House and Senate bills.
"There are things that have to get done. This is our best chance to do it. We can't keep on putting this off," Obama said Friday at a town hall meeting in Elyria, Ohio, warning listeners that spiraling medical costs threaten to bankrupt them and the country unless Congress acts.
"I am not going to walk away just because it's hard," the president said.
In his remarks, Obama seemed to pull back from a suggestion he made Wednesday that lawmakers unite behind the elements of the legislation everyone can agree on. Obama said that approach presented problems because some of the popular ideas, like new requirements on insurance companies, couldn't be done without getting many more people insured.
"A lot of these insurance reforms are connected to some other things we have to do to make sure that everybody has some access to coverage," he said. For example, insurers wouldn't be able to end a practice like denying coverage to people with pre-existing health conditions unless more people were covered. Otherwise people could wait until they got sick to buy insurance and premiums could skyrocket.
Obama has used immense political capital to advance the healthcare overhaul and remake a system that has frustrated past administrations, most recently Democrat Bill Clinton in 1994. Whether he can succeed where others have failed is now anything but clear, and Obama seemed to acknowledge as much.
"Here's the good news. We've gotten pretty far down the road, but I have to admit, we had a little bit of a buzz saw this week," the president said.
"I understand that, why after the Massachusetts election people in Washington were all in a tizzy, trying to figure out what this means for health reform, Republicans and Democrats: What does it mean for Obama? Is he weakened? Is he, oh, how's he going to survive this?" Obama said. "But I want you to understand, this is not about me. This is about you."
It was Kennedy's longtime Senate seat that changed party hands on Tuesday with the victory of Republican Scott Brown, a bitter irony for Democrats since universal health coverage had been Kennedy's lifelong goal, and Brown has pledged to be the GOP's decisive 41st vote against overhaul legislation.
Notwithstanding the comments from Dodd, who is not seeking re-election this year, Pelosi, D-Calif., and Senate Majority Leader Harry Reid, D-Nev., have both insisted the health care legislation will go forward — though they haven't said how. Reid spokesman Jim Manley said that plans to push ahead haven't changed.
Lawmakers ended the week with no clear path, though aides promised to work through the weekend to look for a compromise, possibly one that could allow the Senate to act with a simple majority instead of the 60-vote supermajority Democrats now lack.
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