"The only possible role that I can see for reconciliation would be to make modest changes in the major package to improve affordability, to deal with what share of Medicaid expansion the federal government pays, those kinds of issues, which is the traditional role for reconciliation in health care"
About this Quote
The subtext is a warning to his own side. Reconciliation is the Senate’s fast track, but it comes with land mines: deficit rules, limited scope, and the accusation that you’re muscling through historic legislation without buy-in. Conrad, a budget hawk with institutionalist instincts, signals that if you use reconciliation, you’d better make it look like budgeting, not governing. Notice the careful examples: "affordability" and the "share of Medicaid expansion the federal government pays". Those are real policy levers, but they’re also safe ones - technical, scoreable, and plausibly bipartisan in tone even when the politics are anything but.
Context matters: this is the post-filibuster reality of health reform, when Democrats were hunting for a path around the 60-vote threshold. Conrad’s framing tries to preserve Senate norms while still keeping the bill alive. He’s selling constraint as tradition, because tradition is how the Senate justifies power without admitting it’s improvising.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Conrad, Kent. (2026, January 16). The only possible role that I can see for reconciliation would be to make modest changes in the major package to improve affordability, to deal with what share of Medicaid expansion the federal government pays, those kinds of issues, which is the traditional role for reconciliation in health care. FixQuotes. https://fixquotes.com/quotes/the-only-possible-role-that-i-can-see-for-120303/
Chicago Style
Conrad, Kent. "The only possible role that I can see for reconciliation would be to make modest changes in the major package to improve affordability, to deal with what share of Medicaid expansion the federal government pays, those kinds of issues, which is the traditional role for reconciliation in health care." FixQuotes. January 16, 2026. https://fixquotes.com/quotes/the-only-possible-role-that-i-can-see-for-120303/.
MLA Style (9th ed.)
"The only possible role that I can see for reconciliation would be to make modest changes in the major package to improve affordability, to deal with what share of Medicaid expansion the federal government pays, those kinds of issues, which is the traditional role for reconciliation in health care." FixQuotes, 16 Jan. 2026, https://fixquotes.com/quotes/the-only-possible-role-that-i-can-see-for-120303/. Accessed 21 Feb. 2026.


