Last month, Republican leaders seized on C-SPAN’s request for full access into the Democrats’ health care talks to argue that capturing policy negotiations on camera would inform the public and improve the underlying legislation. Sen. John McCain (R-AZ) accused Obama of breaking his campaign pledge and House Minority Leader John Boehner (R-OH) announced that “all House Republicans strongly endorse your proposal and stand ready to work with you to make it a reality.” “Hard-working families won’t stand for having the future of their health care decided behind closed doors,” Boehner wrote in a response letter.

The actual summit, however, turned out to be something less than substantive. Republicans used the existing reform legislation as props, Senate Minority Leader Mitch McConnell (R-KY) criticized Obama for “allowing Democrats to run on” (saying Republicans had spoken for 24 minutes while Democrats had had 52), and McCain seemed to resort to his old campaign rhetoric. Both sides used familiar talking points and memorized phrases and at least five different Republicans asked Obama to “scrap the bill ” and “start over” with a “clean sheet of paper.”

In the days leading up to the forum (and in the hours following it), lawmakers expressed doubts about the usefulness of a 6-hour televised debate session and most concluded that the chances of a a new bipartisan agreement were remote. Suddenly, the very same Republicans who argued that televised meetings would cleanse the process or produce a more bipartisan bill quickly recognized that C-SPAN gave lawmakers just another opportunity to score political points without advancing the debate:

- “This week’s summit clearly has all the makings of a Democratic infomercial for continuing on a partisan course that relies on more backroom deals and parliamentary tricks to circumvent the will of the American people and jam through a massive government takeover of health care.” [Rep. John Boehner (R-OH), 2/22/2010]

- “This whole dog and pony show that we’re about to witness today is something that should have taken place a year ago when the administration first came in last February and laid out its agenda for health care.” [Michael Steele, 2/25/2010]

- “Unfortunately, my fears about this summit were realized: rather than a substantive discussion about health care reform, the President’s summit was just for show.” [Rep. Mike Simpson (R-ID), 2/26/2010]

- “I was discouraged by the outcome…I do not believe there will be any Republican support for this 2,700 page bill.” [Sen. Mitch McConnell (R-KY), 2/25/2010]

The ultimate verdict on the bipartisan health care summit is still out, but yesterday’s forum didn’t alter the debate or meet the expectations of C-SPAN advocates. It’s why I argued back in January that “the public should have ample opportunity to review the final product before the vote, but when it comes to legislating, transparency is overrated. Changing Washington’s political culture requires far deeper systematic reforms than C-SPAN television. The hard politics isn’t pretty enough for TV.”

At yesterday’s health care summit and again this morning on Good Morning America, Sen. John McCain (R-AZ) proved that he was yesterday’s man as he rehashed old grievances and complained that Obama’s health care bill was full of special interest deals and carve outs. McCain signaled out an amendment offered by Sen. Bill Nelson (D-FL) during the Senate Finance Committee’s mark-up process, characterizing the provision as “unsavory”:

MCCAIN: The American people don’t like these unsavory deals. The issue came up twice about Florida and the 800,000 people. Because where they live in Florida they will not be subject to Medicare Advantage cuts. Now, you know, Medicare Advantage is a very popular program with seniors. Now, you can argue — I don’t agree with the argument that it might have to be cut. Although, I don’t agree with that. But to say carve out 1 group of 800,000. And there’s 300,000, 30,000, in my state, who have Medicare Advantage that are going to be cut with this plan. That’s unsavory. That’s unsavory.

Watch it:

In effort to reduce waste and lower spending, the Senate and House health care bills eliminate the government’s overpayments to plans that participate in the Medicare Advantage program. The legislation establishes a competitive bidding program under which private insurers in each geographical area would bid to provide coverage to Medicare beneficiaries in a particular geographic area.

Nelson’s proposal (on pg. 129) rewards any plan that provide services at rates that are below “the average per capita fee-for-service expenditure” with a bonus on top of their competitive bid. These extra bonuses are meant to encourage insurers to stay in a particular geographic area and continue providing benefits. So while it’s certainly not a coincidence that Florida (and other high cost states like New York and California) benefits from Nelson’s amendment, the provision is not exclusive to Florida and one could argue that encouraging efficient insurers to stay in certain markets is good policy. (Although, judging from Obama’s response at the Summit, it’s not clear that the administration agrees).

McCain claims that he’s now against cutting overpayments, but during the presidential campaign, he endorsed competitive bidding for Medicare Advantage. “We see no reason why the Medicare Advantage plans should continue to get a $15-billion-a-year subsidy,” McCain campaign adviser Douglas Holtz-Eakin said, “we’ll put them on a level playing field and save some money there.”