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In a last-ditch attempt to craft a bipartisan health care reform bill, President Obama will release a new proposal Wednesday that will include Republican ideas on tort reform and health savings accounts, according to Democratic officials familiar with the plans. But top Republicans, including House Minority Whip Eric Cantor, R-Virginia, immediately said the new proposal is not good enough and reiterated calls for the president to scrap the plan and start over. The situation is setting up a likely showdown that top Democrats say will end up with the president trying to pass the health legislation with only Democratic votes through the legislative shortcut of reconciliation. In fact, senior congressional Democrats have privately expressed frustration that the president is spending time at this late date reaching out to Republicans, when it has become increasingly clear the two parties can not settle their differences on this contentious issue.
"Why even bother with the olive branches?" asked one senior congressional Democratic aide.

"It's very clear Republicans are not going to provide any votes." House Speaker Nancy Pelosi on Tuesday wouldn't say whether she has the votes to pass a bill, saying Democrats still need to fill in the details of legislation and get a final price tag on it.

But the speaker remained positive about the bill's prospects in the House. "Our members want quality affordable health care for all Americans, and I feel very confident that we will accomplish that," Pelosi said. The No.

2 House Democrat told reporters he thinks some of the Democrats who opposed the House bill last fall could support the new plan the president is pushing. "Do I think there's a possibility of some people changing? Yes, I do," said House Majority Leader Steny Hoyer.

"I think that's because it will be a different bill than either the House and Senate.

It will hopefully take the strengths of both and I think if that happens, as is normally the case, when bills change, members look at it somewhat differently." Getting more House Democrats to vote yes is crucial, because the House voted narrowly to pass its version last fall.

Two Democrats who voted for that bill have since left Congress -- Rep.

Neil Abercrombie, D-Hawaii, and Rep.

Robert Wexler, D-Florida.

Another Democratic supporter, Rep.

John Murtha, D-Pennsylvania, died in February. The one House Republican who voted for the bill, Rep.

Joseph Cao of Louisiana, has since said publicly he is unlikely to support the revised Democratic bill. Hoyer acknowledged it could be an uphill climb for House Democratic leaders to get the votes.

That's because the parliamentary procedure of reconciliation could require that the House first pass the original Senate version, a version many House Democrats oppose, before the Senate would vote on the president's proposed changes. Many House Democrats are wary about going first and have a deep distrust of their Senate counterparts after seeing the Senate fail to take up several bills approved by the House. "I think members want some assurances that those items that they have problems with are, in fact, modified before they vote for the Senate bill.

I don't know that it's impossible, but it's difficult," Hoyer said.