Odds for health care overhaul long, Democrats push ahead

On Capitol Hill, a pair of retiring Democrats who opposed the legislation when the House approved it in November appeared willing to reconsider.

And some supporters of a House provision strictly banning federal financing for abortion - a complicated sticking point - indicated an openness to different language.

The outcome could affect nearly all Americans, remaking the way they pay for health care, the kinds of care they’re likely to receive, and where they’re likely to get it. Or there could be smaller changes - or none - outcomes the Democrats say will lead to crushing budget problems and tens of millions of people still being left out. Republicans see problems in the health care system, too, but recommend limited prescriptions.

Despite the signs of movement, a day after television cameras brought the nation Obama’s unusual daylong discussion with top Republicans and Democrats, there were no clear indications of a major change in Congress. The equation remained the same: Democratic leaders, especially in the House, will have to scramble to find votes to pass any health legislation and they’re almost certainly going to have to do it without Republican support.

Democrats have doubts also.

“People who voted ‘yes’ would love a second bite at the apple to vote ‘no’ this time, because they went home and got an unpleasant experience’’ because of their votes, said Representative Jason Altmire, a moderate Democrat from Pennsylvania. “On the other hand, I don’t know anybody who voted ‘no’ who regrets it.’’

Top Democrats spoke of plunging ahead anyway.

House Speaker Nancy Pelosi of California said she saw “good prospects for passing’’ health legislation and contended Thursday’s meeting showed a GOP content to accept the status quo of insurance companies bullying consumers.

That was echoed in the Senate by number two Democratic leader Richard Durbin of Illinois, who said, “We are not going to wait.’’