WASHINGTON - Victory within reach, President Barack Obama exhorted House Democrats on Saturday to stay true to their party's legacy and make history by bringing health insurance to millions of struggling families now left out. Leaders exuded confidence as they defused thorny problems in the countdown to a landmark vote.
Passage by the House, with a vote scheduled for 1 p.m. Eastern today, would hand Obama a huge victory in his year-long drive to enact health care reform.
Obama evoked Abraham Lincoln's moral compass and extolled Democratic achievements such as Social Security and Medicare - once controversial, now an essential part of the social fabric - on a day marked by a frenetic hunt for votes inside the Capitol, angry Tea Party demonstrations at the door. Some protesters hurled racial insults at black members of Congress.
"Is this the single most important step that we have taken on health care since Medicare?" Obama asked rank-and-file Democrats far from the chanting crowds. "Absolutely. Is this the most important piece of domestic legislation, in terms of giving a break to hard working, middle-class families out there? Absolutely.
"It is in your hands," Obama said, bringing lawmakers to their feet. "It is time to pass health care reform for America and I am confident that you are going to do it tomorrow."
In a carefully orchestrated appeal to unity ahead of a career-defining vote, Obama and House leaders were joined by Senate Majority Leader Harry Reid, D-Nev., who brought a pledge from more than 50 of his Democratic colleagues to promptly finish the bill after the House votes today. House Democrats have been wary of being left in the lurch by the famously unpredictable Senate.
A series of last-minute flare-ups threatened to slow the Democrats' march to passage, after more than a year of grueling effort.
The most intense focus was on a small group of Democrats concerned that abortion funding restrictions in the legislation don't go far enough. Determined to avoid votes on such a charged issue, Democratic leaders raised the possibility of an executive order from Obama that reaffirms existing federal law barring taxpayer funded abortions except in cases of rape, incest or to save the life of the mother.
House Democratic leaders abandoned a much-challenged procedure for passing the legislation after an outcry from Republicans and protest from some of their members. According to the new plan, the House will vote up or down the health care bill passed by the Senate on Christmas Eve as well as a package of changes.
The Senate bill would then go to Obama for his signature, the companion measure to the Senate, which hopes to pass it within the week.
Minutes after the leadership's change of heart, Rep. Dennis Cardoza, D-Calif., announced his support for the health care legislation. Cardoza had criticized the planned maneuver.
The 10-year, $940 billion measure represents the biggest expansion of the social safety net since Medicare was enacted more than 50 years ago. It provides health coverage to 32 million people now uninsured, bars insurance companies from denying coverage to those in poor health, and sets up new marketplaces where self-employed people and small businesses can pool together to buy coverage. Less certain is whether it will also deliver on Obama's promise to slow the punishing pace of health care costs.
Republicans, unanimous in their opposition, complained anew about the bill's cost and reach. Senate GOP Leader Mitch McConnell of Kentucky said a fuller analysis of the bill's long-term costs is needed, but Democrats have left no time to carry it out.
Displaying a gritty confidence, House Democratic leaders said they were getting closer by the hour. "We are on the verge of making great history for the American people," said House Speaker Nancy Pelosi, D-Calif.
Democratic leaders and Obama focused last-minute lobbying efforts on two groups of Democrats: 37 who voted against an earlier bill in the House and 40 who voted for it only after first making sure it would include strict abortion limits that now have been modified.