Several articles have been written about the sweeteners offered to secure votes to pass the health care reform bill. Some of the more talked-about are the "Cornhusker Kickback", a provision Sen. Ben Nelson demanded in exchange for his vote, which "is expected to cost the federal government $100 million over 10 years" and the "Louisiana Purchase" gave that state an estimated extra $300 million in exchange for earlier support from Sen. Mary Landrieu. Sen. Chris Dodd secured a provision for a $100 million grant program for a handful of hospitals, with his home state Connecticut a very likely recipient. It's standard practice, for better or worse, for critical legislation where a very few votes mean victory or defeat, writes Josh Gerstein in Politico ("Pork greased reform's passage"). Although the recent sweeteners "dwarf" those of previous Presidents. (Ed. note: the article implies the President is responsible for the sweeteners, ignoring the likely involvement of Congressional leadership.)
In 1993 President Clinton cut deals to win ratification of the NAFTA.. "In what critics dubbed the NAFTA bazaar, aides practically invited lawmakers to set a legislative price for their votes. “The store is open as far as the White House is concerned,” one administration official told The Associated Press. Clinton reportedly won the vote of then-Rep. Gerry Studds (D-Mass.) by agreeing to support $1.2 billion in maritime subsidies, about $50 million of which went to a troubled shipyard in Studds’s district."
Gerstein observes that President Bush caved "during the 2005 fight to ratify the Central American Free Trade Agreement. Rep. Robert Aderholt (R-Ala.) agreed to vote for the trade pact after winning a deal to protect his district’s status as the U.S. sock manufacturing capital. CAFTA passed in a 217-215 squeaker."
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