oleeb's picture

    No Public Option? Then Kill It

    I just saw on Yahoo news that the AP is running a story saying Obama is going to abandon the public option which is the only really decent aspect of his health insurance reform plan.  Here is how the article startes out:

    WASHINGTON - Bowing to Republican pressure and an uneasy public, President Barack Obama's administration signaled Sunday it is ready to abandon the idea of giving Americans the option of government-run insurance as part of a new health care system.

    Facing mounting opposition to the overhaul, administration officials left open the chance for a compromise with Republicans that would include health insurance cooperatives instead of a government-run plan.

    If this is true, then there's no longer any reason for progressives to pretend that the health insurance reform effort is worth supporting.  If Obama abandons even his weak public option proposal then progressives need to kill the bill and come back in January unapologetically with the Medicare for All bill and insist Obama support it instead of engaging in yet another attempt to kowtow to the preferences of the most reactionary, greedy and unpatriotic forces in American politics.  I have been disappointed far too many times already by Obama. 

    If he doesn't even have the balls to stick to his own public option plan then I move from the deeply disappointed column to disgusted.  Who exactly does he think elected him?  I see no reason for the public or any progressive to support a moderate Republican President (which is what he's turning out to be) who is so weak he cannot accomplish the one things he said "must" happen this year.   They elected and expected a Democrat and look what they got.  Another weak, cowardly, craven and calculating politician without the courage of what he says are his convictions.

    Comments

    This was it for me Oleeb. Today I declare my Independence! After 37 years as a registered Democrat, this was the last straw. This was the big deal. This was the reason for remaining active in the party. This was the difference that mattered. War, labor, human rights, civil rights all matter. But this matters more to more Americans than anything else. This was the domestic issue they had to do right. This is is signature issue. This defines who they are. I will not have this miserable sell-out bill identifying me. I want no part of it or of the party that is foisting it on the American people. It is underfunded. It will not be able to protect the working poor. It is has sold them to big insurance and big pharma. Worst of all they have had the unmitigated gall to change the end goal. They have claimed that we have been fighting for insurance reform for 60 years when we have been fighting for universal healthcare. They have withdrawn the goal and replaced it with a plan to support insurance corporations with captive policy holders.

    And they have only begun to surrender. They have raised the white flag to Chuck Grassley and he'll be back for more and they'll give it to him and say thank you.


    "And they have only begun to surrender."

    Truer words, I'm afraid, were never written.


    I would be happy with those provisions which are still being considered, particularly the right to stay in my pool when I retire, and simply pay a premium out of pocket, which I think is included in the portability concept. Another important feature is having simply the right to paid coverage, i.e. no refusal due to pre-existing conditions.

    To do without these hugely important features is not trivial. And it is not likely that killing the current version will make a more comprehensive bill possible. You cannot call yourself helping to reform health insurance if you want to wash your hands and walk away.


    This sounds too good to be true and it probably is.

    It's only been a couple of weeks since Congress went on recess. I don't believe for a single second that Obama is giving up just like that, after a handful of staged townhalls over the weekend.

    It's a ploy to incite mass hysteria among the progressives and bully the Blue Dogs into voting for it.


    I think you're wrong.

    Refusing to go along with another pack of ineffective half measures that only make the pain of our current system slightly more bearable is the only realistic or pragmatic course left available to us. As long as we continue on the path of sustaining the rotten system we have we extend it's life. The death panel I'm in favor of is the one that will kill the for profit health system we have in the US. Everyone seems to acknowledge that if the system continues as it is it is unsustainable (which means the greed of the insurance, pharma and other healthcare parasites will end up hoisting them on their own petard). Well okay then. I say let the train wreck happen if that's what it takes for these cowards like Obama to do what is right.

    And frankly, I'm no longer interested in being on the caboose of the "reform" train anyway. I'm not for reform. I am for creating a new, unified, national single payer healthcare system in the US that serves the people.


    "If this is true, then there's no longer any reason for progressives to pretend that the health insurance reform effort is worth supporting." Are you going to take your ball and go home?

    "If he doesn't even have the balls to stick to his own public option plan then I move from the deeply disappointed column to disgusted." - By design, he has never totally defined how his version of a public option would work. But of course yo don't want to hear that. As you should know there are different versions of the public option in both the House and Senate bills. You also appear to think that the president is an omnipotent being. Infantile, utterly infantile.


    I expect they called the Reagan Democrats "infantile" when they left the party over their own core values. I expect they just experienced that last straw. This is mine.


    And mine...democrats can go suck air.

    C


    I hope that you are correct.


    Hope springs eternal eh, lalo?


    Well it's working. I'm hysterical!

    I appreciate your insight and hope you are right!


    You're kidding, right?


    And they're doing what with medicare?


    bluebell, I saw that you changed your avatar--will you be changing your name as well?


    Probably not but I'll be looking for a better avatar.


    I've been in this limbo since the Clinton years, but the Dem Party has (or had) a lot of meaning for me because of what they stood for, who they represented and a family history of fighting the greater of two evils in the past. So many great accomplishments were achieved by Dems in the last century; so many malicious acts accomplished by Republicans.

    I have to wonder, why the capitulation now? Look at the arc of the HCR "debate" from even before Obama took office. Isn't the recent media coverage of screaming meemies planted in staged 'town hall' meetings spitting absurd talking points just a little too convenient an excuse to throw in the towel now? Congress is still debating the proposals. It isn't the American people that are being signaled to drop the pulic option; it's congress.

    Many of us have yearned for a third party takeover. The good news is it has happened. The bad news? It is the Corporate Party that has seized (or retained) control, but quietly, of course, as a kind of silent partner to our democratic government.


    The issue is not that you want to leave the Democratic party. That's your choice and I respect it. What I take issue with is your attitude. So whatever you do continue to support health care reform now, even it means some compromise. For this is not just about politics. People's lives and livlihoods depend on it.


    Everyone needs to put the heat on the White House. We need to flood their system. I know for a fact THEY are listening. Not so sure about Congress and Senate.

    If everyone who voted for Obama would take a second and email the White House, they'd wake up really f_ing quick.

    http://www.whitehouse.gov/contact/

    quit bitching and do it.

    PUBLIC OPTION IS NOT NEGOTIABLE!

    ps forward this to everyone.


    Thanks Mike. Did it.


    My attitude is that when we allowed a healthcare bill to become an insurance bill we were baited and switched into an entirely different goal. I don't support financial industry welfare. I support the delivery of universal healthcare. The bill has a lot more to do with preserving the health of insurance industry profits than it does with the health of Americans. It will grow worse as it becomes the Blue Cross/Blue Dog bill.


    And it will be even worse if we do nothing at all.


    Your comments are nonsensical.

    It is no longer relevant to discuss the different versions of a public option since they are hightailing it out of that alternative altogether like the cowards they are. They are chickening out. Running away. Surrendering. How you extrapolate I think that the President is omnimpotent because I think he ought to have the balls to stand by his own proposal of having a public option is completely unclear.


    I think the avatar you've found ain't bad at all bluebell.


    Done.


    No. It won't be worse if we do nothing at all. It will be worse if we get some half assed welfare bill for the insurance industry that prolongs the life of the rotten system the insurance and associated parasites have created and made into such a monster.


    You are right about the Corporate Party and it was a weak leader, Barack Obama, who handed the last vestiges of independence in Democratic Party to the corporate interests. That's what baffles me most. He surrnders to them with no fight at all. And the surrender was not only unnecessary but we get nothing in return for it.


    It's worth doing and I will, but what makes you think they're listening Mike? They didn't listen when it came to FISA. They didn't listen when it came to handing over trillions to Wall Street with no strings attached. They didn't listen when it came to rolling back the illegal/unconstitutional police state claims of power from the Bush years. They didn't listen when it was clear the majority of the American people support some form of single payer healthcare system. Why do you think it would be any different at this point?


    I'm not sure that's true. I do believe, as Tom Wright said here that getting rid of rescission and pre-existing condition bans would improve things. But, without a real public option (by which I mean where every American with insurance now gets to choose between their current plan and a government plan so that insurers have to offer more services at better prices just to keep their clients) the health bill as I understand it now simply won't change much for most people. Insuring the uninsured will also, of course, be a good thing.

    That's a problem because those people will rightly ask what they went through all of this for and any of them who have to pay higher taxes for it are going to wonder why.

    It's not good and it's not right to have gone through all of this without providing some sort of pay off for the vast majority of Americans. The point here is to free people from the very real death panels at work in society.

    Insuring the uninsured and changing the rescission and exclusion rules matters but it amounts to tweaking the system for most people. That's not what we're trying to do here.


    Medicare for all says it about as simply as it can be said.


    Well, it lost a little in the translation but I guess the Blue Dogs took a few slices off the ends. It's a small price to pay for my Independence.


    Thanks - I filled out form and submitted.

    Please post this info as a stand alone blog post.


    Think what you want. It looks like the only thing you have the balls to do is complain. Narrow left wing views are just as obnoxious as narrow right wing views. Same tactics. Call the other guy nonsensical or stupid and then declare victory. You are unable to accept that there are differeing points of view because you're too busy listening to yourself or others like you. I'm outta here. Happy now - you won - or so you think.


    Well said, bluebell. And to rub salt in the wound, just think how this emboldens all the righties. If Limbaugh, Palin, Beck, Gingrich, and on and on were insufferable before...

    Barry got teabagged. Or did he know all along?


    Well said. They have surrendered after a non-battle, after a non-struggle. Like you the Democrats have now become "them" for me.


    ". . . health care . . . health-insurance companies . . . insurance company . . . insurance company . . . health coverage . . . insurance company . . . health-insurance reform . . . health insurance . . . health insurance. . . . health insurance . . . affordable coverage . . . health care costs . . . unwarranted subsidies to insurance companies . . . enriching insurance companies. . . . hold insurance companies accountable. . . . insurance companies discriminated . . . prohibit insurance companies . . . require insurance companies . . . health insurance . . . health insurance . . . insurance company . . . .

    "The long and vigorous debate about health care that’s been taking place over the past few months is a good thing. It’s what America’s all about. . . .

    "We are already closer to achieving health-insurance reform than we have ever been." Barack Obama

    Lot there about "health insurance reform." Not much about "health care."


    I'm still mulling this over oleeb. The only thing that prevents me from endorsing your point of view now, is the insurance and med infrastructure cos would be delighted with such an outcome. Total speculation here, but if they pass a truncated healthcare reform bill now that is costly, and without legs to reduce those costs, then it might, (and I emphasize 'might'), amount to a Trojan horse, that would demand actual reform down the road. Of course doing nothing might lead to the same result, although either way, the insurers may clean up their act just enough to stay ahead of public opinion. As I said, I'm still chewing on this one, and am doing what I can via letters to congress, to prod the congressional, I'd call them whores, but I hate to denigrate honest working women as such.


    How about the senate and congressional healthcare system for all?


    The Republicans and the industry lobbyists raise a bogus stink about "death panels" and the White House and Democratic Congress cave on the public option.
    The Democrats have just handed their opposition the template they will use on any issue that Obama tries to address throughout his administration.
    Embarrassing!


    “As a rule, large capitalists are Republicans and small capitalists are Democrats, but workingmen must remember that they are all capitalists, and that the many small ones, like the fewer large ones, are all politically supporting their class interests, and this is always and everywhere the capitalist class.
    The Republican and Democratic parties, or, to be more exact, the Republican-Democratic party, represent the capitalist class in the class struggle. They are the political wings of the capitalist system and such differences as arise between them relate to spoils and not to principles”. .wikiquote.org/wiki/Eugene_V._Debs

    WHO GOT THE SPOILS HIS TIME
    wikiquote.org/wiki/Conspiracy

    OBAMA SOLDOUT THE WORKING CLASS; INTO SLAVERY.
    Inflation or deflation
    THATS HOW YOU CONTROL lABOR, THATS HOW YOU WHIP THE SLAVES (22 MINUTES IN) higher unemployment all controlled by banks and corporations.
    Healthcare in America, contriolled by Corporations.

    WATCH THIS VIDEO, AND UNDERSTAND WE THE PEOPLE, HAD AN OPPORTUNITY TO OVERTHROW A FAILED SYSTEM.

    FIAT EMPIRE - Why the Federal Reserve Violates the U.S. Constitution
    http://video.google.com/videoplay?docid=5232639329002339531&hl=en


    So, we're basing our opinions on something that "might" be true? Obama "might" be signaling acceptance of the co-op idea? Might it not be another con job? Get democrats to turn their backs and pack it in?

    It ain't over 'til its over.

    Obama was just here in Colorado and his comment to the effect of the public option being "just one sliver" of the overall debate is what the media goobers are basing their stories on.

    And, of course, certain TPMers are eating it up. Talk about self-fulfilling prophesy.

    I'm saying it again: if health care reform tanks, then thank yourselves.


    All the Dems have to do is try to pass a real bill with 50 votes.

    They can let Republicans filibuster for days on end, and see what the public reaction is.

    Giving up on the public option (to the doubtful extent Obama ever really wanted it) is completely inexcusable.



    What Dems, the non-capitalist ones?
    Obama's giving them all cover. If it doesn't pass, it's Obama's fault; he should have tried harder. Obama will blame Congress. 50% of voters will blame one or the other. Rebellion contained, back to polarization, back to infighting of the working class. As long as the focus is off of the Master class
    If you need another diversion, start a war against terrorism.

    The election of Obama was the pressure relief valve. Capitalism saved.
    Having saved the Federal Reserve and its Masters, it's a matter of returning to status quo.
    Masters and slaves, Rich or poor
    The Masters saying "Let the people eat cake, like us."

    Until the next election and then they'll tell us about what we fear, and how if elected, BY God they’ll be different, they'll bring Change.
    SUCKER BORN EVERYDAY


    Done.


    I've often thought Obama was playing chess while others play checkers. That's thinking more then a few moves ahead. I like the outcome you are suggesting. I'm skeptical. But it would be a very smooth maneuver if it is true.


    But barack did might fine for himself, didn't he?!? Now that's the signature of the politicians we have come to know and despise. Say it ain't so?!?!?


    I stated we need healthcare reform, not health insurance. The White House needs to tell the stories of the victims of insurance and remind everyone of the neighbors we all know who have been screwed by their insurers.


    Ya know, I've never really understood where people like you, who grovel like starving peasants and who are so willing to kiss the asses of the rich and powerful get off comparing people on the left to the whack jobs on the right. There is no comparison whatever except that accomdaters like youself get to posture as smug and superior when really you're just chicken and refuse to admit that your strategy has, once again, failed miserably.

    What you would accept as partial victory would have been acceptable 20 years ago. Today it is little more than an insult. You're so whipped, cowed, put down and pathetically desperate to claim some sort of victory you don't even recognize when you're getting your teeth kicked in.

    Wake up! It's the middle of the roaders and their reactionary allies who have killed healthcare and you have chosen to align yourself with them. So don't blame me or the people who aren't afraid to actually stand up for what they believe for the failure that persons like yourself have supported from day one. How you think this is the fault of anyone on the left who, though they didn't like it, did accept Obama's weak public option concept and supported him because of that is amazing. The left and the liberals were the only people who had Obama's back on this from day one and he screwed them in return with all his namby pamby kowtowing to the Republicans and the insurance parasites, none of whom would ever support health care reform as is plainly evident.

    You've no facts of any kind to blame the left for the failure of your school of thought. Sometimes it is better to lose with honor than it is to claim a false victory and be humiliated all the same. That's what you're for. So quit pointing fingers friend and instead look in the mirror.


    You're simply wrong on this.

    It isn't as though the news reports are based on rumor. Secretary Sebelius made clear they are ready to dump the public option. An piece on Politico says:

    "Health and Human Services Secretary Kathleen Sebelius said Sunday that the public option was “not the essential element” of the overhaul."

    What, after all, do you think something like that means? It is quite clear and obvious what it means.

    You are suffering from a serious case of denial if you simply ignore the facts, but that's your choice. Just don't blame those who recognize what's going on for Obama and company caving in on the Public Option like a bunch of terrified children because of the predictable and expected opposition of the special interests.


    We needed finance reform and instead we got a huge gift to Wall Street with few preconditions. Goldman Sachs and Bank of America are laughing so hard.

    We needed investigation of torture, and instead we'll get an investigation whether individuals deviated from the approved Bush/Yoo standard of torture.

    We needed to get out of the Middle East, but instead we're shifting gears into ante-up mission in Afghanistan, whatever rationale we finally settle on (eliminating the Taliban, welcoming them into the government, eliminating drugs, eliminating Al Qaeda, stabilizing Pakistan, bringing democracy...)

    As Robert Reich noted, there's a lot of savings that can be done by using the large medical account to pressure pHarma. But we gave away that leverage by capping their contributions. So where will savings come from?

    We've been talking about Electronic Medical Records for 6 years now, something that's supposed to save us lots of money and doesn't require Universal Health Care or universal insurance. How's that coming? It still sounds like "mission to the moon" when people talk about it. Is it that tough?

    I don't have much confidence in government to come up with and run a new program. The prescription benefit/Medicare Part D turned into a huge boon for Big Pharma that was rammed through just because. Our new "success" story is "Cash for Clunkers", which is simply a huge $3 billion subsidy to get people to buy cars. Meanwhile the program to help people with their mortgages, something I'm much more interested in, is an unqualified failure, with new records for foreclosures set every month:

    About 235,000 troubled borrowers have begun modifying their property loans under the government’s Making Home Affordable Program, compared with a target population of 4 million, according to an Aug. 4 Treasury Department report.

    I don't expect people on the right or the left to tell the truth on any policy issue they're fighting about. Those on the left continue to pretend Canada has no wait problem even though Canada's had a "Wait Time Alliance" of major health groups pumping $6 billion into reducing wait times for the last few years with little result. That would seem to indicate Canadians see a problem. It's better than no care, but it's still a problem.

    Curiously enough, Mackey from Whole Foods seems like the only voice I've heard of late that I trusted. He may be a bit of a loon (not that we have a shortage), but he seems to balance holding down costs with getting his employees good affordable health insurance. I'd trust him more than Rahm to go in and negotiate with Big Pharma and the insurance companies. I guess I'm conservative, but I tend to trust someone who has something working over someone who offers pretty promises. And that's what all this feels like to me - that the "revenue neutral" promise is either just as bad accounting as we had under Bush, or it means the actual benefit we get will be much smaller than anticipated.

    And if I looked at the quest for Universal Health Care or Insurance Reform as a project, in terms of project management techniques, I think I'd spit blood. I thought last year that Obama had a crap response team, but an excellent organization and engagement team. But it's like having a football club that's known for its running backs decide that it's going to focus on its passing game for the Super Bowl. Engagement has been absent, and now after Republicans controlling the messaging on Town Halls for a week, we're going to bring out a too-late response.

    Hanging the public option out on a hook? It was already dangling, what with waffling about untried co-ops and so forth. Just a space filler, never an important ingredient. Whoever wanted health reform just got a plate of sausage. Smather enough mustard on it and it might taste good.


    Citizens want reform. The healthcare industry (largely insurers) is where the opposition is coming from. Because congress is owned by the industry is why this is happening. Insurers grossly inflated revenues are fully intentional. Anything they can do to make the system enhance revenue and thus profit but isn't illegal, they'll do.

    What really sucks is a lot of investors are foreign and we are effectively paying them and getting nothing in return. Plus I doubt that even one of the major insurers ever pays the 35% number that is the supposed corporate rate on income. Most pay between 15% and 20%. I wish I could figure out a way to reduce my taxes by a third of the established rate.


    bluebell, you and oleeb have expressed here my intense disappointment and anger with these developments.

    Imagine what could have been accomplished if we had elected the leader we thought we had. There is an intense (and ill-defined, unfortunately! Thanks, Dick Armey & Friends!) anger among the populace - righteous for its many losses over so many years of Reaganomics ("Golden Shower Trickle Down") and for the way in which we continually get sold down the river in Washington by the corporate bosses and their lobbyists and their bought-and-paid -for Congressmen. (See Baucus, Blue Dog Dems; Grassley, et. al.)

    And to think we were told that we could not engage in the very important work of democracy in "looking back" at the gross malfeasance and crimes of the previous Administration because we needed to be pragmatic; we needed to remain focused upon the so very important work of health care reform. And this is what we get? An "Insurance Industry Enhanced Profits Plan" that's does absolutely nothing to ensure sustainable universal health care as you point out? And all because we fear the Republicans and their distortion campaign and other corporate boogey-men?

    Looks like the GOP got a two-fer on this one, and the American people (and our Constitution!) have taken it in the neck. Kinda' shows what happens when you forego principles to embrace "pragmatism" or "bi-partisanship." With no such foundation of principles upon which to stand, Obama has left a great opening for the unprincipled money-changers to knock him flat on his ass. So much for pragmatism. So much for "bi-partisanship" at any cost.

    My contempt for Obama at this moment is nearly as extreme as the contempt I have felt for any politician in recent memory. He has such talent for true leadership. He had all the planets in alignment to accomplish great things, INCLUDING the financial mess he inherited and the two wars and the Bush/Cheney debacle that had an electorate hungering for real change we could believe in. And he surrendered his magnificent mandate to the Repubs and their corporate handlers, allowing them to define "change" this time around as a Wall Street giveaway, a continuation of ruinous wars, an endorsement and continuation of Bush/Cheney "best practices" in the abuse of Executive Power, and finally this "Enhanced Insurance" proposal that is as corrupt as anything this nation has seen since the days of the Robber Barons.

    We thought we elected a leader. What we got was a creampuff casper milquetoast who has instead done little but raise the white flag of "bi-partisan pragmatism" without firing a shot. It's beyond contemptible and for the first time in my life I look diligently for who might best serve America in the upcoming Primary contest in opposition to a sitting Democratic President.

    Am I confident any such real leaders can be found who can actually stand their ground against the Corporate-owned whorehouse that is now Washington from top to bottom? Obama has done much to diminish any such hope I have ever had, but I remain in the good fight if only because it is so vitally important for the future of this democracy.


    The genius in accepting your perspective on Obama's strategy here, lalo, is that it doesn't require progressives to be quiet any longer. I am about as angry as I can remember being about the cesspool politics in Washington. I can most certainly not sit back and "go along to get along," as the Obama forces have continually suggested is the proper course of action to be taken.

    If Obama cares to use the anger stirred among progressives to at last effectively show some backbone and send the rats scurrying into their astro-turf tenements, then I say "Bravo" for adopting a brilliant strategy.

    But that's only if he's successful in gaining legitimate health care reform in the end. I would otherwise suggest that he was too cute by half in playing such brinksmanship at best, and at worst showed that he is no less a tool of Washington's corporate owners than the GOP and Blue Dog Dems, etc.

    Time will tell. Meanwhile, contempt for all involved remains the proper response to such an assault on our health care needs as is represented by this "Insurance Profit Enhancement Program."


    It's not good and it's not right to have gone through all of this without providing some sort of pay off for the vast majority of Americans. The point here is to free people from the very real death panels at work in society.

    Exactly right, destor, and well said! Health care reform that actually provides relief to a majority of Americans! Wot a concept!


    There is no third party. There is in fact no two-party system. We have a single party that owns Washington, and the Insurance Industry wing of that corporate party is showing us all just who is boss.


    Done


    And I remember the hairs on the back of my neck standing straight up the first time Obama introduced "health insurance reform" into his speeches in place of the original mandate for health care reform. Disgustingly apparent who was in charge on this one, eh?


    To the barricades, miguel! The fight is not lost.

    Truth be told, Congress and Obama and the media have not heard from the Progressives in anything close to the effective way in which the GOP/Corporations have mustered the "death board" opponents.

    It is my hope that this capitulation to the Insurance Industry at the cost of compromising genuine health care reform will be a catalyst for a storm of protest unlike anything Washington has seen thus far.

    Righteous anger is the proper response to this "Insurance Profit Enhancement Program." And in large doses, too, to enhance the health of us all and to finally purge the system of these Insurance Industry parasites..


    No, oleeb, you misundrstand. We are supposed to keep our powder dry until it becomes completely apparent that the battle is in fact lost.

    What a crock is served up by these "go along to get along" "centrists" who think the worldview is so much better when you bend over and grab your ankles.


    Equally well said, SJ.

    BTW you might be on the road to bumper sticker fame and fortune with "Corporate owned whore house".


    ROTFLOL! When are people going to start calling every step back taken by this administration something other than 'a cunning plan'?


    Citizens want reform.

    Agreed.

    But "reform" of what?


    SleepinJ,

    When Obama got elected I made the observation that
    he had the opportunity to either go up on Mount Rushmore or become known as the biggest snake oil salesman to occupy the Oval Office.

    He's adopted many of the Bush ideas on terrorism, privacy/transparency, unitarian Presidency, etc.
    And, rather than redefining the mission, he's expanding the war in Afghanistan.

    He's showing absolutely NO leadership on this health reform issue, rather, he's just reacting to what the Republicans and right wing are throwing out there.

    His lack of leadership, along with Red State Democrats, will cause the Democrats to lose seats in Congress in 2010. They will lose seats because many independents will go Republican and many of the base won't turn out as they did in the last election.


    Clearly I'm in a minority here--a tiny minority--an insignificant minority. I can't bring myself to join the fuckit school of legislation because something I want isn't in a piece of legislation.

    If the bill does require coverage or pre-existing conditions, for example, what am I do to? If I had an answer to the person who can't get covered because of a previous condition except to suggest "bankrupt yourself and go on medicaid," maybe I'd say the public option was the be all and end all of health care reform.

    But I couldn't look at that person and his family and say sorry, no public option, I withdrew my support, so just suck it up. I'm just not pure enough in my convictions for that. Sorry, it isn't me.

    I'm rather deciding that I'd rather not be in this small, insignificant, minority. Too much TPM with its politics and lots of caffeine may not be good for me--I get too much caffeine from coffee in the first place.


    I now you are right, john. From a purely political standpoint, Obama has been an abysmal wreck. The Repubs deserve to be pushed so far to the margins that the only thing between them and oblivion would be "lipstick," yet they are in the ascendancy with all this "death panels" crap and other absolute nonsense that remains unchallenged.

    In other words, the GOP has presented such a terrific target with all their lunacy, and yet all Obama has been able to do is shoot himself in the foot.

    And unfortunately all the "Insurance" in the world ain't gonna stop the bleeding.


    Indeed, Obey! At some point I gotta' believe even lemmings take a look at the cliff to which they are heading and think "Whoa! This ain't gonna end pretty!" lol


    I don't understand the criterion you're operating with here Oleeb. To me, the question is "does the bill improve or worsen the situation?", or "does it move things in the right direction?" You don't argue on these terms at all. For whatever reason, a bill without a public option is not strong enough. And from the pragmatic side, you want an even stronger bill put forward in january. where are the votes for that supposed to come from? I take it that you want to push this better bill through the same political and corporate media system that this weak bill has failed. It doesn't make any sense to me.

    As for whether this bill is overall an improvement, I'm inclining towards the negative. At some point legislation has to stop being more and more food for the corporate beast as they are left free to fix prices, socialize increased costs through subsidies of various sorts, and continue abusive practices. This bill just makes the corporate sector that much stronger, making future attempts at cost-controls that much harder to push through. So I'm half-heartedly with you.

    But the idea of pushing a stronger bill next year seems quixotic. I'd rather dump this bill, and push through partial fixes - expansion of medicaid, schip, Medicare, Empowering Medicare to negotiate, and pay it all with a surtax on the wealthy. In the absence of cost-controls like the public option, subsidizing insurance for lower-income families just adds to insurers' bottom line while premiums go through the roof.


    Thank you, Mike. I knew there were rational and logical liberal voices out there on the subject.

    Even FDR didn't get the entire New Deal done during his first six months in office. Took most of his entire twelve years. Civil Rights took a number of years and many presidents to finally accomplish the goals, starting with Truman and culminating with LBJ. Labor rights, abolition, suffrage, the list goes on and on.

    Lasting change takes time.

    Obama only gets a max of eight years and can't blow his wad coming out the door, looking to bathe in the bloody entrails of republicans. All historically huge changes in this country have come by way of baby steps based on political compromise that led to greater opportunities on the next round of discussion. Give a little, get a lot. Keep your eye on the long-term goals.

    This is why I find most liberals to be largely ineffective at achieving the goals they claim are most dear. It's the same sort of hysteria found over at my latest blog and the Lanny Davis thread it cites. It would be funny if it wasn't so sad.


    One that will assure them they have acces to care that can't be arbitrarily dropped and that covers whatever they happen to need.

    And doesn't discriminate when they change employers or become unemployed only to find they can't get coverage because of a pre-existing condition.

    And lastly one that doesn't cost the nation double percapita compared to other developed countries. And on a ratings basis, doesn't have us running 37th even though our costs are far in excess of any other nation in the world.

    Those are good for starters.

    However, IMHO reform would look more like nationalizing the entire system and after modernizing their operations for efficiency, sell them off to investors with forever restrictions to prevent screwing it up again. The same applies to banking and insurance. They are also very broken. But then you know that. And Oh Yeah. Remove any entitlement of corporations being citizens. Becasue they ain't.


    I understand how you're torn on this Amike. The problem is that without the public option or something equivalent to bring in competition, the insurers have complete pricing power.

    So what happens when this 'option'-less bill passes? Insurers can no longer discriminate on the basis of condition/gender, etc, and can't rescind policies willy-nilly. So the cost to them of the average policy moves up from, say, $6'000 to $8'000. What happens to insurance premiums? They move up from $7'000 to $9'000. I don't claim these figures are anywhere near accurate, but you see the picture. More people are priced out of the market, and need subsidies. To expand coverage, more subsidies are needed, and all of it ends up being just a direct transfer to insurers' profits. Something similar can be said for drug-makers in the current deal. The more profits they make, the more political clout they bring to bear, and the harder it becomes to pass meaningful reform which necessarily hurts their bottom line.

    It's the same situation with the banks. They have just received 23 trillion in guarantees and other indirect subsidies. Surprise, surprise, passing decent regulatory reform has become impossible. Yes, each time, short term pragmatism demands that we feed the corporate beast, but long-term it worsens the situation.

    Is this bill starting to look like a big corporate giveaway? Yes, with the exception of some peripheral elements that really could be passed independently of this bill.


    Done.

    C'mon everyone. This is how things happen - with a non-negotiable demand for what we voted for, for what we need. There's no excuse for not taking action.

    "A man can't ride your back unless it's bent."
    - Martin Luther King


    Thanks for the thoughtful and sympathetic response. I'm now focusing on your last sentence. Maybe the secret is to pass the passable peripheral elements first and pass them independently. I'm never convinced that mega-bills are the best way to legislate about anything. The last defense against passage is "nobody has had time to read all 900 pages." Break the bill down in to manageable segments, get passed what can be passed, and then hold the Donnybrook on what's left.

    I suppose the problem with that approach is that as soon as a person gets his/her pet bit of reform enacted into law, he/she will head to the local donut shop and buy a French Cruller (after all they're liberals and we know they're Frenchies in disguise) and a coffee (they've sworn off lattes when it was pointed out that such were the drings of the elite and not of the "people") and celebrate. But I think it might still be worth trying.


    Bushama has them right where he wants them?
    -Sorry, but my cynicism has moved on into contempt. I allowed myself to believe that O was going to be OUR president. Good enough for everyone. I spent my money and time and a fair amount of 'social capital' electing a fraud. I thought we were taking OUR country back. We were just being taken.
    This will not end well.


    Brilliant as always Oleeb.

    I can't remember one instance where George W. Bush ever caved to "Public Pressure" or "Democrats." Bill Maher is right: We need Obama to act more like George W. Bush.


    What universe are you people living in?

    Obama has done more for health care reform and progressive causes in the last six months than anyone else has in the last 20 years, and all you can do is carp and whine and say you're never going to vote for Democrats anymore. I can hear the Republicans chuckling.

    Health Care reform is a long hard slog - FDR, Truman, Kennedy, LBJ, Clinton all tried it and couldn't get it. If it were easy we would have done it 60 years ago. We're not going to get everything we want on the first round.

    However, if we listen to naysayers like you, all were going to get is conservatives back in power and another decade of regresssion.

    Stop the crap and get behind our side!


    Right. And I'm in favor of cars that run on water and get 500 miles per gallon. How about coming down to Earth?


    What a bunch of hooey once again. You keep disparaging leftists, libruls, extremists, or whatever your label du jour is at the time. But it stands to reason that you centrists - you who propose a centrist ideology - are about as impotent as any eunuch in an Insurance Potentate's Washington brothel (aka The U.S. Congress) without assistance from the left AND the right.

    After all, what is there to define "centrist" if not the ideologues on the left and the right. Your ridiculous assertion that FDR, LBJ, et.al., simply pulled ideas out of their centrist ass and - voila! - we have progressive policies is ludicrous. There was alot of pushing and loud voices and so-called "extremist"politics on behalf of Progressives that was engaged before any action was ever taken that advanced the Progressive cause, however incremental it may have been.

    And my guess is that LBJ, FDR, MLK, and all the others would take offense to being portrayed as spineless weasels who carried with them no progressive ideology of their own. They would most certainly be more inclined to let you cover that territory all to yourself.

    Did they know the art of compromise? Of course. But there is not ONE Progressive policy that was ever enhanced by selling out wholesale to the highest bidder. And this shit has gotta' stop! It is time to punch the Insurance Industry in the nose on this one, and keep punching and punching until they scream "No mas!" After all, they are defenseless in this struggle, and should be called out for the parasites they are that bleed our health care system for their profits without regard for or legitimate contribution to the common good.

    And then we need to take on Dick Armey and Grassley and all the others who promote fear-mongering in support of their corporate owners. "Shame on you, Senator Grassley, for scaring Grandma into believing ANYONE is out to kill her!" We need to lay these lies at the doorstep of the corporations and their lackeys, and insist they tell us the reason they need to rely upon this kind of sinister nonsense rather than try to deal directly with the issues.

    Finally, we need to validate the anger and the sense of frustration and impotence that has been expressed at the Town Hall Meetings. And we need to make it very plain that it isn't "guvmint" or "socialists" or "death panels" that are the real source of their misery, but rather the very corporations that have so cynically manipulated them in this process.

    Sometimes, you need to stand on principle if you have them. It's a sorry state of affairs, jason, if you are indeed so handicapped in that regard, but it's of no consequence to the discussion that needs to be engaged. So get out of the way. Let the games begin!

    This ain't tiddlywinks, jason. If you can't stand the heat, get out of the kitchen. (Said by another of your supposed "centrist" ideologues, I suppose. My gawd!) We're coming after you and the rest of the "politics as usual" crowd on this one. And it's about time!


    Incremental steps are all we are going to get. If the other side is bringing people into the streets and sucking up all the airtime, astroturf or not, its effective. The people get what the people want. Honestly I don't see a great hue and cry in the public over the loss of the public option. This is legislating, politics....sausage making.

    The holier than thou tone of this post, and many comments in the vain of "Obama is a milquetoast wuss" are less than helpful.


    please document the advances made by Obama? They sure aren't apparent to tye naked eye.

    Look elsewhere on the thread, and you find actual instances enumerated where he is more comfortable continuing the policies and practices of the Bush Administration, fer chrissakes! And this latest suggestion that he is willing to capitulate fully to the Insurance Industry is beyond anything I could imagine the GOP accomplishing if they were in power.

    With friends like this....


    Very well put Obey. I too am seeing this as something that would be better chipped away at with more targeted legislation than this monster bill that is looking more and more like a federal handout to the insurers, pharma, and medical industry. This legislation is fast reaching the end of the road, and it's looking like it's a dead end street. All of the 'Obama is a chess player' die hards, as well as the rest of us are soon to find out just how many moves deep into the game he has been seeing and how effectively he has been playing. I'm not encouraged.


    When the Liberals lost control of the Democratic party to the Clinton/DLC wing, 90% of the public lost 90% of their representation. (arbitrary numbers)

    Today we get trickle down economics from the Republicans and trickle down government from the Democrats; a little bit of minimum wage, a little bit of environmentalism, some odds and ends, etc,; the business community gets served first by the Democratic leadership and the Republicans and we get what scraps fall off the table.

    If there is no public OPTION, (that's option, not mandatory) we will get window dressing. No more discrimination against pre existing conditions? WOW, GREAT! Um, I have emphysema, how much will this policy that doesn't discriminate cost me?
    Asthma? Diabetes? Heart Disease? How much?

    When we elected Obama and sent more Democrats to the House and Senate I felt that maybe there was finally a resurgence in the Liberal wing of the party.....OLD DOPEY ME.

    AS for passing what we can first and then coming back to expand; remember Clinton signing NAFTA with the promise to come back later to enact Labor and environmental rules to NAFTA?

    I'm still waiting.


    I don't know that this is a concession or surrender at all. It seems to me that it's an opportunity.

    The majority of the public opposition to the various incarnations of the HCR bill has been from people who are so violently opposed to the ideology of single payer or a public option that they'll stop at nothing to keep it from happening. Misguided as they are, the perceived threat to them is so great, they will continue to scream as loud as they can for as long as it takes to derail any kind of reform. They have something to rail against, and they are motivated with every fiber of their being.

    If the polls say that up to 70% of the American Public support HCR, where the hell are they? Why aren't 70% of the folks at the town hall meetings pushing for reform as hard as the opposition? Why isn't there as much pressure on the Republicans and the Blue Dogs as there is on the Democrats who support HCR?

    Because we don't have anything to rail against. We're confident with the power we hold in the White House, and both houses of Congress. We've been comfortable with the momentum we've seen so far. We're not scared enough to be as motivated as the opposition is.

    So, what's the best way to counteract this? Scare the hell out of us.

    The President is trying to get us to give him the ammunition he needs to fight the opposition, and there are people here talking about desertion. If we're ready to give up now, we don't deserve the reform we so desperately need.


    miguelitoh2o: Right. I think we can all disabuse ourselves from the "Obama is a chess player" self-deception. He's been way, way off the board since the Skip Gates message-killing fiasco.


    All rants aside, obey, I am inclined to agree with you here. Dump the Insurance Industry wholesale giveaway that this present omnibus represents. Then begin working in increments, at least until it becomes apparent to all just what constitutes genuine health care reform.

    I am very confident that incremental steps will lead to genuine reform. Will that include a near wholesale reliance upon the Health Insurance Industry to manage the system for profit going forward? I have my doubts. More importantly, the Insurance Industry has its doubt as well. Which is precisely why I have little faith that the Insurance Industry will allow such an approach, and we have certainly witnessed the degree to which they own Washington, eh?

    So good luck with the sensible approach. I'm more inclined to go for the throat and slay this corporate monster once and for all. (Sorry for the hyperbole, but I am pissed off to a degree that surprises even myself. When will we get back our government?)


    all great points needing to be considered john. And well said! Thanks for this!


    And I, too, understand the dilemma you write about here. My bottom line is that it would be wrong to so wholly capitulate to the Health Insurance Industry just to gain a few crumbs from their table.

    Far better to take incremental changes and continue the discussion about just what is the proper role (if any!) for the Insurance Industry to play in a universal health care system.


    Maybe your naked eye needs glasses. Just that fact that we are talking about health care reform at all is a huge step forward. With a Republican in office, it wouldn't even be on the table. Big legislative victories don't happen in six months. Health reform will be a slow incremental process - we won't get it all the first round. Meanwhile, look at what the Obama administration is doing internationally, with the courts, the environment, etc. A thousand daily decisions are now being made by Democrats and progressives rather than Republican right-wingers.

    If we listen to people like you and turn on our side just because the gratification isn't instant, we lose everything. People who think like you are the biggest danger to our side right now!


    Ah yes, blame it all on Clinton! Worked for Bush, will work for Obama.


    Obama = Bush Three.


    Although my understanding of what's wrong with American health care leads me to conclude that a public option has been given more weight than it deserves, I do believe it would be an asset to health care reform, and I hope a replacement in the form of strong non-profit cooperatives will be part of the final legislation.

    I also sympathize with those here who are upset with the latest reports on the fate of the public option, but I'm less sympathetic with those who express their frustration by denouncing the President and announcing they now oppose the entire reform package. It's a package that includes provisions capable of transforming American health care for the better. Millions of Americans will be helped if it passes, and they can't wait for the purists to be fully satisfied with any proposed legislation - they need the help sooner rather than later.

    I believe efforts to continue to push for a public option will be fruitful politically, even if what finally emerges is something less. Even the advocates of non-profit cooperatives will feel that push as pressure to propose their alternative in a form strong enough to achieve the same aims as a public option. That would be an effective use of democracy, in my opinion.


    Maybe the Republicans are right - now might not be the right time for health care reform. Let's skip the rest of this year's legislative session and instead turn the full attention of Congress to a substantive accounting of the preceding eight years of mismanagement, torture and illegal spying.


    I don't see the insurance industry putting up too much resistance. If Medicare gets expanded to everyone over, say, 60, or 55, with a little tweak on premiums, insurers will happily offload their most expensive clients. Expanding Medicaid, schip, just takes care of people who would never buy their product in the first place. Then they can screw everyone in the middle until those people decide they'd rather have a government program of their own.

    Taking on the monster directly requires representation in Congress. And it isn't there. To do it seriously is a long-term game.


    Very well put SJ!


    Quick! Everyone line up to surrender! It is our only avenue to victory at some unknown date!

    Sorry, but the time for saying talk is an advance is long past. Obama has caved in on every major issue and now this one, the one that means more to average Americans immediately in their daily lives than anything else he has also capitulated on and now wants us to accept a health insurance premium subsidy plan that benefits the parasites without reforming anything about our rotten system? No thanks.


    Desidero,

    Christ, give me a break, you're sounding like a right wingnut.


    How about we stop calling humiliating, dishonorable capitulation progress?


    a public option has been given more weight than it deserves

    Since Obama gave it that weight (just one of many links I could provide), he deserves to be denounced if he caves.


    Good point Obey.


    Thanks for straightening me out SJ. :)


    I cede to the gentleman with the more pragmatic view!

    I can't believe I am saying that, after "pragmatism" has been so wholly co-opted as a term now used in place of "capitulation." It is nevertheless required in the business of politics. Just as flame-throwing ideology - tempered with educated common sense - is required in the marketplace of ideas. Methinks we've got each other covered in both arenas, Obey. ;O)

    Now, on to my next rant! lol


    If Obama and the Democrats give in on the public option that means they're moving to the RIGHT. Haven't we had enough of that shit for the last 15/20 years?

    For 8 years, multitudes of Democrats in Congress moved to the right and gave Bush all he wanted, and we won't dig ourselves out of that hole for another 20 years, if ever.

    Haven't had enough yet, Bunky?


    Sleepin,

    If the public option doesn't pass I suggest we all read the fine print regarding the (alleged) "good" stuff that's in the final bill.

    Three Democrats from Red States and 3 Republicans are writing this bill.

    heh.


    Seems a helluva lot more Quixotic to me to continue fighting for somethign we're not really enthused about to begin with but feel compelled because we have been repeatedly told not to even try for what we think might be best. Many, including me, believe the Medicare for all approach would be best. But all of our more "pragmatic" and "realistic" friends demand that we follow them down the path of pre-battle surrender of that option and so we go into battle weakened by choice. How stupid is that strategy? And how well has that worked out thus far?

    Are there benefits to be had without public option included in a health insurance reform bill? Perhaps, but whatever small benefits there are, are offset by all the new goodies given to the parasites of the insurance and pharma industries, etc... This is a subsidy bill primarily that benefits the parasites far more than the host. That doesn't mean there might not be some good features, but with no public option there's no healthcare reform, only insurance reform and it if you call beefing up their profits in return for paying them even more a reform, well I have to say that's a reform I am not interested in.

    It is the foolish attempts to assuage the special interests that botch this sort of thing and if it isn't going to actually reform the healthcare system and on balance won't be much of a benefit (if any) to the average American, why on earth should anyone with common sense support it? Better to let the system go on unrestrained and wreck itself in the next few years than to patch and repair it so it can keep on sucking the lifeblood out of our families and businesses. I'm tired of accepting setback, after defeat, after surrender and then being told we have to support it because something is better than nothing. You have a right to believe that if you wish, but I have a right to believe accepting a bad deal is sometimes worse than nothing. This is one of those times.


    Oh Sleepin, I'm steaming mad about this. I'd write a good rant if I could, but I lack your 'mad' skillz...


    Well put Oleeb. Pass the most minor of reforms and regulation: no dropping people, no pre-existing exclusions, insert some regulation on minimum coverage and maximum costs. Come back next year and push for at a minimum a REAL public option. Dare the Democratic Congress (and President) to screw their progressive base in an election year with anger continuing to grow about the bank bailouts while home owners are still facing foreclosure. Dare them to not offer a public option to the uninsured while people are still losing their jobs and health care coverage / COBRA runs out. See if the threat of them losing power is enough to get this legislation passed.


    Calling those who expect the President and the Democrats to actually stand by the already compromised positions they have staked out is not being "purist". The President and the DC Demcorats are weak and cowardly and refuse to fight at all for what are their self proclaimed goals for God's sake! And you label those who actually expect them to be for what they say they are for as purists? Come on!

    The DC Dems, along with the President are in the tank with the special interests and don't have the courage to oppose them even with the support of the great majority of Americans. I'm tired of being told to follow leaders who refuse to lead except when there is no opposition from those who are unalterably opposed to where they say they want to go. Pretty lame if you ask me and I'm not willing to do it anymore. It will only end in more profits for the rotten parasites currently in charge of our healthcare system.


    You define centrist as being spineless weasles and expect the rest of the world to follow suit. I define it as the pragmatic march toward progress over a number of years and via a multitude of legislation with the power of the actual historical record to back me up.

    None of the men you mention were radicals. They used the power of their pulpits to drive the conversation toward logical compromises that the grassroots of both parties could support.

    You don't even understand the history of your own party (let alone the country) well enough to have a reasoned conversation as your continued fringe attacks make more than clear. This is just more distraction and misrepresentation. The same way the Rapture Right worked the edges for so long and made this country a nightmare to try and get things done in.

    The democratic party's biggest on-going challenge to accomplishing all their very worthwhile goals is that there are too many democrats in it.


    We'll all be long dead by the time this sort of incrementalism accomplishes anything of note. Had LBJ taken that point of view we would only now be seeing Medicare coming to be.


    Great comment, Virginia. These are the same sort of "liberals" who would hurl insults at FDR for not getting everything done by August of 1932.


    Except that Medicare doesn't even work for some, let alone all.

    If the liberal wing of the democratic party actually wanted a viable public option they should have used Medicare reform as the vehicle. It would have faced zero resistance and would be ad one deal by now on the left and right.

    All or nothing ultimatums in American politics tend to lead to nothing.


    Hi Ready - Obama, in my view, has given a public option the weight it deserves. As your link indicates, he has advocated it strongly, but he has never insisted it was non-negotiable, unlike health care reform itself, which he appropriately deems non-negotiable.

    It is a misreading of recent history to claim that Obama has "caved" on anything, but rather has kept his eye on the larger goal, and is doing what is politically feasible to achieve it.

    I expect he will, and the resulting reform package will be something transformative for the better in American society. It will be something to celebrate, with or without a public option, and if Obama, like many of us, believes the celebration should be even greater if the option remains, we will have much to celebrate even without it, and much for Americans who are currently denied adequate healthcare access to be grateful for.


    This is in direct contradiction to everything else you have stated. The current legislation is designed to provide incremental change with the hope of an ongoing dialogue that leads to a number of changes over the coming years.


    Oleeb, you must be hopping mad if you read all that into my comment. I'm saying I'm inclined to AGREE with you on the merits - or rather overall demerits - of the bill. It should be scrapped! Where I do disagree is on the existence of a virtuous middle ground between having the courage of your convictions and selling out to corporate interests. Expanding existing programs such as Medicare, Medicaid, SCHIP to take care of those who need help most desperately can be done without the blatant giveaways in the current bill. and, it CAN PASS. Medicare for All is wonderful, but you're running straight into a wall with that. If you have a plausible story about how it doesn't get immediately blown out of the water by all too many incumbent interests, I'll happily join you in that push. But I prefer smaller changes that have a decent probability of helping those who are suffering right now, than engage in high-minded idealistic battles for the perfect plan...


    The president is delivering exactly what he promised in the campaign. Did you vote for Dennis Kucinich as a write in or something?


    Miguel, I'm a bit quick with the trigger today. This game isn't necessarily over. Though at this point it would be nice if the White House weren't crapping all over the House bill, which is still half-decent. If Pelosi plays hardball in negotiations with the Senate there might at the end of the process be something worth passing. But if that happens it won't be thanks to this sorry excuse for an administration. If Pelosi caves as well, then lets just have a pared down bill expanding existing government programs. Just cut out the corporate subsidies...


    Just because liberals are unhappy with the evolution of the bill, that doesn't make it an even incremental improvement on the current situation. Do you even accept the principle that at some point the negatives outweigh the positives in terms of substance? Or is all you care about the perception of a 'dialogue amongst reasonable voices'? Address the substantive complaints about leaving out a public option, Jason, rather than going meta.


    Others haven given plenty of good reasons to support reforms absent a government-run public option. I see no need to repeat their worthy contributions.

    These bills provide for a lot of fixes to the current system, allows the president a win and resets the "reform meter" to a more reasonable place. They can also garner "conservative" supports at the grassroots which is vital to building majority support in the country as a whole. Much of what is on the table will be a great step in the right direction that keeps reform as the trend rather than gridlock leading to status quo.

    Sustainable change is incremental in nature and can be exponential if done right. All or nothing ultimatums usually lead to nothing in this country and starting back at square one. Sorry, but most of the criticism for this legislation seems painfully and hopelessly naive to me.


    Jason,

    your optimism on incremental change is, well, optimistic.

    The Republican party is in the hands of the wingnuttiest of the wingnuts and these people are who you think the Dems can run a dialogue with?

    "Incremental change" can only occur if the rational Republicans can wrest control of the party from the gang that now has control.


    The wingnuts are not negotiating in the senate finance committee, no matter how things are framed on TV.

    The legislation that is likely to come out of conference committee will be very progressive, even if not particular liberal, and will frame the discussion as a win for the democratic party. This isn't about the republican party. They will change in their own time.

    This about setting the stage for "bipartisan" reforms as being the desired state and then getting a "win" that cements that feeling. Make republicans run on voting for the reform package in advance of an election year. If the bills remain moderate and measured, it will be political suicide to vote against them when the number start to rise. Americans want health care reform. That is non negotiable. The democratic party itself can't even agree on single payer versus public option versus co-ops.

    How does this have anything to do with wingnuts republicans?


    You just don't get it.

    We've already compromised enough by giving up on single payer. Without public option, this legislation will simple be a massive giveaway of public money to the private health insurance companies by mandating people into the system.


    I have volunteered for President Obama's campaign and have made over 2,000 phone calls over a 2 month period. I, like many progressives, doctors, nurses, etc., strongly believe a single payer system to be the easiest, most effective way to deal with the health care crisis.

    With the understanding that we live in a world of compromise, progressive have settle on the compromised position of a public option in order to accommodate the interests of the much too powerful insurance industry and its representatives in Congress, the Republican party.

    The elimination of the public option would be an unacceptable capitulation to the will of the minority (70% of Americans have consistently supported single payer over many years) and for this reason, it will not be something that I, and many other progressives would support.

    The President, and the Democratic party should better pay attention to the following: any health care bill that shall pass without a strong public option will simply be seen by progressives like myself as a mandate to deliver more customers to private health insurance companies; and if that is what comes to pass you will have lost my support for the foreseeable future.

    If the Democratic party capitulates to the pressures of big business and deny the people the choice of a strong public option, it will be the final nail in the coffin of the party as the representative of working people. I, for one, will actively begin working to build a truly progressive party to the left of the apparently centrist, corporate driven Democratic party.


    Clinton = Reagan II


    readytoblowagasket = PUMA


    When did we "give up" on single payer? It was never even remotely on the table. If Obama or anyone else had seriously proposed it, he would have been laughed off the stage. You people who think we ever had a chance to get single-payer are living in a dream world.

    We may not like it, but this is the truth. I support single-payer, by the way, but I'm reality-based enough to admit that it would have zero chance of being implemented in the U.S. anytime in the foreseeable future.

    If we get something that gives most people decent coverage that they can't lose, we will have made a GIGANTIC step forward, even if there is no public option and even if it doesn't meet our every wish. We can't let the perfect drive out the good, and we certainly can't turn on our own side. That's just a formula for losing it all.


    Because it isn't any of the above. It's trying to work in the real political world to get something good done. Politics is the art of the possible.


    "painfully and hopelessly naive"
    Really? How tactfully insulting of you...
    And way to not go meta...

    Funny that you reference amike to whom I offer some arguments for problems with the legislation. But I'll stick to arguing with people who can keep their eye on the subject matter and able to argue the merits rather than sling shit and then claim it don't stink.


    Well said. I warily entered the Democratic fold from the true liberal flock in order to help elect what I thought tentatively could possibly be someone who, while more centrist than I want, might actually have the political ability and will to enact the liberal ideology that Dems have been paying lip service to for decades. My cautious optimism was proven wrong yet again. No strong climate legislation and rolling over like a dog who wants its belly rubbed to corporations and republicans on health care.

    I'm out, no more. Next time around all the energy and money that I spent on Obama is going straight into a true liberal candidate.


    I am not allowed to have an opinion about the liberal left response to this legislation yet you guys are allowed to sling poo in every direction for those who don't agree with your stance?

    What the fuck does going "meta" mean anyway. That is a bullshit complaint that has nothing to do with what I posted, which was exactly what you asked of me. I gave my opinion as to WHY such tactics are counter to the democratic party's stated goals as well as the goals of its elected leaders.

    Many voices at TPM are seeking to paint anyone who doesn't agree with them as the enemy and that is a horrible trend as far as I am concerned.


    you mean these achievements by President Obama;

    He stabilized the markets, so 401Ks are starting to slowly come back and we are not about to meltdown anymore. Unemployment numbers are coming down dramatically from when he took over. GDP went from 6.5 shrinkage to 1 shrinkage since he has been in office. Tens of thousands of state employees still have jobs, and services are maintained because of his stimulus.

    He ended torture. He IS closing Gitmo.

    95% of Americans are receiving a tax DECREASE.

    He provided unemployment, food stamps and a 65% reduction in Cobra for those who lost their jobs.

    He set new emissions standards.

    He protected wilderness land set for oil leases.

    He got Pakistan to agree to fight the Taliban, which Bush never could. The top leader was taken out this week.

    He nominated and got confirmed the first latina Supreme Court Justice in history.

    He signed Equal Pay for Equal Work, Children's Health Bill and Credit Card Reform.

    He has a first time home owner's credit, a modification of mortgage plan in place. (This needs work, but it is in place)

    He has made it easier for students to get college loans. (UMass just gave a 1500 rebate to all students because of the stimulus money.)

    He has improved America's image around the world, especially with Muslim countries.

    He got the 2 NK journalists out.

    He got the non-proliferation treaties going again, and he will chair the next meeting. Already an agreement exists to reduce Russia's and US's arms.

    A significant amount of the bailout money is being paid back. This is a good thing.

    He has taken on healthcare, the most difficult thing to pass in the US. I am not completely happy with how he is doing it, but he is doing it.*

    He ended the abstinence only thing. And the law that said a pharmacist could refuse to give birth control pills to women if they so chose.

    He is sticking to the timetable to withdraw troops from Iraq.

    He got funding for the useless bomber cut.And those heliocoptors. He plans to make more weapons' cuts.

    He has cut 2 trillion from the budget over the next ten years.

    He has taken on energy, the second most difficult thing to pass in the US and it has already passed the House.

    He saved the American auto industry. (Cash for clunkers is doing great too, both for the industry and jobs, and for the environment.)

    He is building a green economy for the US. First steps in the stimulus, others in the energy bill.

    More jobs will be created in transportation when rest of stimulus kicks in in 2010.

    He is facing complete disrespect and vilification from the media and the wingnuts,getting more than 30 death threats per day,and still goes on, calmly and with determination and intelligence.


    I swear, if President Obama stood on his head and shit silver snowballs the extremists on both sides would whine because they snowballs weren't gold.


    Thank you Oleeb. Here's a video that says it for me.
    "Billionaires for Wealthcare"

    http://www.youtube.com/watch?v=jHVwrCzRUX0


    You and many others make this sort of statement as though it were self evident. It is not. The only reason we never put single payer on the table is because of all the chickens who don't have the guts to put it on the table to begin with because they "know" it will not get passed. The self fulfilling prophecy is completed when leaders like Obama pre-empt any attempt to even discuss single payer which is what we need. If we never even discuss or introduce it, of course there's no chance for it to pass.

    Funny how even though it isnt' even on the table the opposition paints a picture of us doing so anyway. If we're going to be tarred with that brush then let's at least have all the benefits single payer would bring as part of our argument. As it is we are defending a half ass effort that will benefit insurance companies more than it will the people.


    I wouldn't say nothing, one always have that secure feeling of the door slappin' one's ass on the way out.


    That may be true, but the politics you are advocating is the politics of appeasement and capitulation. You can have it. I want none of it. Capitulation and always losing on every important point is not compromise it is defeat. What part of "you lose" is so hard for you to understand?


    Minor? Eliminating "pre-existing condition" as a reason to not provide a policy is minor? Banning insurance companies from cancelling a policy because the folks covered by the policy had health costs that were "too high" is minor? Setting minimum coverage requirement for all policies is minor? Setting maximum costs for all policies is minor?

    Really? These are minor? Very funny--but I do agree let's pass these "minor" reforms since they will benefit a lot of Americans.


    Abandon Obama? And where will you land? Politics is always and forever about the lesser of two evils. If you abandon the lesser, you get the greater. It's been that way since the first caveman decided to follow Frak instead of Frick.


    They do nothing to limit the ever-escalating costs of health care. These are things which there should be no disagreement on. Change that and save the big battles of the uninsured and public optio for another day. If we pass a mandate wthout a public option and just turn this into a freaking giveaway to the insurance companies that does not bring down costs but gives them new customers, I am going to go apoplectic. And I will not be alone. The "lasting Democratic majority" we elected in 2008 will be facing huge losses in 2010 and beyond.


    I'm just so tired of the mindset that says what we really ought to do is not possible so let's never, ever try.

    I'm not saying there's no virtuous middle possible. What I'm saying is that any health insurance reform bill (and that's all we have now)is not worth passing without a public option in it. Public option was the very far edge of acceptable compromise for most progressives and it was the bait Obama used to keep liberals coming along despite all his other capitulations.

    It simply isn't intelligent to give away your strongest negotiating points for nothing which is how the DC Dems always start off and how they started out on healthcare. Having gotten rid of all the real bargaining chips prior to game time DC Dems then bargain away the rest and want to call that result "compromise" when it is really just bending over backward to please the special interests.

    In this case, it is better to let the bill fail than to agree to a bad bill. That's what I'm saying and have made pretty clear. It's time to stop accepting half a loaf or less when you've never even tried to get the whole loaf. That's the dumbest, weakest and least honorable strategy I can think of and it is the one and only strategy we ever see out of the DC Dems. It leads to defeat and humiliation time and again and to bills that quite frequently cost our side more than whatever morsels they managed to save are worth. And that is precisely what is shaping up here again. The big difference is that we've been putting this fight off for decades based upon the "it will never work so let's not try it" school of political thought.

    It is time to see if that's true or not and it will require fighting for it instead of all this limp wristed, school marmish posturing by the pussies in charge of the Democratic Party.

    I am sick of getting bamboozled by our own leaders and lead down paths that lead to more expenses for the common people, more profits for those that don't deserve them, and few or no real benefits in return. I am also tired of the endless whining from others about hwo we can never do what ought to be done in America because it isn't possible and so on. How long are people willing to fall for such malarky? I've reached my end of saying what I know not to be an acceptable or a good deal is good. I'm not going to support efforts that accomplish little other thant to delay what really ought to be done.

    That is exactly what is taking shape here and why I say better to kill it outright and then come back fighting for what we ought to have. The worst we can do is lose if we try to do the right thing and how can the oh so much smarter "pragmatic" compromisers complain about that since that is all they ever do is lose? Constant capitulation to and accomodation of the worst, most rapacious and greedy interests is not incremental change, it isn't change we can believe in, it is shoring up and supporting the status quo. There are worse things than doing your best and fighting the good fight just one time instead of losing while begging for mercy and trying to please and accomodate your opponent throughout the contest which is what we are asked to do over and over and over. I imagine the DC Dems would ask us to do that if they had 100% of the members in both houses. I've had enough.


    Good imagery. I hadn't thought of that reward.


    Very well stated. Thank you!


    Read jonnieohands comment above for a quick list of some of the amazing things that have happened in just half a year of Obama. And you guys want to throw it all away becuase you're not getting everything you want just like that. What a bunch of crybabies!



    Well the only thing that makes me more sick than bend-over-and-hold-your-ankles pragmatism is the people out there suffering and dying without healthcare. So I'll look for partial solutions that help as many of these people as possible as soon as possible. This present bill isn't it, though it now may pass. Your bill might be it, but it won't pass. Sorry, blind faith just doesn't do it for me. Expansions of existing programs can work and provide help where it's needed. But I guess we differ on the probability calculations here...


    Hard to contemplate I know and it's what they always count on at least as regards the left: "thanks for your support now drop dead...oh and remember us scummy Dems are all that stand between you and the Republicans."
    Who tolerates that? Isn't there a saying about the worst places in hell are reserved for those in times of crisis do nothing.


    Just address the substance, Jason. It's not hard.



    Just call the remaining changes that are needed "The 2010 Medicare Reform Act" and pitch as making the system that everyone loves sustainable. Create the "public option" out of a bipartisan agreement that something needs to be done. Way to keep it real, though. Sometimes, it seems to be just the opposite on your side of the fence.


    Number one in cost. Number 37 in results. Is this the America we want?

    I want a basic policy with preventative care and catastropic care.

    It isn't the fault of insurance companies that we are overeating on over-processed and chemically enhanced food-like products. And it isn't the fault of the insurance companies that we don't get off our obese and overweight behinds to walk a bit.

    Again, basic policy and I can't be dropped and I'll be happy as a clam. I'm close to my "non-overweight" weight and I'll reach a "very fit" goal within the next couple of months. If I develop a chronic condition, then perhaps just one prescription instead of 12-16 will handle things. Medical technology simply is not able to fix every damned thing and we need to acknowledge that.


    In a tug of war as this is, he's pulling people with him when he (and WE) takes a step "back"!


    And to take it one "step" further. if you simply dig your heels in and refuse to budge, you're never going to win.


    It would be nice, if, for once, he took a step forward and asked people to follow him. It's called leadership... He should try it some time.


    The fact is Obey, as much as I value your opinion and point of view, you don't know that to be the case. You believe it. You don't know it for a fact anymore than I know it would pass. The difference is I'm saying it is worth trying and it is worth turning down a bad deal in order to try. This is the same sort of logic MLK had to put up with about the Civil Rights bills of the 50's and 60's. But he nor the other wacky, impractical and nonpragmatic liberals listened to those who told them just what you're saying now which is: "take whatever crumbs you can get but don't try to get what you need, we'll never be able to pass that."

    And since nobody has even made an attempt at what the left is proposing it's pretty difficult for your assertion to be very credible. Once it is tried and fails then you have something. But what has been tried and what has failed on a number of occasions is the approach you are describing not the one the left favors. And even if the crap they are working on now were to save some lives (something I'm not at all convinced will occur), at what cost would they be purchased? It's a bad bargain they are cutting for the people if the costs outweight the potential benefits and that is what we have looming on the horizon.


    Jason says:

    This about setting the stage for "bipartisan" reforms as being the desired state and then getting a "win" that cements that feeling. Make republicans run on voting for the reform package in advance of an election year. If the bills remain moderate and measured, it will be political suicide to vote against them when the number start to rise.

    Jason, I don't feel "Republicans" and "wingnuts"
    are interchangeable. John Kyl is a wingnut as is Jim DeMint, Saxby Chambliss, John Cornyn to name a few. Richard Luger, Robert Bennett, Susan Collins and Lamar Alexander are Republicans.

    Its my contention that the wingnut branch of the Republican party in Congress don't want the Democrats and/or Obama to pass anything that may benefit the Dems in the next election.

    Sonia Sotomayor received just one vote from the Republicans on the Judiciary Committee, the 5 that voted against her weren't worrying about it being a pre election year. Even Orrin Hatch who has a history of accenting a Republican nominee as being "well qualified" voted against the "well qualified" Sotomayor. Hatch certainly won't worry about passing health care in a pre election year.

    You mention a bill that's "moderate and measured"; those that are financing this anti-reform bill and their right wing activists, in and out of Congress, will fight any bill regardless of its being labled "moderate and measured." A bill like that will be subject to warped interpretation just as the original.


    Not to put too fine a point on it... but the Republicans are not the ones killing it.

    The Dems have the numbers in the House and the Senate to pass this... But they won't do it.

    And I'm pissed as Hell about it.

    Like herding cats!


    She got nine votes in the Senate. There are more than nine republican votes for a moderate and measured reform package like the one emerging in various committee.

    Moderate republicans will regain their composure and vote accordingly or there will be hell to pay in next year's primary elections. The majority of Americans want to see health care reform enacted. Obama is ensuring that the bill everyone votes on is something that republicans vote against at their own peril.

    This is still a nation in transition, especially amongst the majority of republicans at the grassroots, and I expect voters expectations of both parties will be much higher in the years to come.


    You'll have a lot of cash in your pocket, then.
    I understand why you feel you've been duped, all the same.


    Nice clip.
    I know many folks who are limned in this dandy vid.
    They sure know how to play the knuckleheaded racists crowd like violins. They need them to do their dirty work and there is plenty of it.


    That's a very impressive list for our President, jonnienohands. You've done some extensive homework there. Keep it up. I can see you're in the progressive camp for the long haul, just like investors should be investing in stocks for the long haul instead of nitpicking the zombie for morsels of profit.

    Discouraged advocates for universal healthcare, should focus on, instead of their own despair, these four goals:
    1.) Inclusion of coverage of essential medical procedures in the emerging health care plan.
    2.) Acceptance of all citizens into insurance plans.
    3.) No discrimination by insurance companies (or co-ops!) against citizens with pre-existing medical conditions.
    4.) Lifetime coverage for everyone, no cancellations.

    Retreat is not defeat.


    I think the "insurance reform" package that is delivered will look something like the cunning bank bailout package we've seen.


    Wait, wasn't it Clinton = Bush 1 1/2 ???


    can't take the credit jonnie rae (not related lol) at DailyKos compiled it. I fact checked and keep it handy.


    Oh bore me. If people can't think past throwing out meaningless labels like that with someone who's posted probably a half million words here explaining his opinion, well, just go away.


    The road to hell is congested with those who gave up on the other road.
    How about this instead: Eyes on the prize:

    1.) Inclusion of coverage of essential medical procedures in the emerging health care plan.
    2.) Acceptance of all citizens into insurance plans.
    3.) No discrimination by insurance companies (or co-ops!) against citizens with pre-existing medical conditions.
    4.) Lifetime coverage for everyone, no cancellations.

    Regroup; keep your eye on the donut, not on the hole.


    I thought Bush I=Reagan II 1/2 and Bush II=Reagan III with Bubba in between but I let my newsletter subscription lapse.


    Excellent proposal for the problems of 1990. Too little too late in 2009.


    Thanks! Great clip!


    Desidero,

    look at the comment you posted, the one I referred to, it wasn't your finest hour.


    Right on.
    Obama should have argued for single-payer, as he did before announcing his candidacy, then settled for a public option once the Blue Dogs and DINOs dug in their heels.
    Not start off with the compromise position. It's not like there was a chance any Republicans would be seduced.
    Bipartisanship is great when you can get it, but two sides have to be willing to play that game.


    Actual historical record to back you up? Is that the same historical record that claims FDR and LBJ and MLK and all as fellow centrist weasels who stood not on principle, but rather engaged in "pragmatic" grovelling with a willingness to take what the powers that be deigned to give them?

    You insult almost all of the greatest Progressives in history by including them in your manufactured reality. Your insistence on reinventing the careers of these leaders to support a "surrender first, then negotiate" political ideology is incredibly arrogant, to say the least. But then again, arrogance has always been your strong suit, with not much to back it up other than your "hysterical" record.


    Oh, oleeb! Settle Down! How can serfs like us expect to gain anything from the Master's table if we are so brash and bold as to insist that we are somehow in charge of our own destiny? It's simply ludicrous to invite the wrath of the corporate masters. Keep up with the lack of respect and the lack of deference to our owners, and you'll get nothing! Just wait and see! We'll starve! Who will take care of us then if our Master abandons us?

    We started this health care discussion by eliminating single payer as an option to be considered for the sole reason that our Masters (The Insurance Industry) forbade it. We then compromised any sustainable reforms and eliminated even the public option to make certain that the Master's agenda was fulfilled before anything else was considered.

    Many are those who say we should be thankful for what few crumbs the Master has offered here. I say we should give it to the Master in the neck instead, and collectively - as democrats in this republic - take our own place at the Master's table at last!


    "Medicare doesn't even work for some, let alone all."

    This must be fact, if for no other reason than jason said so.

    I'd love nothing more than to follow you around, jason, and watch as you tell seniors you are taking their Medicare away because "it doesn't work." They'd pound you into oblivion.

    What a farce! You do little in your prattle but show that it is indeed difficult to see the real world when one's head is shoved so far up one's arse.


    The majority of Americans want to see health care reform enacted.

    Exactly my point, jason. At last we agree on something.

    But why, then, are we instead so keenly engaged in creating "Health Care Insurance Industry Profits Reform?"


    If I understand obey's point, it is to say quit the omnibus effort and take incremental steps for now to create genuine health care reform.

    Is this ideal? No, but it is too important for those who now have NO coverage to get help to them as soon as possible. And the ascendant "They're gonna kill grandma" crowd has muddied the water too effectively to even get an honest hearing on Medicare for All anytime soon.

    Meanwhile, trashing the "Health Insurance Industry Profits Reform" effort allows us all to take a step back and start over - at the beginning this time! The beginning topic for this discussion, after all, should be: "What role does the insurance industry play in a universal health care system?"

    The Health Care Insurance Industry was given a free pass in the debate by benefit of an assumption that they are an integral component of any health care system. Common sense and common practice in other industrialized nations say otherwise. Any exploration of the role the Insurance Industry has played in getting us into this mess and any understanding of just how wastefully superfluous they are in a universal health care system will accomplish a great deal in gaining health care savings and a "health care reform plan we can believe in."


    So you're moving to Sweden, then?


    They can write? Like in English Composition? Who knew?

    Given that cast of assignees, you can bet your bottom health care dollar that the actual bill will be written by the Health Insurance Lobbyists themselves. It's just so much more efficient to let the bosses do it, you know?


    Gawd, I hope you are right; that this is just a strategic move on Obama's part to "make him defy the Health Insurance Industry" by roiling the troops.

    Well reasoned conjecture. I hope you are right!

    Meanwhile, let the rants continue! ;O)


    I know you have followed this closely, dijamo, and so I ask: What, exactly, does it mean to eliminate exclusions based upon pre-existing conditions? Given that we are all about "for profit" and all, does this mean you are guaranteed a policy, but the Insurance Companies can determine what price the premium? Is this "Change We Can Believe In?"


    You insult the greatest progressives in history by insisting they were radicals who were so politically naive they didn't use an entire nation to accomplish their goals.

    Your grasp on history is a fuzzy as your grasp on politics and business and just about everything else you have ever commented on. There is the ENEMY and the APPEASERS and all that is left are the good people line up behind your ideas. You just make shit up to fit in your rather narrow world view.

    Good look with your myopia. It must make taking a walk very dangerous.


    Not sure how many times I need to provide the same link to the same 2008 Medicare Trustees Annual Report,/a>, but there you go. All the facts you need to finally have an intellectually honest opinion.

    As to your hypothetical seniors, I would ask them why they support a party that is ensuring Medicare will fail within the next ten years.

    I have never once advocated taking away Medicare. In fact, I said that it would have made much more sense to position the plan as the "public option" in order to get young and healthy people paying into the system at much higher contribution levels.

    Again, you us ad hominem attacks and straw men to dispute points I have never made.


    You have clearly not read the current legislation nor do you really understand where the debate is likely to head in conference committee based on the various factions involved. You act as if there is no process at play. As if we are speaking of solutions yet to be crafted instead of ones that can be read online.

    The issues addressed in those bills will significantly change the way the health insurance system in America functions. The insurance companies may in fact have access to more people, but they will do so under drastically circumscribed conditions with strict regulations and in a mandated partnership with the rest of the system.

    You are the type of liberal who would have been pissed at FDR for not having everything fixed by August of 1932. This was never going to be fixed in one legislative session.


    Brilliant, jason. I was going to continue the riff, but you deserve the last funny word. You could work it into a blog, however. ;-)


    I kind of messed it up though. It should have been: Reagan, Bush as Reagan II), Clinton as Reagan 2 1/2 and George Junior as Reagan III, but they all may just reflections of Nixon, so perhaps the allusion ultimately falls flat.


    Oleeb: Politico? Politico says so?!? Well butter my butt and call me convinced. No, Oleeb... not buying it for half a sec. (though I must admit that today is a new day and the "no public option" has already been "walked back" on several fronts). I'm replying rather late.


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