Obama heads to Ohio for health care votes

Increasingly eager to finish work on his top domestic priority, Obama was set to head to northeast Ohio on Monday with a final sales pitch for health care legislation that the top Democratic vote-counter in the House said lacked support to pass. Obama's top political adviser, David Axelrod, said he was “absolutely confident” the measure would pass during a make-or-break week that already saw the president delay his trip to Indonesia, Australia and Guam.

Clinching support, though, might require Obama to back away from his insistence that senators purge the legislation of a number of lawmakers' special deals.

Taking a new position, Axelrod said the White House only objects to state-specific arrangements, such as an increase in Medicaid funding for Nebraska, ridiculed as the “Cornhusker Kickback.” That's being cut, but provisions that could affect more than one state are OK, Axelrod said.

That means deals sought by senators from Montana and Connecticut would be fine even though Gibbs last week singled them out as items Obama wanted removed. There was resistance, however, from two committee chairman, Democratic Sens. Max Baucus of Montana and Chris Dodd of Connecticut, and the White House has apparently backed down.

Meanwhile, the White House tried to increase public pressure on Congress to pass the legislation. Obama planned to visit Strongsville, Ohio, home of cancer patient Natoma Canfield, who wrote the president she gave up her health insurance after it rose to US$8,500 a year. Obama repeatedly has cited that letter from a self-employed cleaning worker who lives in the Cleveland suburb to illustrate the urgency of the massive overhaul.

Canfield's sister, Connie Anderson, was scheduled to introduce Obama at that event.

Obama's efforts, though, face an uphill challenge for legislation that would provide health insurance to tens of millions who currently have none and would ban insurance companies from denying coverage on the basis of pre-existing conditions. It would require most people to obtain insurance and would subsidize premiums for poor and middle-income Americans.

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