In the summer of 2009, The Economist said the following regarding the Blue Dog Coalition: "The debate over health care ... may be the pinnacle of the group's power so far." The Economist quoted Charlie Stenholm, a founding Blue Dog, as stating that "This is the first year for the new kennel in which their votes are really going to make a difference".[21] In July 2009, Blue Dog members who were committee members of the House Energy and Commerce Committee successfully delayed the House vote on the Health Insurance Reform Bill (HR3200) until after the summer recess.[22][23] It was during this recess that the term 'Obamacare' was first derisively adopted by Republicans on Capitol Hill.[24] Blue Dog opposition to a potential "public option" within Obamacare, together with the contentious town hall meetings faced by House members during the 2009 summer recess, gave the healthcare bill's Republican opponents an opportunity to attack the public option. However, on Nov. 7, 2009, the U.S. House of Representatives passed the Affordable Health Care for America Act 220 - 215[25] - a bill that would "provide health coverage to almost every American" by creating "a public health insurance option to compete with private insurers."[26][27][28] In fact, a majority of the Blue Dogs actually voted for the health care bill, by a 28 to 24 margin.[29]
The Washington Post stated that the Blue Dogs, with over 50 members, were the most influential voting bloc in the U.S. House of Representatives in 2010.[30]