Tag Archives: health care

Obama Has Me Feeling Down

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For a while I’ve had the idea of writing a post from an alternate universe, where Hillary Clinton is president, and things are going horribly for the Democrats, and we all say, “Darn, if only we’d only elected Obama, things would be going so much better for us!”

I’m feeling down about politics again — Democrat Martha Coakley is in danger of losing her Senate race against Republican Scott Brown, in Massachusetts of all places. If Coakley loses, that leaves only 59 Democrats in the Senate, which means that health care is dead unless the House passes the Senate bill as is. (Or unless both houses get their shit together and vote on a compromise bill already. The Senate passed its bill three weeks ago! What’s taking them so long?)

In the past I’ve blamed Harry Reid for the Democrats’ problems. But I also blame Obama. Things should never have gotten to the point they did last summer, when the “death panel” rumor ran rampant. The New Yorker article on marriage equality that I linked to yesterday has a part that struck me, about Chad Griffin’s experiences working on Bill Clinton’s 1992 campaign:

But the Clinton “war room” remained Griffin’s model of how to make noise in the world. “Every single hour was strategic,” he recalled. “I was this little freakin’ kid hanging around watching Paul Begala and James Carville and George Stephanopoulos. They did not let the opposition gain an inch, and if it did they knocked it down with firepower.”

Can anyone describe the White House efforts at health care reform that way? No.

It’s funny. In 2008, all the anti-Obama people were saying, “Obama’s an idiot, he’s all flash and no substance, all he knows how to do is give a speech.” But in fact, that wasn’t true. I can’t remember where I read this, but there was an article in 2008 saying that Obama as a candidate actually started out really wonky and earthbound and uninspiring, and his campaign managers had to convince him to spice things up a bit, inspire people, use more poetry instead of prose. But now that he’s president, he seems to be just a policy wonk again. Candidate Obama was full of inspiration and hope, but President Obama is just boresville. He’s Calvin Coolidge.

Sometimes lately, I find myself wishing that Hillary Clinton had been elected president. But who’s to say that things would be better if she were in the White House? It’s tempting to say, “Darn, Hillary Clinton would have been a much better president than Obama! She would have kicked ass!” But there’s no way of knowing. She might have turned out to be a bad president: remember her disorganized primary campaign, her wooden speaking ability, the landing-in-Bosnia-under-fire thing. Could she have gotten health care legislation as far along as Obama has? I can just as easily see her overplaying her hand and screwing it up as I can see her intimidating the Republicans and keeping all the Democrats in line.

When we imagine that things would have been better only if things had turned out differently, it’s basically “hope” aimed in a different direction. “Regret” and “hope” are cousins. In each case, we’re imagining some alternative world where things are going much better than they are now: it’s either the future (hope) or an alternate universe (regret).

There are, of course, factors outside of Obama’s control here. If Ted Kennedy hadn’t gotten cancer, there would be no special election in Massachusetts to worry about right now. If tons of white people weren’t racist and xenophobic, there would be no Tea Party movement to deal with. But there’s a lot more Obama could have been doing these last few months other than being idealistic.

Anyway, there is nothing that I, myself, can do to change anything going on in politics right now. So I can continue to follow it and get depressed about it; or I can just ignore it, which isn’t going to happen, because I’m a politics junkie. Finally, there’s the third option, which is that I can continue to follow it and realize that there’s nothing I can do about it so there’s no point in getting depressed about it.

I will probably choose the last one.

Master of the Senate

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I’m about halfway through Master of the Senate, part three of Robert Caro’s wonderful, epic biography of Lyndon Johnson. Caro’s been writing this biography for more than 30 years, ever since he finished The Power Broker (which itself is one of the best American biographies ever written). The first part came out in 1982, the second in 1990, the third in 2002, and the fourth and final volume, covering Johnson’s vice-presidency and presidency, will supposedly come out in 2012 or 2013, but who knows.

Master of the Senate, covering Johnson’s twelve years as a U.S. senator, is terrific. The first 100 pages are a wonderful capsule history of the United States Senate and tell you everything you need to know about why health care reform has had such a rough time this past year. In part, that’s why I finally decided to start reading the book last month. I’d been meaning to do so for years, and during the week before Christmas I spotted it in a bookstore and decided that given everything going on, now was an appropriate time to pick it up.

As Caro points out, the Senate was meant to be undemocratic. The Framers preached representative government, but they were wary of the masses. The Senate would serve to cool the popular passions and allow for deliberation and debate, unlike the rambunctious House. The Framers accomplished this in part by making the Senate an undemocratically apportioned body, where every state gets two senators no matter how big the state’s population. (This was also a compromise to get the South to hop on board, of course.) They also created a small number of senators, as opposed to the crowded House of Representatives: with only two senators per state, every member of the Senate is important.

And they granted senators six-year terms, longer than presidents or congressmen would get.

And there’s a very important point about those six-year terms: the Constitution provides that those terms are staggered. This is a subtle but powerful characteristic of the Senate that we often forget. Caro quotes a scholar:

It was so arranged that while the House of Representatives would be subject to total overturn every two years, and the Presidency every four, the Senate, as a Senate, could never be repudiated. It was fixed, through the staggered-term principle, so that only a third of the total membership would be up for re-election every two years. It is therefore literally not possible for the voters ever to get at anything approaching a majority of the members of the Institution at any one time.

I think this observation is brilliant.

Grafted onto this original undemocratic structure were certain rules and traditions, such as unlimited debate; its cousin, the filibuster; and seniority. And don’t forget that until the early 20th century, senators were chosen not by the public but by state legislatures. And because we elected a president indirectly through the electoral college, the only body that was directly elected by the people was the House of Representatives.

I read part of Caro’s first book about LBJ, The Path to Power, a few years ago, but for some reason after about 250 pages I put it down and never got back to it. Master of the Senate stands on its own, though; you don’t need to read the first two volumes to get into it, because Caro summarizes Johnson’s life up to then.

Caro on Johnson is alternately exciting and frustrating and maddening. LBJ comes off as a master tactician — you can’t help but be awed by his audacity and brilliance in achieving power — but he also comes off as a Machiavellian asshole who is willing to ruin the careers (and lives) of perfectly innocent men in order to get where he wants to be. I don’t really enjoy reading about people who aren’t likable, so it’s depressing at times. But if you have any interest in 20th century American history, or any interest in politics at all, this is an amazing book.

Health Care

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Health care reform has me dejected, but this bill needs to pass. We can’t “kill the bill.”

I’m annoyed at Obama for not risking political capital to fight for what he believes in. More importantly, I have nothing but contempt for Harry Reid. I blame Reid for this fiasco more than Obama. If not for this ridiculous notion that any bill needs 60 votes to pass the Senate, we would have a much better health care bill today. The idea that Democrats are being allowed to threaten to filibuster their own party’s legislation is absurd. Are you kidding me? The way I see it: you want to filibuster your own party’s legislation? You want to pull that kind of shit? Fine, then you’re getting stripped of all your committee chairmanships and any other special perks you get from being a member of the majority party. I’d rather have 53 Democratic senators led by the ass-kicking Lyndon Johnson than a 60-member majority led by Harry Reid, that milquetoast fuckwad. Any time Reid opens his mouth I want to grab him by the shoulders and shake him awake. He practically whispers in front of the microphone. He barely looks at the camera. He’d lose a fight against a ham sandwich. You could run him over with a tricycle. The guy has less charisma than John Kerry. He has negative charisma.

Fortunately, he’s up for re-election next year and he’ll probably lose. Since it’s unlikely the Democrats will lose their majority next year, we’ll probably have a new Democratic majority leader in the next Congress. But by that point it will be too late to put together a better health care plan.

Which is why, as disappointed I am in the Senate bill as it now stands, I’m more annoyed with people on the left who say we need to “kill the bill.” If we don’t pass a bill now, we won’t have this chance for another 15-20 years. And there are some great things in this bill. For starters, under this bill, 30 million more Americans will have health insurance. Some people on the left are saying that because there’s no public option, it will be a windfall to the insurance companies. Um, no it won’t. In return for being paid premiums, the insurance companies will have to provide health insurance to people. It seems like many lefties aren’t thinking clearly — they’re beholden to the notion that anything corporate is evil, that health insurance companies are the spawn of hell. They’re more interested in punishing insurance companies than in helping millions of Americans get health insurance. They think that if insurance companies benefit, that must mean that everyone else loses. But be real. Just because you hate insurance companies, doesn’t mean they are evil. The world is not in line with your emotional reality. It’s really immature to see the world through the eyes of Michael Moore. I don’t like it when right-wingers see the world as black and white, and I don’t like it when left-wingers do so either.

It’s the Nader voters all over again.

Furthermore, one of the problems with our health insurance system is that lots of healthy people don’t buy insurance, meaning that the risk pool is smaller and somewhat skewed toward the unhealthy. A bigger risk pool is better, because it results in lower premiums for everyone. And the risk pools will increase by 30 million people.

Even if these numbers are off and it’s just 20 million more people with health insurance, that’s still phenomenal, and it’s the greatest progress in health care that we’ve had in more than 40 years.

I also read something that said under the current bill, insurance companies will be able to charge older people three times as much as younger people, and OMG how horrible that would be. Um, as opposed to now, when there is no limit on what they can charge?

So, yes, this bill could have been a lot better, and it’s Obama’s fault as well as Reid’s, as well as the fault of every senator who opposes a public option and a Medicare buy-in. (It’s also the Republicans’ fault, of course, but that goes without saying.)

But there’s lots of great stuff in this bill. It needs to pass. In the early 1970s, the Democrats scrapped a health care deal with Richard Nixon because it wasn’t good enough for them, and what did they get for it? Nothing.

If they don’t pass this bill now, there won’t be another chance for years.