Health care reform negotiations have put a chill into the once-cozy relationship between key medical industry stakeholders and some Republicans on Capitol Hill.
GOPers are complaining that those industries that could be hardest hit by Democrats reform proposals have not done enough to engage well-funded arsenals because they are desperate to stay at the table while a health care package is being crafted.
Hospitals, pharmaceutical companies, insurers and doctors are not taking an aggressive enough approach against Democrats plans, some Republicans and even fellow business lobbyists say.
Getting into bed with the Democrats now isnt going to change their mind in the morning, said one Senate GOP leadership aide. Their longtime policy goals are more in line with Republicans, so it seems they are being very short-sighted.
Another Senate GOP leadership aide said that some segments of the business community have been slow to wake up to the economic realities of the Democrats proposals. Its as if at first they thought they were guests at the dinner party only to arrive and find themselves on the menu, this aide said. The House bill brought to light just how bad this legislation would be to the economy and their bottom lines.
A senior House GOP aide griped that insurers and other key industry stakeholders have been missing in action when it comes to defending their own industry.
Capitol Hill and lobbying sources said health care industry groups have been successfully silenced so far by Democrats, especially Senate Finance Chairman Max Baucus (Mont.), but they also predict that the groups will step up their messaging against reform bills in the House and one reported out of the Senate Health, Education, Labor and Pensions Committee.
The major stakeholders have been, more or less, bought off so they can stay engaged in the process, one Republican health lobbyist said. The second thing, they do honestly support certain reforms. I dont think they want to kill it.
One health care consultant said Members expected to see a realignment with business interests that focused more on the party currently in power.
I think people on and off the Hill understood that this was inevitable, this consultant said. What they underestimated was the degree to which probably the Finance Committee, in particular, was able to coerce silence from stakeholders.
This strategy of keeping stakeholders publicly quiet while maintaining a dialogue for ongoing negotiations privately has become the new model for Congressional/downtown relations. The role of the stakeholder has really changed, this consultant added.
From the Republican side, this consultant said, theres a certain amount of irritation about, Why would we defend you when you wont defend yourself?
Not so, one in-house health care lobbyist says.
No ones in bed with the Democrats, the lobbyist said. People are engaging with the majority like anybody would.
This lobbyist noted that Republicans such as Finance ranking member Chuck Grassley (Iowa) and HELP ranking member Mike Enzi (Wyo.) are as important as most Democrats.
Where I think there have been some strains is where some Republicans very much want to kill health care reform, and I dont think theres an interest at the industry level to kill health care reform at this point.