Health Care Reform Reconciliation

For all the Republicans’ warnings, they have used reconciliation on some major, controversial legislative packages. These include tax-cut legislation under President George W. Bush and the overhaul in 1996 of the welfare system. In all, Republicans have used the approach 16 times, to 6 for Democrats.

Even with reconciliation, the path for Mr. Obama’s health care overhaul is problematic. It rests largely with two blocs of swing Democrats in the House — abortion opponents and fiscal conservatives.