Alter: Remember FDR, and don't "make the perfect the enemy of the good" in HCR
In this this interview at the Young Turks, Jonathan Alter makes what I think is a very acute point about the health care reform legislative process, putting it into context in comparison with FDR's Social Security reforms, and civil rights reforms:
I think the big lesson here, and i've talked about this in the context of health care and social security, is that you don't always get everything you want the first time up at bat, and Roosevelt was constantly going back to Congress to strengthen the bill. So on Social Security, which was not until he had been in office for more than two years, 1935, a lot of the New Deal types really hated Roosevelt's Social Security plan because they thought it was so weak. [...] And then later they changed it, and they changed it again, and they changed it again. And the lesson here is that you don't want to make the perfect the enemy of the good in health care. You get a bill, and you use it as a foundation to build on for the future. You don't hold out and stamp your foot to get exactly what you want.Progressive Democrats in the Senate and House should take heed, making sure to just get reform passed initially, with an eye to strengthening its weaknesses and fixing its flaws when the opportunity to do so is more auspicious in the future.
[...]
This is the beginning of the process. I know that's really hard for people to understand, but what you do is -- what would be impossible is if the bill is killed. Then, given all of the effort, people would say, "Forget about it. We're not going to deal with this for 15 more years, because we came so close, and some idiots on the left and right killed the bill. Forget it." If, however, it's passed, then it becomes a predicate for making improvements. And that's the history of social legislation in this country, whether it's social security in 1935 which, as I mentioned, was fixed on several occasions, expanded and refined; civil rights began with the Civil Rights Act of 1957, it wasn't good enough, they went back and fixed it in 1964 and 65. But you have to get something through that changes the social contract, which this bill does. [...] But you've gotta start somewhere, and this idea of the perfect being the enemy of the good, or people on the left who would rather see the bill die if it doesn't include the public option, it's folly. It's historically terrifying to me really because you can't get social change if you can't accept something that's less than ideal.











