@rnstrong asks
Clinton ended up with nothing. Obama may actually make things worse. How did this happen again?
Pretty much everyone who wanted health care reform is now admitting defeat. Well, everyone but Obama, who just tweeted
We are on the precipice of big changes—the most significant reform of our health care since the passage of Medicare.
Uh, sorry Barack, but Digby has it right:
Nobody’s “getting covered” here. After all, people are already “free” to buy private insurance and one must assume they have reasons for not doing it already. Whether those reasons are good or bad won’t make a difference when they are suddenly forced to write big checks to Aetna or Blue Cross that they previously had decided they couldn’t or didn’t want to write. Indeed, it actually looks like the worst caricature of liberals: taking people’s money against their will, saying it’s for their own good. — and doing it without even the cover that FDR wisely insisted upon with social security, by having it withdrawn from paychecks. People don’t miss the money as much when they never see it.
But you know, as disappointing as it is, I don’t put too much blame on Obama. As Megan McArdle put it
But the guy got elected to be president of the United States, not Prime Minister of Sweden. Anyone who seriously entertained the notion that the procedural obstacles to enacting legislation in the United States would suddenly fall away–along with the essentially center-right politics of the American voter–is probably not mature enough to be driving.
She went into more detail on this topic in this post:
Federalist and non-parliamentary democracy: in most other systems, the head of the government tells the government what to do. In our system, you need 220 congressmen and 50-60 senators. There’s no way to implement the sort of technocratic change that reformers envision; the politicians will keep sticking their fingers in the pie.
…
It’s no good saying that well, we should try to be more like the Netherlands–you can’t build a system on the assumption that you will, suddenly and for no apparent reason, be able to import someone else’s political culture. Progressives are watching the whole health care legislative process with utter dismay as it produces a monster of a bill that not even its mother could love–and trying to love it anyway, on the grounds that it’s a start. … This is the kind of thing the American political system produces. …
So one problem is our political system leads to bloated legislation, because we need to keep senators (and their lobbyists) happy.
The other problem is that public support for reform just isn’t there. In order to get a good health care reform bill passed, you first need to win the battle of ideas. This battle has to be fought over a long period of time. If progressive news shows continue to focus on the antics of Sarah Palin, Tiger Woods’ affairs and on insulting the very people that would benefit from reform, this isn’t going to happen. As Bob Somerby put it
For decades, Republicans have peddled a string of familiar claims (described by The Economist as “falsehoods”) about the shape of world health care. We all know what these talking-points are; they come from the side of American politics which actually tries to win. American health care is the best in the world! And: “Socialized medicine” has failed everywhere it’s been tried! And: In England, [insert scare story here!] Republican pols, and conservative talkers, have peddled these claims for decades now. The boys and girls at our liberal journals seem to know that they daren’t push back.In England, commentators are “amazed” by all the distortions. In America, the distortions roll off our liberal backs! And American citizens aren’t amazed; instead, they’re happy with their insurance! They simply don’t know the things they don’t know. More specifically, they don’t know how much of what they hear is bogus. Our side never quite tells them.
The voters don’t know they’re being looted! Who would dare say such a shrill thing? For such reasons, health reform fails.
This is the situation that Obama walked into. A lot of people recognized that a universal health care bill with real cost savings was not going to pass. So, you know, this will go in the defeat column for Obama, but I don’t think he had much of a chance to begin with. The same can’t be said for how he has handled other issues (gitmo, afghanistan, etc), but that’s a topic for another day.









