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'Seniors' Concerns Loom in Votes on Reform'

Seniors' Concerns Loom In Votes On Reform

Ronald Brownstein
Thursday, March 11, 2010 4:00 PM

Demographic trends could compound the political challenges Democrats face in their struggle to assemble a majority for health care reform in the House of Representatives. As the following tables show, about two-thirds of the roughly 100 Democratic House members who are not considered firm supporters of the legislation represent districts where senior citizens represent a larger share of the population than they do nationally (12.6 percent); in polls many seniors have expressed concern that the reform package will hurt Medicare.

On the other hand, only about 40 of the target Democrats represent districts where the share of residents without health insurance exceeds the national average of 15 percent. These figures on access to insurance are drawn from the Census Bureau's 2008 American Community Survey, which produced a slightly different overall rate of insurance coverage for the nation than the bureau's annual report on health insurance. That report uses another survey (the Annual Social and Economic Supplement to the Current Population Survey) to calculate its figures. The annual report placed the share of Americans without health insurance at 15.4 percent; the ACS put it at 15 percent. The district level and national figures on the senior population are drawn from a three-year average of the American Community Survey that the Census Bureau publishes.

When the House initially passed the health care bill last November, 39 Democrats voted no. Of those, 17 represent districts where the share of residents without health insurance exceeds the national average. Four no votes -- Chet Edwards of Texas, Dan Boren of Oklahoma, Harry Teague of New Mexico, and Mike McIntyre of North Carolina -- represent districts where at least 20 percent of residents lacked health insurance. All four are currently expected to vote no again when the final bill reaches the floor.

Meanwhile, of the initial 39 no votes, 25 represent districts where seniors exceed their national share of the population. These members include some of the leadership's top targets in the final scramble for votes, including Pennsylvania's Jason Altmire and John Adler of New Jersey.

http://healthtopic.nationaljournal.com/2010/03/seniors-concerns-loom-in-votes.php#133559p
Tags: health care  
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