The multimillion-dollar deals cut with Sen. Ben Nelson (D-Neb.) and others to win the 60 votes needed for the historic health care reform bill gave President Barack Obama the margin he needed to fulfill a central campaign promise — but may also have upped the ante for future presidential horse trading.
With the bill hanging in the balance, Nelson won a provision exempting his state from paying the usual share of costs for new Medicaid patients. The deal critics have dubbed the Cornhusker Kickback is expected to cost the federal government $100 million over 10 years.
Before a close vote last month, Sen. Mary Landrieu (D-La.) won an even larger break for her state — an estimated $300 million in extra federal spending, in a move opponents derided as the Louisiana Purchase.
Some critics branded the special deals as functionally equivalent to the kind of earmarks Obama crusaded against as a senator — and a quantum leap from eleventh-hour deals Obama’s predecessors have cut.
After Nelson and Landrieu, what will key congressional swing votes want from future White Houses?
“It’s a much bigger deal, a much larger piece of legislation than half-a-million dollars for a peanut museum in North Carolina,” said Thomas Schatz of Citizens Against Government Waste. “We’re now talking about programs worth hundreds of millions or billions of dollars. ... Sooner or later, other members are going to be saying: Why didn’t I think of this?” - Politico Story
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