KABUL – Under elaborate secrecy, President Barack Obama slipped into Afghanistan on Sunday near the front lines of the increasingly bloody 8-year-old war he is expanding and affirmed America's commitment to destroying al-Qaida and its extremist allies in the land where the 9-11 plot was hatched.

Obama's six-hour visit was conducted entirely under the shroud of nightfall, after Air Force One's unannounced flight from the U.S. Obama defended his decision to escalate the fight, telling troops whose numbers he is tripling that their victory is imperative to America's safety.

His bid to shore up faith in the struggle was aimed both at the troops who cheered him and Americans back home. And, he demanded accountability from Afghan authorities to make good on repeated promises to improve living conditions, rein in corruption and enforce the rule of law to prevent people from joining the insurgency.

"Your services are absolutely necessary, absolutely essential to America's safety and security," the president told a lively crowd of about 2,500 troops and civilians at Bagram Air Field north of Kabul. "Those folks back home are relying on you. We can't forget why we're here."

It was Obama's first trip as president to Afghanistan, where the number of U.S. troops killed has roughly doubled in the first three months of 2010 compared with the same period last year as Washington has added tens of thousands of additional soldiers to reverse the Taliban's momentum.

"We did not choose this war," Obama reminded the troops, recalling the Sept. 11, 2001, attacks and warning that al-Qaida was still using the region to plan terrorist strikes against the U.S. and its allies. "We are going to disrupt and dismantle, defeat and destroy al-Qaida and its extremist allies."

Obama had gone Friday afternoon to the presidential retreat at Camp David, Md., from which unnoticed departures are easier because of its secluded mountain location. The small contingent of White House aides and media brought on the trip were sworn to secrecy. Obama arrived in Kabul just two days after a threatening new audio message from al-Qaida leader Osama bin Laden, believed to be hiding along the ungoverned border between Afghanistan and Pakistan.

"I thought I'd come over and say hello," Obama told the troops in a jaunty remark that set the stage for stark reminders of the terrorist threat that rose from this soil.

"If this region slides backwards," he said, "if the Taliban retakes this country, al-Qaida can operate with impunity, then more American lives will be at stake, the Afghan people will lose their opportunity for progress and prosperity and the world will be significantly less secure. As long as I'm your commander in chief, I'm not going to let that happen."

That resolve was meant just as surely for stateside citizens as for the people who heard it face to face. Polls find that Americans are divided on the war if, more recently, favorable to Obama's handling of it.

Obama's dark suit was soiled with dust when he stepped off his helicopter at the presidential palace in Kabul. White House officials said Obama, in private talks, wanted to drive home the point that Afghan President Hamid Karzai and his Cabinet must do more to battle corruption and cronyism in government.

Karzai "needs to be seized with how important that is," said Jim Jones, Obama's national security adviser. Karzai has raised eyebrows in Washington with recent trips to Iran, China and Pakistan and his welcoming Iranian President Mahmoud Ahmadinejad to Kabul this month.

In public remarks,Obama told Karzai and his cabinet that he was pleased with progress made since their last discussion by secure videoconference on March 15. Obama invited him to visit Washington on May 12. He also praised recent steps in the military campaign against insurgents. But he stressed that Afghans need to see conditions on the ground get better.

"Progress will continue to be made ... but we also want to continue make progress on the civilian front," Obama said, referring to anti-corruption efforts, good governance and adherence to the rule of law. "All of these things end up resulting in an Afghanistan that is more prosperous and more secure."

Karzai promised that his country "would move forward into the future" to eventually take over its own security, and he thanked Obama for the American intervention in his country.

He told Obama he has begun to establish more credible national institutions on corruption and made clear he intends to make ministerial appointments more representative of the multiple ethnic and geographic regions of the country, according to a U.S. account of the meeting.

The White House insisted that Karzai's Cabinet participate in most of the meetings with Obama. The Cabinet includes a number of ministers favored by the U.S., including the heads of finance, interior and defense, whom the Obama administration wants to empower as a way of reducing the influence of presidential cronies. Some talented Afghan administrators have complained that Karzai marginalized them in an attempt to solidify his powers.

"We have to have the strategic rapport with President Karzai and his Cabinet to understand how we are going to succeed his year in reversing the momentum the Taliban and the opposition forces have been able to establish since 2006."

The Afghan government has tried to tackle corruption in the past with little success but Karzai pledged after fraud-marred August elections to rein in graft by making officials declare their assets and giving the country's anti-corruption watchdog more power to go after those accused of misusing their office. This month he gave more powers to an anti-corruption body, including the authority to refer cases to court and act as prosecutor.

Initially, the White House said Karzai had been informed of Obama's impending visit just an hour before his arrival. But Obama's press secretary, Robert Gibbs, said later that the Afghan government was told about the trip on Thursday.

At least 945 members of the U.S. military have died in Afghanistan, Pakistan and Uzbekistan since the U.S. campaign started in late 2001, according to an Associated Press count.

Obama, speaking to troops in a cavernous tent known as the "clam shell," said, "We know there's going to be some difficult days ahead, there's going to be setbacks. We face a determined enemy, but we also know this: the United States of America does not quit once it starts on something. We will prevail, I am absolutely confident of that."

In December, Obama ordered 30,000 additional forces into the fight against the Taliban. Those new U.S. troops are still arriving and most are expected to be in place by summer, for a full force of roughly 100,000 U.S. troops. There were about 34,000 when Obama took office.

___

AP writers Robert H. Reid and Deb Riechmann contributed to this report.

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By Grover Norquist from the March 2010 issue

Election day, November 2, 2010, will either confirm the Democratic triumphs of 2006 and 2008, ushering in a renewed period of Democratic dominance and jerking America left as happened in the 1930s and 1960s, or it will echo the 1994 rejection of the leftward drift of united Democratic government under Clinton.

When Herbert Hoover was elected in 1928, there were Republican majorities in both the Senate (48-46) and the House of Representatives (238-194). Hoover endorsed protectionism, increased the top tax rate from 25 percent to 75 percent, expanded state spending, and responded to the collapse of the stock market on October 29, 1929, with subsidies, bailouts, wage and price controls, and tax and spending hikes.

When he left office in 1933 the Democrats held a 59 to 36 majority in the Senate and a 313 to 117 majority in the House. Democrats would use their supermajorities that reached a high of 76 senators and 334 congressmen in 1936 to change labor law, bringing the number of workers forced to pay union dues from 3.4 million in 1930 (11.6 percent of the workforce) to 14.3 million in 1950 (31.5 percent of the workforce), create the unfunded Social Security system, expand federal government employment to 2.6 million, and increase federal spending from 6.9 percent of the economy to 19.4 percent by 1952.

When Eisenhower was elected in 1952 Democrats held the House (235-199) and Senate (49-47). With Eisenhower's victory the Republicans won a majority in the House (221-213) and Senate (49-47). Ike vetoed the tax cut passed by the newly minted Republican Congress, maintained the top tax rate at 90 percent, and left office in 1961 with Democrats controlling the Senate (64-36) and the House (263-174). The 1964 LBJ election provided the supermajorities that created Medicare, Medicaid, and HUD and saw Congress come within a whisker of repealing state right-to-work laws. Federal spending on domestic programs grew from 11.3 percent of GDP in 1970 to 16.8 percent in 1980.

On the day George W. Bush was elected, Republicans commanded a 55-45 majority in the Senate and a majority of 228-206 in the House. Bush saw federal spending increase from 18.4 percent of GDP to 21 percent, raised the unfunded liability of Medicare from $7.0 to $13.5 trillion, took on the task of occupying Iraq and Afghanistan, and passed only temporary tax cuts that all expire on or before January 2011. When Bush left office, he bequeathed America a President Barack Obama with 70 percent approval ratings and a Senate with 59 Democrats and a House with a 257-178 Democratic majority.

Obama, Reid, and Pelosi moved quickly to use their majorities to ratchet up the size and scope of the state with a $787 billion "stimulus" and a second tranche of TARP spending of $350 billion. They tried to enact a cap and trade energy bill that would put all energy under federal control, "health care reform" legislation that would put 16 percent of GDP under federal control, and change labor laws to take away the silly requirement that workers vote before being forced into paying union dues.

Exactly one year after Obama, Reid, and Pelosi came together in power, they had increased the publicly held federal debt from $5.8 trillion to $7.6 trillion and increased the projected spending for the next 10 years by $1 trillion. The unfunded liability of Social Security and Medicare now stands at $22.3 trillion and rising. This deliberate explosion of debt and spending is designed to force permanent tax increases. Their ultimate goal is to impose a Value Added Tax (VAT) on top of higher income taxes. But Congress has failed to enact the three changes in law that would permanently alter the balance of power: rewriting labor law, nationalizing energy, and nationalizing health care.

How, why, did the Democrats fail to capitalize on their supermajorities in 2009? What did the Republicans do correctly, and will 2010, both in Congress and on Election Day, stop Democratic plans in their tracks or confirm a continued but perhaps slower march to statism?

IT WASN'T SUPPOSED to turn out this way. Obama began his presidency as one of the few presidents who could inspire fear in political Washington and the business community. He had power. He and Pelosi's and Reid's majorities could tax anything. He told bondholders with legal claims on General Motors to abandon them. He told the pharmaceutical industry to give him tens of millions of dollars to pay for propaganda for his heath care bill in return for his looting "only" $22.2 billion from the industry over the next 10 years -- it could, the godfather said, have been worse. The "powerful" Chamber of Commerce played multi-million-dollar weathervane, endorsing the TARP bailout extension and the stimulus package and bragging how open it was to "working with" the administration that viewed it as the class enemy. In early 2009 political observers believed the Democrats would add three seats to their Senate majority in 2010 by taking the open seats of New Hampshire, Ohio, and Missouri. Democrats in the House (all but two) cheerfully voted for the radical labor union power grab of Card Check, secure in the belief that union money would reelect them.

As 2010 began, polling showed that on the generic ballot likely voters said they intend to vote Republican over Democratic by 45 to 37 percent -- enough to guarantee a Republican House of Representatives. According to the Cook Political Report, Republicans will capture between two and nine Senate seats. That partisan advantage for Republicans has existed since June 2009 and contrasts with the Democratic advantage of 47 to 40 on Election Day 2008. To figure out if the Republican trend can continue into November it is necessary to understand what happened in 2009 to create what they call in wrestling a reversal.

There were five fortuitous surprises.

First, spending per se became a vote-moving issue. In the past, conservative activists and elected officials would argue against increased government spending, saying it would lead to a tax increase and/or inflation and slow economic growth. But voters had a strong tendency to wait until the tax hikes were enacted to create a political backlash: 1978 with Proposition 13, 1980 with the Reagan landslide, and 1994's Gingrich revolution.

The Democratic high command learned this lesson and organized all its tax and spending efforts to front-load the spending and leave the tax hikes for post-2010 and even post-2012. It was Obama's good luck that Bush's major tax cuts, the 15 percent rate for capital gains and dividends and the 35 percent top rate and the zero percent death tax rate, all expire in January 2011 -- two months after the 2010 election.

The politician most surprised that America reacted so strongly and so negatively to higher spending was Arlen Specter, then the Republican senior senator from Pennsylvania. He had planned to oppose the unions' push for Card Check and endear himself to conservatives by opposing Obama's health care -- as he had Clinton's -- and vote against tax hikes and whack liberal judges. When Obama offered him a deal -- vote for my stimulus spending and I will not engage in turn- out-the-vote efforts in Philadelphia-Specter had every reason to believe he had just ensured his reelection, dodging the Scylla of conservative opposition in the primary and the Charybdis of Philadelphia's ability to increase real and imagined voter turnout in the general.

Except...except that Specter's support collapsed overnight in reaction to his vote for stimulus spending. He decided he could never win a Republican primary and switched to the Democratic Party. This unexpected revulsion to overspending also expressed itself in the Tea Party rallies following Rick Santelli's rant on CNBC against government spending and bailouts. At least 600,000 and perhaps more than a million Americans rallied in more than 640 Tea Parties just before and after April 15. Those rallies were repeated on July 4.

The second pleasant surprise was that Republican leadership and the rank and file of elected officials refused the advice of establishment pundits to move left in the wake of the Obama 52 percent victory. Such advice was proffered by the same sources after Goldwater's defeat in 1964, after Watergate in 1974, after the Republicans lost the Senate in 1986, and in 1992 with the Clinton victory. Following November 2008, the establishment media predictably urged Republicans to give up, be "bipartisan" and "move to the center" (i.e., cease all opposition to the new ruling elite). These traditional voices were joined by "new" and "intriguing" and "cutting-edge" and "forward-looking" "upcoming leaders" and "brilliant" "conservative" voices -- given a microphone by said establishment press to promote the road taken by Quisling and Petain.

The third surprise was the ability of the Republicans in Congress to highlight the difference between the Democrats and themselves by keeping their party united in opposition. Despite the on-slaught of establishment press declaring all opposition to be hopeless, Republicans in the House were unanimous in opposing the stimulus package and the 2010 budget, and lost only eight votes on cap and trade. And on the "health care bill," Republicans lost only one befuddled congressman, Louisiana's Joseph Cao, who thought he was casting a pro-life vote after the passage of the Stupak amendment.

This unity contrasts with the 26 Democratic House members who voted for Gramm-Latta, Reagan's first-year program of budget restraint. And on the Reagan administration's "must win" legislation, 48 House and 37 Senate Democrats voted for the 198l Reagan tax cut. More recently, in 2001 Bush won 58 Democratic votes in the House for the abolition of the death tax and 187 votes for expanding IRAs and 401(k) accounts. Conversely, it was a sign of Democratic serious-ness and commitment to winning the 2006 elections when the traditional Democratic vote for free trade bills fell from more than 100 to only 15 on CAFTA for the express purpose of forcing Republicans in trade-sensitive districts to cast difficult votes.

The Senate is always the body more likely to have "mavericks" who can win a coveted spot on Good Morning America or even the cover of Time if they break with the party and endorse the Democrats' newest idea. Yet Republicans were unanimous in opposing Reid's 2,000-page health care bill. The Democrats could not even bring the cap and trade bills to the floor. Republican senators voted unanimously against the Obama FY 2010 budget and lost only three votes on the early test of the stimulus package (Specter, Snowe, and Collins).

One reason there was no grand compromise on health care was that the senators most susceptible to the temptation to "be in the room" and "be a player" were all up for reelection in 2010 and made their decision to go into full-blown opposition in August when they returned to their states and found that their town hall meetings were engorged with citizens furious at the idea of anything short of total opposition. McCain, Grassley, Enzi, Bennett (and derivatively Hatch) are all up for election in 2010 and, despite histories of liking to be in the room making legislation, were convinced by the August revolt that this would be unwise. Here the Tea Party movement had a measurable and critical role in the victories of 2009 -- greater than all the lobbying by businesses on K Street.

The fourth unplanned advantage conservatives had in 2009 was the discovery that Obama and the Chicago White House truly believed their own rhetoric. They believed (and still do) that taking a dollar out of the economy in taxes or debt and moving it somewhere else -- the stimulus spending -- will in fact create jobs and opportunity. Since passage of the stimulus bill promising to "save or create" 4 million jobs, the nation has lost 2.7 million jobs in the private sector and added 100,000 government jobs.

The left also believed its own assertions that the conservative movement was a shill for big businesses. It believed that if it neutralized the energy industry there would be no opposition to cap and trade. It neutered the electric power industry and yet the public shifted against cap and trade anyway. It neutered the pharmaceutical lobby, the health insurance lobby, and the National Federation of Independent Business. And yet the countryside still arose in opposition to the point that a Gallup poll released in mid-January 2010 showed Americans had come to disapprove of Obama's handling of health care by 58-37 percent.

The fifth game changer in 2009 was the collective decision by conservative activists and Republican elected officials to avoid the mistake we made in personalizing our objections to Bill and Hillary Clinton. Conservatives focused on Clinton rather than the bad policies of the congressional Democrats. Republicans ran tens of millions of dollars attacking Clinton in 1998 and voters didn't connect Clinton's personal problems with why they should defeat Democratic congressmen and senators. In 1998, Democrats gained five House seats when Republicans understandably believed they could and would win 20. Clinton's peccadilloes were such that describing them made even his most dispassionate critics sound "pornographic."

This time around, conservatives focused on criticizing Obama's spending and big-government approach to energy and health rather than on attacking him personally. Even better, criticism was correctly focused on Harry Reid of Nevada and Nancy Pelosi of San Francisco. The stimulus package was written by the Democratic Congress with little or no input from Obama. The 2010 budget was written by the Democratic Congress. The cap and trade and various health care reform bills were written by Congress. Obama gave speeches. The House and Senate Democrats have been writing and sometimes passing legislation. If the Democrats' agenda were a martini, Obama would be the vermouth -- only vaguely present.

The decision to avoid attacking Obama personally was made independently by tens of thousands of Americans. The signs at the Tea Party rallies focused on policies and Congress. There was much wisdom here. Why attack the first African American president, whose allies are begging for the opportunity to describe all opposition to trillion-dollar deficits as racially motivated? Why attack the president who for reasons distinct from his party and policies was at the beginning polling at 70 percent? And why attack the White House when the next target is Congress in 2010, when Obama will not be on the ballot?

AS WE ENTER 2010 there are now 256 Democrats and 178 Republicans in the House and 59 Democrats and 41 Republicans in the Senate. Republicans need to win 41 House seats net to gain a majority of 218. They contest in a field where 49 House seats are held by Democrats today in districts that voted for McCain in the losing year of 2008. There are 83 House seats that were carried by Bush in 2004 when he squeaked by with 51 percent of the vote. In 1994, Republicans gained 52 seats to win a 230-204 majority. That year 25 Democrats had retired from contested seats. As of this writing there are 12 Democrats leaving contested seats.

In early January, the generic ballot on which Americans are asked if they plan to vote Republican or Democratic for Congress showed a preference among likely voters for Republicans of 45 to 37 percent -- a 15-point swing from Inauguration Day 2009. In 1994, the Republicans never held a generic preference lead until the day they won the election.

In the Senate, where 36 of the 100 seats are in play, Republicans and Democrats must each defend 18 seats. Republicans need to gain 10 seats to win a majority, as a 50/50 split would let Vice President Joe Biden be the deciding vote. A win of five seats would ensure that (even with episodic defections from Maine or Arizona) Leader Mitch McConnell could cobble together 41 votes to stop any particular piece of legislation with the filibuster.

One year ago it looked as if the Democrats would gain three seats in the Senate. Today, Delaware has moved from solid D to likely R with the decision of moderate conservative Mike Castle to run and Beau Biden, the vice president's son, preferring to stay on as attorney general. North Dakota was viewed as safe territory to reelect Byron Dorgan but, facing overwhelming polling numbers, Dorgan has exited the field and popular moderate conservative Gov. John Hoeven has announced he will run. Arkansas Sen. Blanche Lincoln has desperately played the game of pretending to be a moderate or even conservative Democrat, but everyone has learned that Harry Reid owns her vote on everything from spending to taxes, unions, and health care. She polls behind every serious Republican in a crowded primary field. Illinois Democrats had every reason to believe they owned the seat vacated by onetime state senator Barack Obama, but their strongest candidates bowed out and Republicans are likely to nominate Congressman Mark Kirk, whose sole indiscretion as an economic conservative was the barely forgivable vote for cap and trade -- a vote he has forcefully and repeatedly repudiated. Kirk is now expected to win the general. In Pennsylvania, now-Democrat Specter is polling behind the man he beat in the Republican primary of 2004, former congressman Pat Toomey, onetime chair of the Club for Growth. Nevada's Reid is looking more and more like Tom Daschle and polls behind by double digits against either of his likely Republican challengers, Danny Tarkanian and Sue Lowden. Colorado's appointed senator Michael Bennett is polling behind longtime conservative statewide official Jane Norton. Indiana's Evan Bayh expected his $13 million coffer and undeserved reputation as a moderate to keep him safe, but he polls neck-and-neck with lesser known potential Republican challengers.

In New York and California vulnerable Democrats Kirsten Gillibrand and Barbara Boxer could lose in 2010, depending on who runs against them. And the three Republican seats once viewed as vulnerable -- New Hampshire, Ohio, and Missouri -- have strong Republicans running well who are viewed now as likely winners.

If the Republicans run the table as the Democrats did in 2006 and 2008, they will take the Senate. They will, at worst, solidify their ability to filibuster Obama's agenda for the next two years.

CAN OBAMA/REID/PELOSI RECOVER, change strategy, and avoid defeat as Clinton did between 1994 and 1996? It looks unlikely. Obama's reaction to losing in Massachusetts was to call for higher taxes on banks, dropping the stock market 500 points. The Chicago gang believes it has been insufficiently left-wing and anti-business in 2009. One cannot correct errors one does not see.

And the independents who broke for the Democrats in 2006 and 2008 in opposition to Bush's unending commitment to Iraq have shifted back hard against the Democrats' spending and debt policies. Independents who polled like Democrats in 2006 and 2008 now look like Republicans in their views on taxes, spending, and size of government, and they share Republican enthusiasm for getting to the polls in 2010.

Democrats have failed to replicate their political and legislative dominance of the 1930s and 1960s. This next year will tell us if Republicans can complete their reversal and repeat the successes of 1994.

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By DENNIS WASZAK Jr.
AP Sports Writer

NEW YORK (AP) - The presidential bracket is looking pretty good after the first round.

President Barack Obama correctly predicted 13 of 16 winners Friday, the second day of the NCAA tournament. That came after he went 12 for 16 on Thursday.

Obama's only blemishes Friday were 13th-seeded Siena, which lost to fourth-seeded Purdue 72-64; ninth-seeded Florida State, which fell to No. 8 seed Gonzaga 67-60; and No. 9 seed Louisville, which was defeated by eighth-seeded California 77-62.

The Big East has been a big bummer for The First Fan. Four of his seven losses have been by teams from the conference that received a tournament-high eight bids.

Obama took a few chances in his bracket, which he filled out for ESPN for the second straight year. Siena was the second No. 13 seed he picked; he correctly chose Murray State to upset fourth-seeded Vanderbilt on Thursday.

Obama also had 12th-seeded Cornell topping No. 5 seed Temple - and the Big Red came through with a 78-65 victory Friday.

And how's this for some presidential prognostication? He also has his Final Four still intact with Kansas, Kansas State, Kentucky and Villanova. Obama predicted North Carolina's national championship victory last year, when his bracket ranked 903,125th overall - just above the 80th percentile in ESPN's online contest.

His biggest miss so far was Georgetown, which he predicted would reach the round of eight. The Hoyas, the No. 3 seed in the Midwest Regional, were stunned by 14th-seeded Ohio 97-83 on Thursday.

Marquette was his only other pick for the round of 16 that has lost. The sixth-seeded Golden Eagles were edged by No. 11 seed Washington 80-78 on Thursday night.

Obama has only one team eliminated in each of the Midwest (Georgetown) and West (Florida State) Regionals. He's down two teams in the East Regional, and three in the South Regional.

Copyright 2010 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Barack Obama has done more than salvage his presidency by winning the vote for his hard-fought health care reform. He has also reminded Americans – and, by extension, Canadians – that leaders are "capable of doing big things" when they dare to advocate progressive change.

True, Obama's political triumph is not yet complete, despite Sunday's historic 219-212 House vote. The Republicans, some of whom called the Obama's health care reform package "socialist," are threatening to contest it in court. The Democrats also have a sales job to do before November's midterm elections. But the Republicans have discredited themselves with their obstructionism, wild talk of "freedom dying" and fear-mongering about "death panels."

Obama has not only buoyed Democrats but also raised the bar by putting his presidency on the line for a principle. He prevailed by staking out a bold, activist agenda for the people, when others urged caution and retreat. "I will not accept the status quo," he told Congress last summer when his reform was in trouble. He proved that the Big Idea still has traction, that there can be reward in reaching high.

That is something progressive Canadian politicians, including Liberal Leader Michael Ignatieff can usefully ponder, as they wrestle with problems here at home. Dealing with such issues as child poverty, joblessness, employment insurance, pension reform and climate change calls for more than tinkering at the margins. The Liberals' Canada at 150 think tank in Montreal this coming weekend is a chance to revitalize liberalism with bold, paradigm-shifting ideas.

It shouldn't be too hard to challenge Prime Minister Stephen Harper's Conservative small-bore, small-government focus.

Of course, Obama has delivered nothing like Canadian-style medicare with its universal coverage. Rather, he is reforming a $2.5 trillion, hodge-podge system that relies on private insurance. Still, his is an historic achievement, ranking with such popular programs as Social Security in 1935 and public health insurance for the elderly in 1965.

The Obama plan requires individuals to buy private health insurance and expands government Medicaid for the poor. By the end of the decade, roughly 95 per cent of Americans will be covered, including 32 million now uninsured. Workers who lose their jobs will no longer forfeit coverage. Insurers will no longer be able to impose massive premium hikes, deny coverage for pre-existing conditions, or arbitrarily limit payouts. Washington even expects to save money, in part by imposing new taxes on the wealthy.

Obama richly deserves this triumph. He roused himself to fight the good fight, forcefully reminded Americans of what was at stake, and rallied his weak-kneed party. He dared, and the nation stands to gain.

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MEXICO CITY (AP) -- Secretary of State Hillary Rodham Clinton is leading a team of Obama administration Cabinet officers to talks Tuesday aimed at helping Mexico get control of its drug cartels.

The meeting is in keeping with a promise that President Barack Obama made to be a "full partner" with Mexico in the anti-drug trafficking effort.

It comes just two weeks after an American consulate worker, her husband and the husband of a Mexican employee were gunned down in Ciudad Juarez, across the border from El Paso, Texas.

In that incident, suspected drug gangsters chased down and opened fire on two SUVs carrying the families from a children's party, killing the adults and wounding two children.

The sessions scheduled for today in Mexico City were planned several months ago, however.

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Washington: Greeting people of Pakistan on the occasion of its National Day, US President Barack Obama today pledged to remain a partner of all Pakistanis who "seek to build a future of peace and prosperity".

Sending his best wishes to the people of Pakistan and all those of Pakistani descent in America and around the world observing Pakistan National Day, Obama said: "Seventy years ago, Muhammad Ali Jinnah and those of the independence generation declared their dreams of self-determination and democracy.

"Today, the people of Pakistan are carrying on the great work of Quaid-e Azam," Obama said in his message issued on the occasion of Pakistan National Day, being marked on March 23.

"In these efforts, the American people are proud to join in the education, health and economic partnerships that can improve the daily lives of Pakistanis and their families," he said.

"Here in the United States, our country is enriched by the many Pakistani Americans who excel as doctors, small business owners, students, members of our armed forces and in many other fields," he added.

"On this National Day, we give thanks for the contributions of these fellow Americans, and the United States pledges to remain a partner of all Pakistanis who seek to build a future of peace and prosperity," Obama said.

Earlier, the Secretary of State, Hillary Clinton, inher message said the Obama Administration is supporting Pakistan in its fight against extremism that poses threat to its existence and also the region and the other parts of the world.

"The United States is supporting Pakistan's efforts to strengthen democratic institutions, foster economic development, expand opportunity, and defeat the extremist groups who threaten Pakistan, the region, and even our own country," Clinton said.

"Our broad partnership is based on mutual respect and mutual interest, and this dialogue will be an opportunity to forge even closer ties between our nations," Clinton said in a video message to the people of Pakistan issued on the eve of the Pakistan's National Day.

"Pakistan is close to my heart, and I have been privileged to make five visits over the years.

And I have seen firsthand how special your country is -- rich with history and culture, blessed with natural beauty, and home to people of unforgettable warmth and strength," she said.

Clinton along with her Pakistani counterpart Shah Muhammad Qureshi chairs the first US Pakistani Strategic Dialogue, being held in Washington tomorrow.

"Today, your country is suffering from terrorism and your security forces...

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Paul Koring
Washington — From Tuesday's Globe and Mail

Israeli Prime Minister Benjamin Netanyahu wasn't expecting an Oval Office tête-à-tête over dinner with Barack Obama today.

The U.S. President was supposed to be in Indonesia, the world's most populous Muslim nation and Mr. Obama's childhood home. But Mr. Obama scrapped the trip at the last minute to spend the weekend arm-twisting the last few votes needed to pass his health-care reforms.

With Israel-U.S. relations rocked by the diplomatic dust-up that marred Vice-President Joe Biden's visit to Israel this month, the hastily added White House stop after Mr. Netanyahu's long-scheduled speech to the American Israel Public Affairs Committee was an unexpected chance to mend fences.

"The President looks forward to having a good conversation with Prime Minister Netanyahu,'' said Mr. Obama's spokesman, Robert Gibbs. But the bruises are still fresh. "We'll see where we go from there,'' Mr. Gibbs added.

Mr. Netanyahu has already apologized for the timing - but not the substance - of the announcement during Mr. Biden's visit that Israel intends to build 1,600 dwellings for Israelis in east Jerusalem.

Asked if Mr. Obama expected a further apology from Mr. Netanyahu, the White House made it clear it did. "I have no doubt that that will be a topic in the meeting,'' Mr. Gibbs said.

Relations between Israel and its prime weapons supplier and most powerful ally have rarely been worse.

This will be the second time that Mr. Netanyahu gets the Dalai Lama treatment in Washington - meaning no cameras, no joint statement and none of the ceremonial trappings that usually accompany a White House visit.

Even before the brouhaha during Mr. Biden's visit, relations between the United States and Israeli leaders were chilly. Some right-wing Israeli politicians have suggested Mr. Obama is the least pro-Israel President in decades. Mr. Netanyahu's brother-in-law, Hagai Ben Artzi, made things worse last week by calling Mr. Obama "an anti-Semitic President.''

Mr. Netanyahu quickly rejected the comment, but it nonetheless illustrates the depth of the animosity between Israeli right-wingers and the U.S. President. Mr. Netanyahu, meanwhile, hasn't budged on the issue of building new homes for Jews on land regarded by Washington and the rest of the international community as occupied territory.

"As far as we are concerned, building in Jerusalem is the same as building in Tel Aviv," Mr. Netanyahu said before flying to Washington. Israel annexed east Jerusalem after seizing it in the 1967 Six-Day War.

Speaking to AIPAC yesterday, Secretary of State Hilary Clinton said: "New construction in east Jerusalem or the West Bank undermines mutual trust and endangers the proximity talks that are the first step toward the full negotiations that both sides want and need."

Israel's refusal to stop expanding settlements, she added, undermines Washington's role as mediator.

Their uneasy relationship notwithstanding, Mr. Netanyahu and Mr. Obama know they need to patch up their differences, even if prospects for an Israeli-Palestinian peace remain distant. Other, more pressing, matters demand their attention.

Mr. Obama is trying to drum up support for a new round of sanctions aimed at discouraging Iran from developing nuclear weapons, a prospect Mr. Netanyahu regards as an existential threat.

"The whole flap [over settlements] is a distraction from the most urgent task, which is to stop Iran from going nuclear,'' Daniel Senor, adjunct senior fellow for Middle Eastern studies at the Council on Foreign Relations said in a posted panel discussion. "The greatest danger - and opportunity - for peace hangs upon the confrontation between Iran and the West.''

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Paul Koring
Washington — From Tuesday's Globe and Mail

Israeli Prime Minister Benjamin Netanyahu wasn't expecting an Oval Office tête-à-tête over dinner with Barack Obama today.

The U.S. President was supposed to be in Indonesia, the world's most populous Muslim nation and Mr. Obama's childhood home. But Mr. Obama scrapped the trip at the last minute to spend the weekend arm-twisting the last few votes needed to pass his health-care reforms.

With Israel-U.S. relations rocked by the diplomatic dust-up that marred Vice-President Joe Biden's visit to Israel this month, the hastily added White House stop after Mr. Netanyahu's long-scheduled speech to the American Israel Public Affairs Committee was an unexpected chance to mend fences.

"The President looks forward to having a good conversation with Prime Minister Netanyahu,'' said Mr. Obama's spokesman, Robert Gibbs. But the bruises are still fresh. "We'll see where we go from there,'' Mr. Gibbs added.

Mr. Netanyahu has already apologized for the timing - but not the substance - of the announcement during Mr. Biden's visit that Israel intends to build 1,600 dwellings for Israelis in east Jerusalem.

Asked if Mr. Obama expected a further apology from Mr. Netanyahu, the White House made it clear it did. "I have no doubt that that will be a topic in the meeting,'' Mr. Gibbs said.

Relations between Israel and its prime weapons supplier and most powerful ally have rarely been worse.

This will be the second time that Mr. Netanyahu gets the Dalai Lama treatment in Washington - meaning no cameras, no joint statement and none of the ceremonial trappings that usually accompany a White House visit.

Even before the brouhaha during Mr. Biden's visit, relations between the United States and Israeli leaders were chilly. Some right-wing Israeli politicians have suggested Mr. Obama is the least pro-Israel President in decades. Mr. Netanyahu's brother-in-law, Hagai Ben Artzi, made things worse last week by calling Mr. Obama "an anti-Semitic President.''

Mr. Netanyahu quickly rejected the comment, but it nonetheless illustrates the depth of the animosity between Israeli right-wingers and the U.S. President. Mr. Netanyahu, meanwhile, hasn't budged on the issue of building new homes for Jews on land regarded by Washington and the rest of the international community as occupied territory.

"As far as we are concerned, building in Jerusalem is the same as building in Tel Aviv," Mr. Netanyahu said before flying to Washington. Israel annexed east Jerusalem after seizing it in the 1967 Six-Day War.

Speaking to AIPAC yesterday, Secretary of State Hilary Clinton said: "New construction in east Jerusalem or the West Bank undermines mutual trust and endangers the proximity talks that are the first step toward the full negotiations that both sides want and need."

Israel's refusal to stop expanding settlements, she added, undermines Washington's role as mediator.

Their uneasy relationship notwithstanding, Mr. Netanyahu and Mr. Obama know they need to patch up their differences, even if prospects for an Israeli-Palestinian peace remain distant. Other, more pressing, matters demand their attention.

Mr. Obama is trying to drum up support for a new round of sanctions aimed at discouraging Iran from developing nuclear weapons, a prospect Mr. Netanyahu regards as an existential threat.

"The whole flap [over settlements] is a distraction from the most urgent task, which is to stop Iran from going nuclear,'' Daniel Senor, adjunct senior fellow for Middle Eastern studies at the Council on Foreign Relations said in a posted panel discussion. "The greatest danger - and opportunity - for peace hangs upon the confrontation between Iran and the West.''

[Read More...]

Paul Koring
Washington — From Tuesday's Globe and Mail

Israeli Prime Minister Benjamin Netanyahu wasn't expecting an Oval Office tête-à-tête over dinner with Barack Obama today.

The U.S. President was supposed to be in Indonesia, the world's most populous Muslim nation and Mr. Obama's childhood home. But Mr. Obama scrapped the trip at the last minute to spend the weekend arm-twisting the last few votes needed to pass his health-care reforms.

With Israel-U.S. relations rocked by the diplomatic dust-up that marred Vice-President Joe Biden's visit to Israel this month, the hastily added White House stop after Mr. Netanyahu's long-scheduled speech to the American Israel Public Affairs Committee was an unexpected chance to mend fences.

"The President looks forward to having a good conversation with Prime Minister Netanyahu,'' said Mr. Obama's spokesman, Robert Gibbs. But the bruises are still fresh. "We'll see where we go from there,'' Mr. Gibbs added.

Mr. Netanyahu has already apologized for the timing - but not the substance - of the announcement during Mr. Biden's visit that Israel intends to build 1,600 dwellings for Israelis in east Jerusalem.

Asked if Mr. Obama expected a further apology from Mr. Netanyahu, the White House made it clear it did. "I have no doubt that that will be a topic in the meeting,'' Mr. Gibbs said.

Relations between Israel and its prime weapons supplier and most powerful ally have rarely been worse.

This will be the second time that Mr. Netanyahu gets the Dalai Lama treatment in Washington - meaning no cameras, no joint statement and none of the ceremonial trappings that usually accompany a White House visit.

Even before the brouhaha during Mr. Biden's visit, relations between the United States and Israeli leaders were chilly. Some right-wing Israeli politicians have suggested Mr. Obama is the least pro-Israel President in decades. Mr. Netanyahu's brother-in-law, Hagai Ben Artzi, made things worse last week by calling Mr. Obama "an anti-Semitic President.''

Mr. Netanyahu quickly rejected the comment, but it nonetheless illustrates the depth of the animosity between Israeli right-wingers and the U.S. President. Mr. Netanyahu, meanwhile, hasn't budged on the issue of building new homes for Jews on land regarded by Washington and the rest of the international community as occupied territory.

"As far as we are concerned, building in Jerusalem is the same as building in Tel Aviv," Mr. Netanyahu said before flying to Washington. Israel annexed east Jerusalem after seizing it in the 1967 Six-Day War.

Speaking to AIPAC yesterday, Secretary of State Hilary Clinton said: "New construction in east Jerusalem or the West Bank undermines mutual trust and endangers the proximity talks that are the first step toward the full negotiations that both sides want and need."

Israel's refusal to stop expanding settlements, she added, undermines Washington's role as mediator.

Their uneasy relationship notwithstanding, Mr. Netanyahu and Mr. Obama know they need to patch up their differences, even if prospects for an Israeli-Palestinian peace remain distant. Other, more pressing, matters demand their attention.

Mr. Obama is trying to drum up support for a new round of sanctions aimed at discouraging Iran from developing nuclear weapons, a prospect Mr. Netanyahu regards as an existential threat.

"The whole flap [over settlements] is a distraction from the most urgent task, which is to stop Iran from going nuclear,'' Daniel Senor, adjunct senior fellow for Middle Eastern studies at the Council on Foreign Relations said in a posted panel discussion. "The greatest danger - and opportunity - for peace hangs upon the confrontation between Iran and the West.''

[Read More...]

Paul Koring
Washington — From Tuesday's Globe and Mail

Israeli Prime Minister Benjamin Netanyahu wasn't expecting an Oval Office tête-à-tête over dinner with Barack Obama today.

The U.S. President was supposed to be in Indonesia, the world's most populous Muslim nation and Mr. Obama's childhood home. But Mr. Obama scrapped the trip at the last minute to spend the weekend arm-twisting the last few votes needed to pass his health-care reforms.

With Israel-U.S. relations rocked by the diplomatic dust-up that marred Vice-President Joe Biden's visit to Israel this month, the hastily added White House stop after Mr. Netanyahu's long-scheduled speech to the American Israel Public Affairs Committee was an unexpected chance to mend fences.

"The President looks forward to having a good conversation with Prime Minister Netanyahu,'' said Mr. Obama's spokesman, Robert Gibbs. But the bruises are still fresh. "We'll see where we go from there,'' Mr. Gibbs added.

Mr. Netanyahu has already apologized for the timing - but not the substance - of the announcement during Mr. Biden's visit that Israel intends to build 1,600 dwellings for Israelis in east Jerusalem.

Asked if Mr. Obama expected a further apology from Mr. Netanyahu, the White House made it clear it did. "I have no doubt that that will be a topic in the meeting,'' Mr. Gibbs said.

Relations between Israel and its prime weapons supplier and most powerful ally have rarely been worse.

This will be the second time that Mr. Netanyahu gets the Dalai Lama treatment in Washington - meaning no cameras, no joint statement and none of the ceremonial trappings that usually accompany a White House visit.

Even before the brouhaha during Mr. Biden's visit, relations between the United States and Israeli leaders were chilly. Some right-wing Israeli politicians have suggested Mr. Obama is the least pro-Israel President in decades. Mr. Netanyahu's brother-in-law, Hagai Ben Artzi, made things worse last week by calling Mr. Obama "an anti-Semitic President.''

Mr. Netanyahu quickly rejected the comment, but it nonetheless illustrates the depth of the animosity between Israeli right-wingers and the U.S. President. Mr. Netanyahu, meanwhile, hasn't budged on the issue of building new homes for Jews on land regarded by Washington and the rest of the international community as occupied territory.

"As far as we are concerned, building in Jerusalem is the same as building in Tel Aviv," Mr. Netanyahu said before flying to Washington. Israel annexed east Jerusalem after seizing it in the 1967 Six-Day War.

Speaking to AIPAC yesterday, Secretary of State Hilary Clinton said: "New construction in east Jerusalem or the West Bank undermines mutual trust and endangers the proximity talks that are the first step toward the full negotiations that both sides want and need."

Israel's refusal to stop expanding settlements, she added, undermines Washington's role as mediator.

Their uneasy relationship notwithstanding, Mr. Netanyahu and Mr. Obama know they need to patch up their differences, even if prospects for an Israeli-Palestinian peace remain distant. Other, more pressing, matters demand their attention.

Mr. Obama is trying to drum up support for a new round of sanctions aimed at discouraging Iran from developing nuclear weapons, a prospect Mr. Netanyahu regards as an existential threat.

"The whole flap [over settlements] is a distraction from the most urgent task, which is to stop Iran from going nuclear,'' Daniel Senor, adjunct senior fellow for Middle Eastern studies at the Council on Foreign Relations said in a posted panel discussion. "The greatest danger - and opportunity - for peace hangs upon the confrontation between Iran and the West.''

[Read More...]

WASHINGTON -- President Barack Obama brings the curtain down on a year-long drama Tuesday when he signs into law a landmark health care reform bill that had been seen as dead just two months ago. Now, he must sell the bill's merits to a wary American public.

House and Senate Democrats who backed the bill as well as ordinary Americans whose health care struggles have touched Obama were expected to join him for the ceremony in the White House East Room. Afterward, Obama and much of that audience were heading to the Interior Department for an even larger celebration.

Then the next act begins Thursday when Obama visits Iowa City, Iowa -- he announced his health care plan there as a presidential candidate in May 2007 -- to talk about how it will help lower health care costs for small businesses and families as he continues the job of selling the overhaul to a public that is deeply divided over the plan.

Republicans united in opposition pledged to repeal Obama's redesign of the health care system, which they criticized as a costly government takeover impacting one-sixth of the U.S. economy.

Democrats argue that they have delivered on Obama's campaign pledge for change, revamping a system in which the spiraling costs have put health care and insurance out of the reach of many Americans.

After a rancorous debate, the House voted 219-212 late Sunday to send the 10-year, $938 billion bill to Obama. Not one Republican voted for the bill. Some moderate Democrats also voted against it.

The measure, which the Senate passed in December, eventually will extend coverage to 32 million uninsured Americans, reduce federal budget deficits and ban such insurance company practices as denying coverage to people with existing medical problems.

A companion measure sought by House Democrats to make a series of changes to the main bill was approved 220-211. It goes to the Senate, where debate could begin as early as Tuesday. Majority Leader Harry Reid says he has the votes to pass it -- though only under special budget rules requiring just 50 votes.

Republicans plan to offer scores of amendments to slow or change the companion measure, which Democrats hope to approve as written and send directly to Obama for his signature.

Even so, the health care debate will likely continue for months as both parties try to use it to motivate their backers to turn out in huge numbers in the November congressional elections. Republicans hope the polarizing issue will help them retake Congress from the Democrats.

Republicans will accuse Democrats of steamrolling into law a plan they say lacks public support and will lead to high taxes and government meddling in personal health decisions. They have already begun a campaign to repeal it, though that will be largely symbolic because it would require a two-thirds Republican majority in the House and Senate to overcome an Obama veto.

Republican-leaning states are already lining up to sue the federal government over the constitutionality of the health care overhaul legislation. Officials in at least 10 states have agreed to file a lawsuit challenging it on grounds it violates state sovereignty by mandating that all Americans have some form of health insurance. Experts say the effort will likely fail because the Constitution states that federal law supersedes state laws, but it will keep the issue, and the outrage, alive until Election Day.

Obama's year-long campaign to overhaul health care seemed at a dead end in January, when a Republican won a special election to fill the late Edward Kennedy's Massachusetts Senate seat, and with it, enough votes to prevent the bill from coming to a final vote in the Senate. But the Democrats regrouped, and relentless prodding by House Speaker Nancy Pelosi persuaded enough House members to pass it with a procedure that did not require a 60-vote supermajority in the Senate.

The bill, passed by the House of Representatives on Sunday night, will bring near-universal coverage to a wealthy country in which tens of millions of people are uninsured.

The measure represents the biggest expansion of the U.S. federal government's social safety net since the 1960s, when President Lyndon B. Johnson enacted the Medicare and Medicaid government-funded health care coverage programs for the elderly and poor.

Although the bill does not provide universal health care, it should expand coverage to about 95 percent of eligible Americans, compared with 83 percent today.

Obama has pushed health care as his top priority since taking office in January 2009. Failure would have weakened him and endangered other issues on the president's ambitious domestic agenda, including immigration reform and climate change legislation.

Within six months of enactment of the bill -- or by the end of September -- consumers should notice some changes. Among them, insurers would be required to keep young adults as beneficiaries on their parents' health plans until they turn 26, and companies would no longer be allowed to deny coverage to sick children.

A new high-risk pool would offer coverage to uninsured people with medical problems until 2014, when the coverage expansion goes into high gear. The companion bill includes an election-year rebate of $250 later this year for seniors facing high costs for prescription drugs.

By 2014, most Americans will for the first time be required to carry insurance -- either through an employer, a government program or by buying it for themselves. Those who refuse will face penalties from the Internal Revenue Service.

Tax credits to help pay for premiums also will start flowing to middle-class working families with incomes up to $88,000 a year, and the state-federal Medicaid program will be expanded to cover more low-income people.

A majority of working-age Americans and their families will still have employer-sponsored coverage. But the number of uninsured will drop by more than half. Illegal immigrants would account for more than one-third of the remaining 23 million people without coverage.

Polls show the public is split over the bill, so Obama will stick with the sales job for the foreseeable future with an eye toward helping those Democrats who cast risky votes for his plan and who are facing tough re-election battles in the November elections.

[Read More...]

LARA MARLOWE in Washington

PRESIDENT BARACK Obama has succeeded where all Democratic presidents of the past century failed, by seeing through the passage of legislation on Sunday night that will provide near-universal healthcare for Americans.

For the first time in American history, Congress has established, in the words of House Speaker Nancy Pelosi in the closing minutes of Sunday night’s debate, that healthcare is “a right, not a privilege”.

The historic, 219-to-212 vote took place between 10.30pm and 10.49pm in the House of Representatives, and was won by only three votes more than the 216 required for passage.

Thirty-four Democrats voted No with the Republicans. An electronic board, with Yes in green and No in red, tallied the vote.

When the figure 215 flashed up, Democrats began chanting, “One more vote. One more vote.” When the number 216 appeared, Democrats broke into wild applause and cheered, “Yes we can! Yes we can!” There was stony silence on the Republican benches.

The victory, after more than a year of bitter public debate, has restored lapsed energy and optimism to the Obama presidency.

“This is what change looks like,” Mr Obama said in the speech he delivered from the East Room of the White House just before midnight. “We proved that we are still a people capable of doing big things and tackling our biggest challenges.”

The vote will also burnish Mr Obama’s image abroad. “The US is the only advanced industrial nation that does not provide or guarantee healthcare coverage for virtually all of its citizens,” the New York Times noted. “It is a moral obligation to end this indefensible neglect of hard-working Americans.”

Failure to pass the Bill would have crippled Mr Obama’s presidency, commentators said. Just two months ago, when Democrats lost their filibuster-proof majority of 60 in the Senate, healthcare reform had appeared moribund.

Mr Obama gambled his political future, saying he was determined to pass healthcare, even if it cost him a second term as president. He threw himself into lobbying Democratic representatives and explaining the Bill to the US public. The Bill was resurrected, with Mr Obama and Ms Pelosi shepherding it to Sunday night’s skin-of-the-teeth victory.

In the closing words of his late-night speech, Mr Obama said Sunday’s vote represented “another stone firmly laid in the foundation of the American Dream”. Though he used the pronoun “we”, his words rang equally true when one substituted “I”.

“Tonight,” Mr Obama said, “We answered the call of history as so many generations of Americans have before us. When faced with crisis, we did not shrink from our challenge – we overcame it. We did not avoid our responsibility – we embraced it. We did not fear our future – we shaped it.”

Henceforward, Mr Obama said, “In this country, neither illness nor accident should endanger the dreams have worked a lifetime to achieve.”

He joined Ms Pelosi in portraying the vote not as a partisan victory, but as “a victory for the American people . . . a victory for common sense”.

The main casualty of the healthcare debate has been Mr Obama’s promise of a sort of “post-partisan” political Shangri-la. The healthcare Bill is the first piece of major social legislation in US history to have been passed without a single Republican vote.

But for most Americans, Mr Obama said, “This vote has never been about . . . the fight between right and left.” It was about not opening envelopes to see premiums have shot up, about stopping the despair of parents who could not insure chronically ill children, about small business owners who could not afford to insure their employees.

But the “fight between right and left” continued until the moment of the Bill’s passage, and is certain to reverberate through months to come. Late on Sunday evening, the House minority leader John Boehner told Democrats they were a “disgrace”. Republicans gave Boehner a standing ovation when he shouted at Democrats: “Shame on each and every one of you!”

Several thousand opponents of the Bill, many of them sympathisers of the Tea Party movement, crowded around the Capitol building, which at times they seemed on the verge of storming. Republican leaders made common cause with the protesters, going out onto the balcony to egg them on, and cheering two hecklers who shouted from the public gallery as they were removed by police.

Ms Pelosi had walked from her office under police protection, carrying the large gavel that was used to pass the Medicare (insurance for the elderly) Bill in 1965. “You communists! You socialists! You hate America!” demonstrators shouted at her and other Democratic leaders.

Throughout the afternoon and evening, the protesters sounded bells and horns. They sang, “We shall overcome” and harangued lawmakers through tannoys. “Nancy Pelosi, you will burn in hell for this,” a woman shouted. As representative Barney Frank noted, “There is an anger obviously that goes beyond anything connected to the Bill.” After representative Bart Stupak and his conservative Democrat allies announced they had been persuaded to vote for the Bill by Mr Obama’s promise of an executive order reiterating restrictions on federal funds being used for abortion, a Republican jeered: “Baby killer”.

In her emotional speech preceding the vote, Ms Pelosi paid tribute to Ted Kennedy. His son Patrick was the first to embrace her when the Bill was pronounced passed. By way of celebration, Ms Pelosi began autographing copies of the 2,400-page text, which Mr Obama will sign into law today.

[Read More...]

By ERICA WERNER, Associated Press Writer Erica Werner, Associated Press Writer

WASHINGTON – President Barack Obama is preparing to sign a transformative health care bill ushering in near-universal medical coverage for the first time in the nation's history — and then hit the road to sell it to a reluctant public.

Obama will travel to Iowa City, Iowa on Thursday, the White House said, as he now turns to seeing a companion bill through the Senate and selling the health care overhaul's benefits on behalf of House members who cast risky votes. It is most likely that he will sign the bill on Tuesday, but plans are not yet final, said a senior administration official, who spoke on condition of anonymity to discuss an as-yet-unannounced strategy.

House Democrats voted 219-212 late Sunday to send the landmark legislation to Obama. The 10-year, $938 billion bill would extend coverage to 32 million uninsured Americans, reduce deficits and ban insurance company practices such as charging more to women and denying coverage to people with pre-existing medical conditions.

"This is what change looks like," Obama said later in televised remarks that stirred memories of his 2008 campaign promise of "change we can believe in."

"We proved that this government — a government of the people and by the people — still works for the people."

Obama's young presidency received a much needed boost from passage of the legislation, which would touch the lives of nearly every American. The battle for the future of the health insurance system — affecting one-sixth of the economy — galvanized Republicans and conservative activists looking ahead to November's midterm elections.

A companion package making a series of changes sought by House Democrats to the larger bill, which already passed the Senate, was approved 220-211. The fix-it bill will now go to the Senate, where debate is expected to begin as early as Tuesday. Senate Democrats hope to approve it unchanged and send it directly to Obama, though Republicans intend to attempt parliamentary objections that could change the bill and require it to go back to the House.

Sen. John McCain said Monday morning that Democrats have not heard the last of the health care debate, and said he was repulsed by "all this euphoria going on."

Appearing on ABC's "Good Morning America," McCain, who was Obama's GOP rival in the 2008 presidential campaign, said that "outside the Beltway, the American people are very angry. They don't like it, and we're going to repeal this."

The complicated two-step approval process for the legislation was made necessary because Senate Democrats lost their filibuster-proof supermajority in a special election in January, a setback that caused even some Democratic lawmakers to pronounce the yearlong health care effort dead. Under the relentless prodding of House Speaker Nancy Pelosi, in particular, it was gradually revived, and the fix-it bill will be considered under fast-track Senate rules that don't allow minority party filibusters.

"We will be joining those who established Social Security, Medicare and now, tonight, health care for all Americans," said a jubilant Pelosi, D-Calif., partner to Obama and Senate Majority Leader Harry Reid in the grueling campaign to pass the legislation.

"This is the civil rights act of the 21st century," added Rep. Jim Clyburn of South Carolina, the top-ranking black member of the House.

GOP lawmakers attacked the legislation as everything from a government takeover to the beginning of totalitarianism, and none voted in favor. "Hell no!" Minority Leader John Boehner, R-Ohio, shouted in a fiery speech. "We have failed to listen to America and we have failed to reflect the will of our constituents."

Thirty-four Democrats also voted "no" on the Senate-passed bill.

Sunday night's votes capped an unpredictable and raucous weekend at the capitol, with Democratic leaders negotiating around the clock for the final votes as hundreds of protesters paraded outside, their shouts of "Kill the Bill! Kill the Bill!" audible within the Capitol.

A last-minute deal with a critical group of anti-abortion lawmakers Sunday afternoon sealed Democrats' victory. The leader of the anti-abortion bloc, Rep. Bart Stupak, D-Mich., didn't get to add stricter anti-abortion language to the underlying bill, but was satisfied by an executive order signed by Obama affirming current law and provisions in the legislation that ban federal funding for abortions except in cases of rape, incest or danger to the life of the mother.

Republican abortion foes said Obama's proposed order was insufficient, and when Stupak sought to counter them, a shout of "baby killer" was heard coming from the Republican side of the chamber.

Far beyond the political ramifications — a concern the president repeatedly insisted he paid no mind — were the sweeping changes the bill held in store for Americans, insured or not, as well as the insurance industry and health care providers.

The nonpartisan Congressional Budget Office said the legislation awaiting the president's approval would cut deficits by an estimated $143 billion over a decade. For the first time, 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 second measure, which House Democrats demanded before agreeing to approve the first, included enough money to close a gap in the Medicare prescription drug coverage over the next decade, starting with an election-season rebate of $250 later this year for seniors facing high costs.

It also included sweeping changes in the student loan program, an administration priority that has been stalled in the Senate for months.

For the president, the events capped an 18-day stretch in which he traveled to four states and lobbied more than 60 wavering lawmakers in person or by phone to secure passage of his signature domestic issue. He also postponed an overseas trip to remain in Washington and push for the bill.

Obama watched the vote in the White House's Roosevelt Room with Vice President Joe Biden and dozens of aides, exchanged high fives with Rahm Emanuel, his chief of staff, and then telephoned Pelosi with congratulations.

___

On the Net: http://www.whitehouse.gov

___

Associated Press Writers Jennifer Loven, David Espo, Jim Kuhnhenn, Ben Feller and Natasha Metzler contributed to this report.

[Read More...]

By KAREN TUMULTY

WASHINGTON - Having staked the success of his presidency on the longstanding Democratic dream of universal health care, President Obama finally achieved victory on Sunday night, bringing an end to a yearlong partisan struggle. "This legislation will not fix everything that ails our health care system, but it moves us decisively in the right direction," Obama said shortly after the historic vote. "This is what change looks like." With Democrats chanting the signature line of the Obama presidential campaign - "Yes we can!" - the House voted 219-212 to send a sweeping overhaul of the nation's health care system to be signed into law. "We tonight will make history for our country and progress for the American people," Speaker Nancy Pelosi declared shortly before the vote. "Today we have the opportunity to complete the great unfinished business of our country."

The Democrats passed the bill without a single Republican vote - and with the knowledge that it may well have ended the political careers of some who voted for it at a time when the public remains deeply divided over the entire endeavor. "If we pass this bill, there will be no turning back," warned minority leader John Boehner. "It will be the last straw for the American people." (See 10 health care reform ads.)

Suspense about the outcome continued until the final hours of the debate. Passage appeared to be assured only after Michigan Congressman Bart Stupak announced in the late afternoon that he and a group of antiabortion Democrats, who had pushed for more restrictive language in the original House bill, had been satisfied that the Senate version would not allow the use of federal funds to pay for the procedure. That only came after President Obama promised to sign an executive order reaffirming that the bill would maintain a "consistency with longstanding restrictions on the use of federal funds for abortion." In reality, that executive order was more a symbolic move than an actual concession; the bill's supporters have insisted all along that it does nothing to change the current federal policy, known as the Hyde Amendment, which has been in effect since 1976.

The second bill passed by the House late Sunday will make adjustments to the legislation, such as lowering the impact of an excise tax on high-value insurance plans and stripping out some sweetheart deals like the now infamous cornhusker kickback, using a process known as budget reconciliation. Such changes would be filibuster-proof in the Senate, though that process could still drag on a while if Republicans choose to draw it out with objections and amendments. Even so, it will be an anticlimax to Sunday's historic House vote, which will send the underlying Senate bill to President Obama's desk for signature. (Watch TIME's video "Uninsured Again.")

As the House debated throughout the day, hundreds of protesters from the Tea Party movement rallied on the Capitol lawn, chanting, "Kill the bill." It was a dead-serious message, but on a glorious spring day, when cherry blossoms were just beginning to appear on the trees, the atmosphere felt more like a carnival - especially compared to the day before, when some protesters had hurled racial epithets at a few African-American members of the House. The crowd was stoked by regular appearances that lawmakers made on a balcony overlooking the protesters. "It's interesting how many faces they recognize," said Republican Congressman Steve King of Iowa. Republicans flashed handwritten signs with the word No on them, sending the crowd into rapture.

Democrats also got into the act. Sheila Jackson-Lee, a liberal Democrat from Texas, said she went down among the protesters saying, "God bless America. We're glad you're here." She also flashed two fingers in a mischievous V for victory. The response? "Someone flipped a third finger," she said.

On the other end of Pennsylvania Avenue, the President and his team were waiting and working the phones to make sure the final votes were nailed down. There was also the distraction of March Madness to pass the hours. One aide said of Obama: "He's in the West Wing, getting updates, dropping in on staff, and like the rest of America, examining the rubble of his bracket." At one point during the afternoon, the Commander in Chief ordered his health care czar, Nancy-Ann DeParle, to take a break and go out for a run.

With passage of the legislation, Obama has achieved the signature domestic goal of his presidency, and the most sweeping piece of social legislation since the 1960s Great Society initiatives that saw the passage of Medicare and Medicaid. Universal coverage is a goal that has eluded Presidents going at least as far back as Teddy Roosevelt, and Obama's bill comes as close to that target as anyone has. The bill would provide health coverage to an estimated 32 million additional Americans, meaning 95% of those who are legally in this country would have health insurance, up from 83% today.

The bill also promises to rein in health costs by reorienting the practice of medicine, making it more efficient, with health care providers rewarded on how well they treat their patients, rather than how much care they give them. Whether it actually achieves that latter ambition, however, is far more uncertain. (See more about health care.)

In the early years, most Americans will see only minor changes in the health care system. It will almost immediately end some insurance-company practices, such as denying coverage to children with pre-existing conditions. And dependent children under the age of 26 would be allowed to remain on their parents' policies if they cannot get health insurance elsewhere. Adults with pre-existing conditions would also be able to buy coverage through expanded high-risk pools.

Beginning in 2014, more far-reaching measures will begin to take effect. States would be required to set up new "exchanges," or insurance marketplaces, that would offer a variety of health care plans for small businesses and individuals who do not get coverage from their employers. Government subsidies would be available to those earning up to 400% of poverty. Employers with 50 or more workers who do not offer coverage would be fined, and for the first time, most people would be required to obtain health coverage - either at work, or by purchasing it on their own - or pay a penalty.

All of this would be paid for in two ways: By reducing spending on Medicare by hundreds of billions, and by imposing a set of new taxes, including a 40% levy on certain high-priced insurance policies.

But while the bill is headed toward becoming law, the fighting over it isn't going away anytime soon. Republicans have already issued notice that they plan to campaign in this fall's midterm elections on a pledge to repeal it. There will be constitutional challenges. And in dozens of states, legislatures are considering measures that would attempt to exempt their citizens from some of its provisions, including the requirement that individuals purchase insurance.

[Read More...]

(STRONGSVILLE, Ohio) — With a fresh sense of urgency, President Barack Obama sought to reassure seniors Monday about health care legislation approaching a final vote in Congress, pledging it would make preventive care cost-free and close a gap in Medicare prescription drug coverage. "This proposal adds almost a decade of solvency to Medicare," Obama said in a visit to a senior center.

Obama's trip to Ohio marked his third out-of-town foray as he tries to build support for long-stalled legislation to remake the health care system. Administration officials have predicted the legislation will clear the House by the end of the week, but Democratic leaders had not yet released the measure as the president's helicopter lifted off from the White House grounds. (See how to prevent illness at any age.)

Even so, the House Budget Committee arranged a mid-afternoon meeting to begin a series of events expected to culminate in a House vote within days.

Guests aboard Air Force One included Democratic Rep. Dennis Kucinich, the local congressman, who voted against the administration-backed health care bill that cleared the House late last year.

There was no word on whether Obama lobbied for his vote en route to Ohio. But shortly after the president began his public remarks, someone in the crowd yelled, "Vote yes," to Kucinich.

"Did you hear that, Dennis?" the president said with a smile. "Go ahead, say that again," he encouraged the voice in the audience.

"Vote yes!" came back the reply.

Obama asked Congress more than a year ago to approve legislation that extends health coverage to tens of millions who lack it, curb industry practices such as denying coverage on the basis of pre-existing medical conditions, and begin to slow the growth of health care nationally.

Legislation seemed to be on the cusp of passage in January, after both houses approved bills and lawmakers began working out a final compromise. But those efforts were sidetracked when Republicans won a special election in Massachusetts, and with it, the ability to block a vote on a final bill in the Senate.

Now, nearly two months later, lawmakers have embarked on a two-step approach that begins with the House approving the Senate-passed measure, despite misgivings on key provisions. That would be followed by both houses quickly passing a second bill that makes numerous changes to the first.

The House Budget Committee took the first step Monday, voting 21-16 for fast-track rules. Two Democrats broke with the party on the largely party-line vote — Allen Boyd of Florida and Chet Edwards of Texas. Both voted against the health care bill last year.

In the Senate, that second bill would come to a vote under rules that deny Republicans the ability to filibuster.

"We need courage," Obama said, adopting a line from an audience member that was directed at skittish Democrats.

A close vote is expected in the House, where a senior lawmaker said the leadership does not yet have enough support to pass the measure. Rep. James Clyburn, D-S.C., the party's whip, also said he was confident the bill would ultimately pass, and later identified four lawmakers who voted against the legislation once but could switch sides in the coming days.

Republicans, determined to kill the bill, immediately highlighted the four — Reps. Jason Altmire of Pennsylvania, Brian Baird of Washington state, John Boccieri of Ohio and Bart Gordon of Tennessee, while also noting Obama's earlier statement that elections will sort out political winners and losers. It was a none-too-subtle warning that any supporters of the bill can expect a tough challenge in the fall.

Baird and Gordon have announced plans to retire. (See the top 10 medical breakthroughs of 2009.)

There was evidence the White House and Democratic leadership were making headway in their lobbying. Rep. James Oberstar, D-Minn., who supported strict abortion limits when the bill cleared the first time, said he was prepared to vote for the revised measure even though the same limitations will not be included.

And at least one Republican said it was unlikely the GOP could stop the legislation.

"I'm less confident we can now that it's just down to flipping a few Democrats. They'd have to be remarkable people not to fall under the kind of pressure they'll be under," Sen. Jim DeMint told reporters in South Carolina.

Obama traveled to the hometown of Natoma Canfield, a cancer victim who wrote the president that she gave up her health insurance after the cost rose to $8,500 a year. Obama repeatedly has cited that letter from a self-employed cleaning worker who lives in the Cleveland suburb to illustrate the urgency of the massive overhaul.

Canfield's sister, Connie Anderson, introduced Obama at that event. She received a hug from the president at the conclusion of her remarks.

"I know we've got some seniors with us today," said the president, his jacket off and shirt sleeves rolled up. "So let me just tell you directly: this proposal adds almost a decade of solvency to Medicare."

He said it also would close a gap in prescription drug coverage know as a doughnut hole. "This proposal will over time help reduce the costs of Medicare that you pay every month. And this proposal would make preventive care free so you don't have to pay out-of-pocket for tests that keep you healthy."

Obama did not discuss details, but officials have said the gap in prescription drug coverage would close over a decade.

Protesters arrived hours early, lining several blocks leading to the senior center. They stood in a light drizzle, waved to passing vehicles and held signs including "Don't stick me with your Obamacare," "Start over," and one decorated with 12 skull and crossbones and the message, "Obama care, it's to die for."

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Associated Press writer Thomas J. Sheeran in Strongsville, Ohio, and Seanna Adcox in Columbia, S.C., contributed to this report.

Read more: http://www.time.com/time/politics/article/0,8599,1972309,00.html?xid=feed-yahoo-full-nation-related#ixzz0ivV4YKDG

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