It's Time to be a Lion on Health Care Reform
( Note: If you,ve read this already, forgive me. What with spam problems and poor entry management, I've had trouble getting currently posted).
Let me start by taking a moment to identify my particular place in this discussion: I'm normally a moderately conservative Democrat - I believe generally in balancing the budget, moving slowly and incrementally toward 'progress' (I DO believe in that, which is how I know I'm not a Republican), a moderated and generally balanced free-market, moderated and generally balanced free-trade, powerful and occasionally agressive national defense, and a whole bushel of other sometimes-contradictory things that some on this board would support, and others would not. There are other areas where I just don't claim to KNOW the answer, and I remain available to be convinced. I don't think 'horse trading' is always by definition a bad thing. On the whole, I'm probably closer philosophically, and by background, upbringing, and temperament to the so-called "Blue Dogs" than I am to most of the contributors on this site. For purposes of discussion, put me down as a classic FOX.
That stipulated, I think that on this Health Care issue, I'm prepared to cross the river: In my judgement, the scale and significance of this particular matter is such that the usual cautious, split-the-difference calculations that centrists tend to make do not apply in the way that they normally might. We have been a half-century building to this day, it is a matter of vital national interest (a domestic equivalent to National Security, in my opinion), and we are closer at this moment than we are likely to be in any near-term future to actually making a truly substantive start to doing something constructive about it. These unique moments must be seized, or the timely window closes - perhaps forever, certainly for a very long time.
I personally would be happy to support universal 'single-payer' with private supplemental discretionary options. I am convinced that it has worked in actual practice in Canada and other places a lot better than we give it credit for, and (taken overall), better than what we currently have, at LOWER costs. I'm equally convinced that the day is eventually going to come when we do the RIGHT thing and take it all the way there. Meanwhile, I'm reluctantly willing to support any lesser measure that keeps momentum up, and provides a constructive step in the right direction (by a "constructive step", I mean at MINIMUM, a reasonably-priced basic public insurance 'option' with real bite).
It seems to me that if we are to actually GET there from here, we have to consider the classic differences between LIONS and FOXES, and further consider which traits are most required to make progress at this special time. We are at one of those historical moments where things might go either way. I see it as a time where priorities must be rearranged: Re-election, bean-counting, philosophical quibbles, personal feuds, financial contributions, even party dominance, may have to be set back in the line. In normal times, these are all valid considerations, the sort of things that foxes routinely concern themselves with in their everyday business. However, it seems to me that these are not normal times, and this is not a normal issue. This is one of those rare, exhilarating grand moments when it seems actually almost sensible to risk EVERYTHING, throw away the gloves, cut your retreat, and give it all you have to win. There are certain critical moments when even the possibility of losing is not as bad as failing to try your best for what you think is right.
This is a moment made for the lion, and I'm asking people like me who normally think a lot like foxes to change their usual way of doing business. It's time to take a personal risk for the greater good of the whole, and get on board the train to the future.
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I think too many people are 'willing' to support a lesser measure because they think it will lead to single payer health care some where down the road.
The reality is that it may push the opportunity to get single payer health care farther away and it is going to be used as a political game for years to come. For years to come unless we make the bold move to single payer we won't just be dealing with the issue of profits in our health care system but 'politics' will be consistently injected into our health care.
The current 'public' option reads that it will go into effect 2013 'after' the next presidential election. Guess what 2012 will be all about?
We need to get single payer back on the table right now and we need to 'fight' for it! A majority of us know it's what we need and we are inviting political games and chaos into our health care if we don't fight for it right now.
Please fax your reps and cc the white house tomorrow and tell them you want a single payer health care system, health care for all.
It will help to multiply the impact of the single payer rally and days events in DC this Thursday July 30th.
We hopefully have 6 people going to the rally as reps of some of us here at TPM.
Every one of us needs to make our voices heard in DC. Thanks!
July 29, 2009 12:12 PM | Reply | Permalink
Forget lions, I would be happy if one of those fuckers was a human being.
July 29, 2009 12:13 PM | Reply | Permalink
Lord yes! I want to know, with so much at stake, why the dems are letting them get away with all the nonsense.
July 29, 2009 1:21 PM | Reply | Permalink
I know little about procedural protocol so one of you who is better informed may be able to tell me why a pro-universal health care senator or congressman can't call for a national referendum on this question. Surely the resounding affirmative numbers that would result from such a referendum would provide the apparently requisite cover for all congressmen and all senators to do the right thing, now -- allowing them to shrug their shoulders at their insurance industry contributors while saying: "Hey. Waddam I'm gonna do? The numbers are the numbers, ya know?" (Of course, we've actually already had that referendum -- it was called the presidential election of November 2008. But maybe we need to spell it out for them -- one issue, one ballot, on day.)
July 29, 2009 12:43 PM | Reply | Permalink
That is a GREAT idea!
July 29, 2009 4:03 PM | Reply | Permalink
I don't doubt that in the abstract, most people would like to "do something about health care".
I think the problem comes when you get into the details: Health Care touches directly and immediately upon every life, it's inherently confusing and complicated, and people tend to be naturally cautious that so-called 'reforms' don't make things worse. I think the reticence we're seeing in some of our Democratic Congress reflects that ambivalence.
I don't have an answer for it, except to develop an honest, straightforward, relatively SIMPLE (as best you can) program, and EXPLAIN it over and over. If you can convince the people, the Congress will follow (that point has been well made in here already, and I think it's a good one).
July 29, 2009 1:47 PM | Reply | Permalink
people tend to be naturally cautious that so-called 'reforms' don't make things worse.
That is a critically important point. Most Americans have health insurance, and while they may have some doubts about it, they are reasonably satisfied, or at least satisfied enough to fear than any radical change will make things worse for them personally.
The political argument that will work best will be one that convinces the "satisfied insured" that the current system is unsustainable, their future costs will become unaffordable, and their coverage will diminish or even disappear unless the system is reformed to ensure affordable coverage for everyone that can't be rescinded through the caprice of an employer or insurance company.
July 29, 2009 4:20 PM | Reply | Permalink