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What might Democrats give up in 'fiscal cliff' talks?

OK, Republicans have ceded ground on tax revenues. Now, under Obama's 'balanced' approach to averting the fiscal cliff, Democrats presumably would consent to spending cuts on entitlement programs or Obamacare. But what Dems would accept may not be what GOP has in mind.

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In past fiscal negotiations with Congress, Obama has indicated he might be open to a gradual increase in the Medicare eligibility age, as well as some limits on future Social Security checks. But in recent days White House spokesman Jay Carney has said the administration believes Social Security shouldn’t be part of the current talks, since by itself it isn’t adding to the deficit. And some core Democratic constituencies, particularly liberals and unions, would fight hard to keep the age of Medicare eligibility from rising.

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Washington Editor

Peter Grier is The Christian Science Monitor's Washington editor. In this capacity, he helps direct coverage for the paper on most news events in the nation's capital.

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Unions and progressive groups met Tuesday with administration officials and reported themselves satisfied as to where the president currently stands.

“One person at the meeting ... came away convinced that the White House would ultimately prove willing to go over the fiscal cliff if necessary, rather than give ground on core demands,” writes liberal Greg Sargent Tuesday on his Plum Line blog at the Washington Post.

The left might be open to more means-testing of Medicare, however. Sen. Richard Durbin (D) of Illinois, an adamant foe of raising the age of eligibility, said Tuesday during an appearance on MSNBC’s "Morning Joe" that one solution is to have higher-income people pay more toward their government-run health plans.

As to Medicaid, the joint federal-state health program for lower-income Americans, the administration might resist large reductions. Under terms of the Affordable Care Act, Obama is trying to entice states to join in expanding the program to many more people. Big reductions in federal subsidies would not help in this effort.

One last issue that’s sure to come up is Obamacare itself – specifically, the subsidies the government will offer beginning in 2014 to help the uninsured buy health coverage.

The Obamacare bill that emerged from the Senate Finance Committee contained less generous aid than the final legislation authorized. It’s possible the two sides might agree to scale back this cost.

“I don’t see how the subsidies [for people earning] up to 400 percent of poverty could remain in this environment,” said G. William Hoagland, senior vice president at the Bipartisan Policy Center and a longtime Senate staffer, at a recent symposium sponsored by The Alliance for Health Reform.

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