Health care: The conflicted left

March 22, 2010Jon Brooks Comments Off

healthcaremeansmileyA lot of people are engaging in online debates and conversations about the health care bill today. and it’s especially interesting to observe the muted, if any, celebration of liberals and other engaged Democrats about their party’s success in pushing through the legislation, overcoming what many political handicappers pegged as extremely long odds.

Their disappointment rests in part in the legislation’s exclusion of two cherished goals: Advocates of a single-payer system (government health care for all) found early on that there was no place in the building for them, let alone at the table, and hopes for at least a “public option” — a government-run insurance program that would compete with private insurers — died at the hands of Senate centrists.

So here’s one post from the blog My Left Wing and another more temperate statement from Firedoglake that are good representations of progressives’ ambivalence.

My Left Wing: Kill the Bill? F***That.

by Maryscott O’Connor

Reading the comment threads at FireDogLake, I feel like I’ve walked through the looking glass. Loathsome as this is, somehow I just don’t think committing political suicide is going to move this country in any direction but further toward where the scum on the right want to go. I loathe this sell-out; but I also know when to concede defeat to the conservative Democratic forces that have completely outmaneuvered me and live with pragmatic consensus rather than join hands with those who would, the next available moment, turn around and stab me and mine through the heart.

Let me speak now to those who would rather see this bill DIE than pass because it’s so godawful:

Yeah, it’s a corporate fire sale. Lesser of two evils is still evil. Same as it ever was. But, thing is, incrementalism is the name of the game in politics, boys — when was it ever not?

Sorry. I got banned from DKos for being too f*** liberal. Guess you can now rake me over the coals for being too much of a concessionalist. I don’t see it that way; I just see it as preferring Something: a microscopic victory (however riddled with grotesque flaws; and I’ll grant you EVERYTHING on that) — to Nothing — or worse: utter defeat and an assured sweeping loss to a party that wants nothing more than my ideology’s complete destruction — not only in 2010 but in 2012 and beyond. And believe me — this bill goes down now, that is ASSURED.

And if anyone tells me that if the Democrats are so craven and incompetent that this is the BEST they can get done with a huge majority in the House and what started out as a putative 60-vote majority in the Senate, then they DESERVE to lose in November…

Yeah, it feels really good to say that, doesn’t it? Righteous. Indignant. After all — it’s true that the elected Democrats in Congress are craven, incompetent, self-serving worms, for the most part, who have frittered away the largest majority in history and done virtually NOTHING with it, compared to the performance of the Republicans in the past decade or so, who hadn’t nearly the majorities, but somehow managed to intimidate the Democrats into rolling over for virtually (it seemed) everything they wanted done.

Yes. It feels good to say “They DESERVE to lose!” Except… it isn’t just those craven, cowardly, selfish sonsofbitches that lose when those elections roll around and people vote them out for having accomplished nothing. WE lose. Yes, we lose because they f*** up so SPECTACULARLY in power — but we lose SO much more when they’re NOT in power.

Don’t tell me you’ve forgotten already. Because, baby, I was here when Bush was President and the Republicans were in control — I started My left Wing in July of 2005, in paroxysms of rage and frustration and godawful PAIN over what those s******were doing to this country.

I am NOT willing to let that happen again because I’m so furious with the current Democrats in office for f**** up healthcare reform and so unhappy with the bill that I’d rather “KILL THE BILL” and watch as American people vote them out of office for being the grotesque incompetents the failure to pass this bill would PROVE them to be.

THAT’S why I cannot support the hardliners on my own ideological side against this bill. THAT’S why my jaw has pretty much been wide open in disbelief as I’ve watched people with whom I agree on virtually every single ideological issue… CHEER the idea of Republican success in killing a major piece of Democratic legislation — REGARDLESS OF HOW F***** SHITTY IT IS.

THAT’S why Dennis Kucinich is voting Yes, for chrissakes.

Wake the f*** up. Life is not a goddamned liberal Utopia, where if you don’t get your way you can stamp your feet and MAKE IT SO.

Jesus f***** Christ…

And from Firedoglake:

FDL Statement on the Passage of the Health Care Bill

by Jane Hamsher

The country turned an important corner last night when Congress affirmed the moral imperative of providing quality health care to more Americans and passed the President’s sweeping health insurance reform bill. It is to President Obama’s credit that he was willing to commit his office to such a challenge when others before him had failed.

But this is not health care reform, and the task of providing health care that Americans can afford is still before us. Too much was sacrificed to corporate interests in the sausage-making process. Rather than address the fundamental flaws in our health care system, we applied a giant band-aid. This health care bill does not come close to doing all that needs to be done to meet the needs of our citizens and our businesses as we retool our economy for the 21st century.

There are many good and praise-worthy things in this health care bill: help for those with pre-existing conditions, guaranteed coverage for children, money for community health centers, and expansion of Medicaid and SCHIP. But there is also cause for serious concern. Never before has the government mandated that its citizens pay directly to private corporations almost as much as they do in federal taxes, especially when those corporations have been granted unregulated monopolies.

This bill fundamentally shifts the relationships of governance in order to achieve its objectives. It was hard to reconcile the President’s campaign against the evils of the insurance industry with a solution of “corporate tithing” that drives millions of people onto their rolls. We have empowered another quasi-governmental, “too big to fail” industry with alarming nonchalance.

Over the course of the past year, it was exciting to take part in covering the health care debate as online journalists, watching “new media” mature as we all explored new ways to deliver information beat-by-beat to our audiences. At the same time, we witnessed a political process that could not keep pace with the depth and intensity of this coverage. Myths were exploded almost as quickly as they were generated. In the end, it was not a lack of 60 votes or 50 votes that caused the President to break faith with his supporters and sacrifice the public option, it was a lack of political will.

We saw in the last days what President Obama was capable of when he truly put the force of his political skill behind an effort. But as time wore on, the mountain of data unearthed could lead to only one conclusion: this bill, with its eerie similarities to a plan written by insurance industry lobbyists in 2008, was what the president wanted.

Rather than use his talents to rein in corporate interests, as he promised on the campaign trail, the President used his office to shield them from accountability. This was our chance to weaken them, and the Americans that Obama inspired with his message of change would have fought like hell by his side to do just that. Sadly, that opportunity was squandered. President Obama made himself the defender of the corporate interest problem that we still need to overcome. Perhaps that is the best that can be achieved within our current system. If so, that is a sobering reality.

This bill is a first step, not the last. The Democrats must fix this bill while they still have the chance. Before they leave Americans at the mercy of the system they have created, it is imperative that they address the issues of cost control, the dangerously weak enforcement mechanisms, and the anti-trust exemption for insurance companies.

Even a single, solitary Senator can begin that process immediately by introducing a public option amendment when the Senate takes up the reconciliation bill later this week. Now that the health care bill has passed, there is no need to worry that this move could endanger the overall package. The Senate should also consider the bill ending the anti-trust exemption for insurance companies already passed by the House. And when Congress takes up immigration reform, we hope that they provide for the health care needs of immigrants, a need too quickly cast aside in the face of right wing demagoguery.

We also hope that the Democratic party recalls that preserving abortion rights is a plank in the party platform. Unfortunately, with this legislation, women’s reproductive rights were sacrificed for corporate profits. There’s no other way to say it. And the party alone is not to blame. It could not have happened without the cooperation of pro-choice groups, who failed to mobilize and did little but issue press releases and fundraise in the wake of the biggest assault on women’s reproductive rights in 35 years. Their complete capitulation is symptomatic of the crisis that the passage of this bill has triggered on the left. Liberal interest groups across the board sacrificed the interests of their members, and, in the end, acted as little more than enforcers for PhRMA and the insurance companies, or sat mute in exchange for personal sinecures and carve-outs.

But it is a national shame that a Democratic President who pledged the repeal of the Hyde Amendment would proudly issue an executive order affirming it. How far we’ve come since 2007, when Barack Obama swore that his first act in office would be to sign the Freedom of Choice Act.

And finally, most of all, we hope that members of both parties find the courage to stand up to the corporate lobbyists who dominated this process–because if left unchecked, their pernicious influence will continue to infect every aspect of ourgovernment to the detriment of its citizens. We who are voters must clearly communicate in November that we will accept nothing less because the fight cannot end until we as a nation decide to take on the corporate interests that are corrupting our political institutions and strangling their ability to provide affordable healthcare to everyone.

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