Skip to content Skip to footer

On Health Care, Just Do It

Washington - Better late than never. Now that President Obama has finally put a health care proposal on the table

Washington – Better late than never. Now that President Obama has finally put a health care proposal on the table, the Democratic leadership in Congress has only one rational course of action: Pass the thing, and quickly, or risk becoming the loyal minority.

Should the president have done this a year ago? Yes, it would have been nice to know where his bottom line was — indeed, that he had a bottom line — given that health care reform was his top legislative priority. At least some of the pointless drama could have been avoided.

House Democrats might not have dug in their heels over the need for a public option if they knew that, in the end, Obama wouldn’t call for one. There might have been less angst over taxing “Cadillac” health plan benefits if everyone knew that Obama, despite his campaign pledge, would ultimately support the idea.

And there might have been less nervousness among Democrats in both the House and Senate if they knew that Obama’s plan would include a novel component that sounds like a political winner: giving federal officials the power to curb abusive and unjustified premium hikes by insurance companies. This gives incumbents a much better story to tell when they face the voters this fall.

The president’s proposal, essentially a reworking of the bill passed by the Senate on Christmas Eve, establishes a framework for the bipartisan “summit” on health care reform scheduled for Thursday. If Republicans are serious about wanting to engage in this debate, Obama has provided a starting point. Of course, I don’t believe for one minute that the Republican leadership really wants to join any process that leads to meaningful health care legislation, because the party’s political strategy to this point — say no to everything — has worked quite well.

House Minority Leader John Boehner promptly complained that Obama has “crippled” the summit’s credibility by proposing a plan based on the Senate bill. The Republican position is that the thing to do is start over with a clean sheet of paper, tossing out a year’s worth of work. That’s rhetoric, not leadership. If the summit consists of one side debating concrete proposals and the other chanting “start over,” observers will be able to draw conclusions about who is being constructive and who isn’t.

But we already know who isn’t interested in health care reform. If Republicans are really committed to bipartisanship, they can jump in. If not, Democrats need to pass Obama’s reform bill — if necessary, by using the filibuster-proof “budget reconciliation” procedure that requires only a simple 51-vote majority in the Senate.

Republicans will howl to wake the dead. But what’s the alternative?

Democrats have already paid a political price for tackling health reform at a time when voters are hurting from the recession, anxious about the economy and wary of new government initiatives. There is no way they can avoid facing this line of attack in the fall. The question, at this point, is whether Republicans will be able to toss in allegations of gutlessness and incompetence: The Democrats controlled the White House and all of Congress, and still couldn’t get it done.

And how will Democrats answer? “Um, we worked really hard on health care reform, and we’re still convinced that it’s vitally necessary, but we got scared by the polls and so we backed off. Vote for us!”

If the party is going to take a political hit anyway, it might as well get the benefits — which are considerable. When Republicans scream about “big government” and “socialism” and all that, Democrats need to be able to tell voters that this whole exercise brought real change: No refusals of insurance coverage due to pre-existing conditions. No arbitrary increases in insurance premiums. Coverage for 31 million Americans who are now uninsured. A major step toward limiting the unsustainable long-term rise in health care costs.

House Democrats, who passed a more progressive reform bill, may have to hold their noses to accept Obama’s proposal. Senate Democrats may need their spines stiffened to go through with the reconciliation maneuver; perhaps it will give them courage to imagine how they would look if they reject a bill that is all but identical to one they passed a couple of months ago.

The hour is late. The time is now. Just do it.

Eugene Robinson’s e-mail address is eugenerobinson(at)washpost.com.

(c) 2010, Washington Post Writers Group

Truthout Is Preparing to Meet Trump’s Agenda With Resistance at Every Turn

Dear Truthout Community,

If you feel rage, despondency, confusion and deep fear today, you are not alone. We’re feeling it too. We are heartsick. Facing down Trump’s fascist agenda, we are desperately worried about the most vulnerable people among us, including our loved ones and everyone in the Truthout community, and our minds are racing a million miles a minute to try to map out all that needs to be done.

We must give ourselves space to grieve and feel our fear, feel our rage, and keep in the forefront of our mind the stark truth that millions of real human lives are on the line. And simultaneously, we’ve got to get to work, take stock of our resources, and prepare to throw ourselves full force into the movement.

Journalism is a linchpin of that movement. Even as we are reeling, we’re summoning up all the energy we can to face down what’s coming, because we know that one of the sharpest weapons against fascism is publishing the truth.

There are many terrifying planks to the Trump agenda, and we plan to devote ourselves to reporting thoroughly on each one and, crucially, covering the movements resisting them. We also recognize that Trump is a dire threat to journalism itself, and that we must take this seriously from the outset.

After the election, the four of us sat down to have some hard but necessary conversations about Truthout under a Trump presidency. How would we defend our publication from an avalanche of far right lawsuits that seek to bankrupt us? How would we keep our reporters safe if they need to cover outbreaks of political violence, or if they are targeted by authorities? How will we urgently produce the practical analysis, tools and movement coverage that you need right now — breaking through our normal routines to meet a terrifying moment in ways that best serve you?

It will be a tough, scary four years to produce social justice-driven journalism. We need to deliver news, strategy, liberatory ideas, tools and movement-sparking solutions with a force that we never have had to before. And at the same time, we desperately need to protect our ability to do so.

We know this is such a painful moment and donations may understandably be the last thing on your mind. But we must ask for your support, which is needed in a new and urgent way.

We promise we will kick into an even higher gear to give you truthful news that cuts against the disinformation and vitriol and hate and violence. We promise to publish analyses that will serve the needs of the movements we all rely on to survive the next four years, and even build for the future. We promise to be responsive, to recognize you as members of our community with a vital stake and voice in this work.

Please dig deep if you can, but a donation of any amount will be a truly meaningful and tangible action in this cataclysmic historical moment.

We’re with you. Let’s do all we can to move forward together.

With love, rage, and solidarity,

Maya, Negin, Saima, and Ziggy