Showing posts with label co-op's. Show all posts
Showing posts with label co-op's. Show all posts

Thursday, August 20, 2009

Drawing a Line in the Sand

Former speechwriter for Rudy Giuliani and columnist for the New York Sun, John Avalon, has a new piece entitled "The Coming Liberal Suicide" over at The Daily Beast.

In this piece, Avalon attempts to give everyone a "wake-up call" on why it is an awful idea for liberals to demand that the public option be included in health care legislation (emphasis mine):

Time for a wake-up call. With all the hate-filled hyperbole festering around the summer’s health-care reform debate (Hitler references now seem to appear almost daily) it’s easy to lose sight of the fact that there is essentially one substantive sticking point separating the center from the left: the public option.
That’s the proposal that is acting as the thin-edge of the wedge in conservatives’ apparently effective argument that health-care reform represents a slippery slope toward socialism.

Remove that plank and replace it with a non-profit cooperative based on local models that have existed in the heartland for decades—as a bipartisan group of senators has proposed—and the reasonable edge of the opposition evaporates along with most of the cost
.


The problem with this is that Avalon suggests that it should be a rational response for the liberals to simply drop their demand for the public option because conservatives think it is a "slippery slope toward socialism". Why should any appeasement be made to the party that has opposed any of the reforms that have been proposed? Republicans have opposed single-payer, the public option, and have even hinted that they would oppose co-ops. It is quite clear that they are not interested in meaningful reforms to the health care system, so why does Avalon feel it necessary to concede even more of the legislation to accommodate the Republicans?

More from Avalon:

In the run to the ramparts, Cong. Maxine Waters went on with CNN’s Campbell Brown in the first wave of the push back, arguing that liberals had already compromised and wouldn’t go any further even at the president’s request. “No one can say that we're not willing to compromise. …We did that on single-payer.”
But that’s a concession to reality, not to Republicans or Blue Dog Democrats. The single payer plan may be the fondest wish for the far-left but it’s a non-starter in the rest of the nation. That’s why the RNC is already at work trying to paint even the co-op as government-run healthcare. Republicans want to keep the bogeyman of socialized medicine alive as long as they can. They want to run against the public option because they know it is a fight they can win. If Obama embraced a proposal like medical malpractice reform, performing a bit of political judo, they wouldn’t know what to do.


Compromising on single payer by embracing the public option is not a "concession to reality", it was most certainly a compromise with the Republicans, Blue Dog Democrats, and centrist Democrats like the President. Single-payer specifically wasnt't considered because these very interests took it off the table. This was a political decision that was advanced and something that progressives in Congress decided that they could compromise on. This was compromised on because Barack Obama campaigned on promoting a public option to compete with private insurance and progressives felt that this would be a feasible alternative to their desire for a single-payer system.

Avalon acknowledges that Republicans are trying to paint any type of reform (even co-ops) as socialized medicine and says that they are doing it because they can win the fight. First, Republicans cannot win this fight in the House if you look at the numbers and with talk of splitting the bill into two parts in the Senate, it is looking more and more like the public option may have a legitimate shot of getting passed.

Second, I like how Avalon frames the compromise on single-payer as a "concession to reality" but when Republicans display an absence of reality, it is viewed as a legitimate position that must be taken seriously. Just because Republicans are painting the public option and co-ops as a "government takeover" of health care, doesn't make that true. I have an idea, why don't we operate on a foundation that is based upon factual information and then have a rational discussion? If Republicans continue to misrepresent what a public option entails, then that is not a reason for progressives to concede what Obama promised in his campaign and what they have already compromised on. Just the opposite, it is a reason for progressives in Congress to draw the line in the sand and declare they will not water down the legislation in order to accommodate those who wish to not see any reforms.

Avalon:

President Obama needs to depolarize the health care debate. He got off-message because he got off-center. Embracing a bipartisan bill that replaces the public-option with a non-profit co-op will not “muddy” the debate but help clarify it. It will not be a retreat but a way forward.

Lyndon Johnson once joked that “the difference between liberals and cannibals is that cannibals don’t eat their friends and family members.” In half-century long history of failed healthcare reforms from Harry Truman on down, liberal cannibalism has been as much to blame for defeats as fear-mongering from the far-right.


This is just nonsense. Single-payer is what progressive liberals wanted from the very beginning. Obama explicitly stated that this was off the table which led progressives to compromise on the public option that Obama campaigned on. The polarization has come from those on the right who have been showing up to town hall meetings, shouting down the opposition, and advancing claims that have no basis in reality or in the legislation that is being proposed. Obama, Democrats, and progressives have spent a good portion of time just correcting these falsities to get the debate back to discussing what the policy actually contains. This is still ongoing.

President Obama has played a very central role in this debate throughout all of this. He has not pressured the Blue Dogs to back down and is actually letting their small coalition steer the Senate Finance Committee's debate. The White House has even recently started talking about dropping the public option in favor of co-ops. If this is "getting off center" then I wonder what John Avalon views as the so-called "center" in this debate. If Avalon thinks that "liberal cannibalism" has had more to do with the failure of health care reform over the last twenty years than the fear-mongering on the right, then I would have to borrow a line from Rep. Barney Frank and ask him on which planet he has been residing. Who has been controlling this current debate...those who are arguing that nationalized health care is the only way to cover all Americans or the people who are bringing guns to town hall meetings and yelling about "death panels"?

If we are to pass meaningful health care reform in this country, progressives must draw the line in the sand on the public option. There is simply no rationale for continuing to give up parts of this legislation in order to make those who advocate for the status quo happy. That is not "moving to the center" it is deliberately weakening the legislation. There is nothing "bipartisan" about continued concessions from only one side of the aisle in order to achieve a watered down bill that isn't in the best public interest. Progressives actually have a chance to stand up to the status quo on this issue and it is imperative that they refuse the continued calls to "move to the center". Americans want a public option, what they are tired of is the continuation of political discussions that result in more of the same.

Wednesday, August 19, 2009

Can We Stop Calling Co-ops a Compromise?

As the Republicans continue to resist any type of public option, we are now seeing revived talk of replacing a robust public option with co-ops. This has led the language of the debate to shift and reference these co-ops as a "compromise" (emphasis all mine below).

Ezra Klein:

This is a dynamic we saw in 1994. A compromise is offered, and after great anguish and infighting, Democrats grudgingly move toward it. Then the compromise is yanked away. The famous example of this is Bob Dole voting against two bills that had the name "Dole" in the title. We'll see the same sort of thing this year. The end-of-life counseling hubbub, where Democrats got attacked for approving an amendment that Republicans had frequently offered, is another example. It's one more reminder that the likeliest compromise will be between liberal Democrats and centrist Democrats, along with Olympia Snow and Susan Collins.


The Washington Independent:

Republicans and conservative activists are mining other statements in that vein to build the case that co-ops would be no compromise at all, and they’re doing it quickly.

“Three months ago, I think you could have had a compromise on co-ops,” another Senate GOP aide told TWI. “Today? No, forget about it. I think both parties have gotten wise to how things work, and Republicans see this for the fig leaf that it really is.”


A Headline from The Faster Times:

Republicans Capitalize on Democratic Disarray as Hopes of Health Care Compromise Fade


The compromise is not negotiating away the public option in favor of a (yet to be detailed) co-op plan. As Jane Hamsher has stated, The compromise IS the public option. Progressive activists have long maintained and continue to assert that the public option must be included because it was the compromise that was settled on once single-payer was taken off of the table.

More importantly, this initial compromise was primarily between progressives and more conservative members of the Democratic Party who didn't want to include the public option in the first place...not between Democrats and Republicans. Republicans have long been opposed to anything that has been proposed, from the public option to their new resistance to even the mention of co-ops.

It is quite clear that the Republicans do not want health care reform, they want a political defeat of President Obama and the Democrats. "Compromising" the public option out of the bill would simply be a move to appease those who will be opposed to any measure of meaningful reform. This is why progressives are so adamant on keeping the public option in a final version of the health care bill and why they are drawing a line in the sand around this issue. It is what Obama campaigned on and it is already a compromise down from single-payer.