Officials push for health care despite delay

President Obama’s overhaul of the nation’s health system is unlikely to be completed by the White House’s August deadline, lawmakers said Sunday as Congress turns its attention to other priorities.

Democrats and Republicans alike said the administration’s sweeping health care proposals are moving forward on Capitol Hill but cautioned against rushing into a spending plan that could costs trillions of dollars over the next decade. Mr. Obama’s secretary of health and human services said she remains optimistic Congress would send the White House legislation before the year ends.

“I think everything is on the table and discussions are under way,” HHS Secretary Kathleen Sebelius said.

But the White House’s strategy to leave the legislative back-and-forth to Congress has produced varying and sometimes contradictory versions of health care legislation, along with delays. As the Senate turns its attention to Supreme Court nominee Sonia Sotomayor’s confirmation hearings, the focus will turn away from Mr. Obama’s top domestic priority.

The administration’s Democratic partners in Congress hinted they would not deliver legislation before leaving town for an August recess. Sen. Debbie Stabenow, Michigan Democrat, said Mr. Obama should be pleased with lawmakers’ progress; Sen. Kent Conrad, North Dakota Democrat, said, “There really is plenty of time.”

And Sen. Charles E. Schumer, New York Democrat, insisted that lawmakers would have the overhaul in place before leaving town in August. He does not, however, expect Mr. Obama to sign it before lawmakers return to their home states.

The delay would be a blow to the White House and to Democrats’ electoral prospects.

The House and Senate are working toward legislation that would deliver on Mr. Obama’s popular goals from his presidential campaign, but they are hardly in unison. House Democrats have proposed raising taxes on wealthy Americans to pay for the plan. Democratic leaders, meanwhile, have tried to calm moderate and conservative lawmakers about a proposal that could make their re-election bids more difficult.

Republicans, seizing on an issue that affects all Americans and has shown a glimmer for hope for an out-of-power political party, have lambasted the proposals as rash and irresponsible. They also see the issue as a way to win House and Senate seats in the 2010 midterm elections.

“I think the bigger issue here is why are we going to increase spending and health care by $1 trillion, $2 trillion, $3 trillion,” said Sen. Judd Gregg, New Hampshire Republican, “most of which we can’t afford. Add that to the debt, or add it to the tax burden of the American people. Why don’t we approach this horse from the other end?”

Mr. Gregg and other GOP leaders have painted the Democrats’ plan as a government takeover of health care delivery systems that leads to rationing of treatment and backlogs at doctors’ offices. More broadly, Republicans have tied the plan to out-of-control spending and a bloated federal government.

“There is no chance that it’s going to be done by August,” Sen. Jon Kyl, Arizona Republican, said. “President Obama was right about one thing: He said if it’s not done quickly, it won’t be done at all. Why did he say that? Because the longer it hangs out there, the more the American people are skeptical, anxious and even in opposition to it.”

Even lawmakers absent from the Sunday-morning news shows found a way to weigh in on the debate. Through his microblogging feed, Sen. Charles E. Grassley, Iowa Republican and the the top GOP member of the Finance Committee, offered up a Twitter message to the Democrat who runs tax policy in the House, Rep. Charles B. Rangel, New York Democrat.

“Chr Rangel wealthy 1pc make 27pc of total income pay 40pc of income tax U hv 5pc health care surTax How hi taxes go to satisfy u?Let’s talk,” Mr. Grassley wrote in the abbreviated blast.

Mrs. Sebelius tried to calm jittery voters who fear that Democrats plan to tax some employer-provided health care benefits as income. She said the details are far from complete.

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