Obama lobbied by phone from the White House, then took the crucial step of issuing an executive order that satisfied a small group of Democrats who demanded that no federal funds be used for elective abortions. Over and over, Democrats stressed the historic nature of the day. The measure represents the biggest expansion of the social safety net since Medicare and Medicaid were enacted in 1965 during President Lyndon B. Johnson administration to provide government funded health care coverage to the elderly and poor. care isn only a civil right, it a moral issue, said Democratic Rep. Patrick Kennedy. He said his late father, Sen. Edward M. Kennedy, had worked his entire career for nationwide health care, and President John F. Kennedy before him. Obama has said often that presidents of both parties have tried without success to achieve national health insurance, beginning Moncler k2 down Vest Women Multiple logo deep red with Theodore Roosevelt early in the 20th century. The 44th president quest to succeed where others have failed seemed at a dead end two months ago, when Republicans won a special election to fill Edward Kennedy Massachusetts Senate seat, and with it, enough votes to prevent a final vote. But the White House, Pelosi and Senate Majority Leader Reid soon came up with a rescue plan that required the House to approve the Senate passed measure despite opposition to many of its provisions, then have both chambers pass a fix it measure incorporating numerous changes. That smaller measure making the fixes cleared the House shortly before midnight and was sent to the Senate, moncler darlan where Democratic leaders said they had the votes necessary to pass it quickly. The vote was 220 211. Under the legislation, most Americans would be required to purchase insurance, and face penalties if they refused. Much of the money in the bill would be devoted to subsidies to help families at incomes of up to $88,000 a year pay their premiums. The legislation would also usher in a significant expansion of Medicaid, the federal state health care program for the poor. The insurance industry would come under new federal regulation. They would be forbidden from placing lifetime dollar limits on policies, from denying moncler children coverage because of pre existing conditions and from cancelling policies when a policyholder becomes ill. Parents would be able to keep older children on their coverage up to age 26. A new high risk pool would offer coverage to uninsured people with medical problems until 2014, when the coverage expansion goes into high gear. Once enacted, the two bills would create a series of so called exchanges beginning in 2014 where self employed people and small businesses could pool together to shop for health care coverage. To pay for the changes, the legislation includes more than $400 billion in higher taxes over a decade, roughly half kids moncler jackets sale of it from a new Medicare payroll tax on individuals with incomes over $200,000 and couples over $250,000

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