
Trying to sell a historic health bill to a balky caucus, House Speaker Nancy Pelosi told POLITICO in an interview that she wants to soften a proposed surcharge on the wealthy so that it applies only to families that make $1 million or more.
The change could help mollify the conservative Democrats who expect to have a tough time selling the package back home. Their support is the single biggest key to meeting the speaker’s goal of having health care reform pass the House by the August recess.
The bill now moving through the House would raise taxes for individuals with annual adjusted gross incomes of $280,000, or families that make $350,000 or more.
“I’d like it to go higher than it is,” Pelosi said Friday.
The speaker would like the trigger raised to $500,000 for individuals and $1 million for families, “so it’s a millionaire’s tax,” she said. “When someone hears, ‘2,’ they think, ‘Oh, I could be there,’ because they don’t know the $280,000 is for one person.
“It sounds like you’re in the neighborhood. So I just want to remove all doubt. You hear ‘$500,000 a year,’ you think, ‘My God, that’s not me.’”
Pelosi also told POLITICO she will push to “drain” more savings from the medical industry — hospitals, pharmaceutical companies and health insurers — than they have given up under current health-reform agreements with the Senate and White House.
Asked whether she believes the industry players will wind up contributing more to the package, Pelosi replied: “I don’t know. I know they can, to the extent that the special interests are willing to cooperate. ... They could do much better. ... Frankly, I think all the money [to pay for health reform] could be drained from the system, if they were willing to do that.”
The speaker said she will try to wring more concessions, setting up a potential battle with health care players who torpedoed President Bill Clinton’s health-reform efforts but have been eager participants in the negotiations this time around.
Pelosi said she is open to other changes — that she is taking an “agnostic” approach to getting a bill, rather than working from a “theology” of reform: “You have to just judge it for: Does it lower costs, improve quality?”
Pelosi now faces more pressure than she ever has in her career — obligated to repeatedly deliver tough votes for an ambitious and popular president, but anxious to minimize the midterm election losses that traditionally befall the party holding the White House.
The speaker professed bemusement at the persistent question she gets about whether it was better to be speaker with a Republican president or a Democratic president.
“Oh, please!” she replied. “Why do people ask that question? Do you have any idea? Like night and day. When people ask it, I think: Would you think that it would be easier to have a Republican president who doesn’t share your values? No, no, no.
“Nothing is easy. It’s challenging to get the job done and live up to the expectations and the hopes of the American people, as the president has taken them all to a new height. ... But ... it’s like having a 1,000-ton anvil lifted off your shoulders.
“People would ask, ‘Now, you’re not going to be the No. 1.’ And I say, ‘This is what I’ve hoped, prayed, dreamed and worked for.’ And it absolutely goes beyond my expectations of what it could be.”