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Andrew Rubin

Andrew Rubin

Posted: March 24, 2010 05:50 PM

Since When is Fixing a Problem a Liberal Cause?

What's Your Reaction:

This was a very big week for health care in this country. As we all know by now, President Obama signed the Senate Finance Committee Bill into law. The reconciliation process is underway and within a few weeks, this country will be taking a big step forward in transforming our nation's health care delivery system. I have been writing my blog for quite some time on the importance of health care reform and have always tried to explain why health care reform is so important. I have never been shy in expressing my view that reforming the current system is not only good for the country, but the best way to prevent a total collapse of the health care in system general.

Over the next few weeks and months, I will continue to explain how health care reform is going to impact you, the American consumer, insurers, hospitals, doctors, pharmaceutical companies and device manufacturers. Everyone one will see changes down the road. However, today is about making something very clear: I am not a liberal. Why is it that when someone sees a problem, tries to explain it, and offers a suitable solution, he or she is considered a liberal? To me, health care reform is not about being a conservative or a liberal. It is about fixing something that is broken in our country.

I run a very large physician group for NYU Langone Medical Center in New York City. I am the son of a retired physician and I host a radio show where I have the unpaid pleasure each and every week of taking calls from listeners and explaining how the current system works to help solve their problems. Whether people are stuck with health insurance problems, doctor/hospital bills they cannot pay, or something else, the radio show attempts to provide a path to solving the problem. Sadly, sometimes, there are problems that simply cannot be solved, such as helping someone find access to health insurance that they can afford.

After posting one of my more recent blogs, I was criticized for being part of the problem simply because I work for a hospital system. The fact is, I was merely trying to explain to people what a $20 aspirin is all about. I did not say it made sense. I did not say we should charge $20 for the aspirin. I even offered a solution to how it can work better. Yet I received many negative comments. All I was trying to do is explain how it works and clarify some really bad journalism I saw on the television networks. Last Sunday, during an interview with Jenna Wolfe on the Today Show, I had the privilege of explaining what to expect in the short term with the pending passage of health care reform. Later that day, there was a conservative blog posting stating I am radical Huffington Post Liberal.

Plain and simple, it is just not true. Our health care system is broken. There is no perfect legislation that could ever solve all the problems we have today and make everyone happy at the same time. This legislation is as good as it can get, for now. It is far from perfect and has plenty in it for everyone to hate. Like any new program, it will be reviewed and amended over time.

For me, health care reform has always been about protecting everyone, myself included, from a system that was failing. Sure, there are 30 million uninsured Americans (maybe 40 million, who really knows the number), but all of us are vulnerable. One job loss or one health calamity away from a potentially devastating financial crisis, we want to protect ourselves. Fearing a lack of health insurance does not make someone a liberal. It makes them practical. I have met many practical liberals and an equal number of practical conservatives. In the end, we simply have different views on various problems. Who decided reforming a dysfunctional system is a liberal cause? I have spoken to many conservatives on my radio show who have lost their jobs and cannot get health care insurance. They are still conservative but want health care insurance. They believe in reform but still vote republican. I think the point I am trying to make is whatever ones party affiliation; let us all try to see the good that is in the health care reform bill.

I will continue to blog about what works and what does not work (the good and the bad). I will be doing this from my various personal and professional perspectives as someone living and working within the health care system. People are always welcome to disagree with my perspective and I welcome the opportunity to speak with them on my radio show each Thursday from 12-2 pm (est). A Sirius/XM satellite radio account is not needed. Call 877-698-3627. Just try to understand what I am saying. If I am wrong, so be it, it is certainly not the first time. But one thing I can tell you for sure, I am not liberal and I am not conservative. I am happy in my place right down the middle.

 
This was a very big week for health care in this country. As we all know by now, President Obama signed the Senate Finance Committee Bill into law. The reconciliation process is underway and within ...
This was a very big week for health care in this country. As we all know by now, President Obama signed the Senate Finance Committee Bill into law. The reconciliation process is underway and within ...
 
 
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02:14 PM on 03/25/2010
I had an interesting experience this past weekend. I live in a community comprised of mainly retired, middle class people. There are a significant number of conservative residents who have been negatively vocal about the just signed health care bill. There were about 10 or 15 of them sitting around and complaining about Pres. Obama, and mainly his health care initiative. To a man, when I asked them what they found objectionable about the basic concept of the plan, they had no clue. When pressed about some of the negative or positive points of the plan, again, no clue. They just didn't know anything about anything,except...."Their health care is going to be taken away, and they'll be supporting the uninsured "with their hard earned dollars". By the way, they're all on medicare and in their own right, extremely wealthy people. If anyone saw and heard Mr. Rubin's brief but concise explanation on the bill this past weekend on the Today Show, the uninformed would not be so vocal, and upset about the legislation. Sure, there are things wrong with the bill, but smart, apolitical people will be able to figure out how we can make the whole health care mess better. Aren't we all tired of the politicos posturing and strutting, and scaring the American Public? Better they should place their efforts in getting things right than worrying about their next election.
11:44 AM on 03/25/2010
At the risk of getting negative comments, or causing a further contentious debate, I have to say that at some point there needs to be a serious discussion of cost benefit. It has been well documented that the last 6 months of a persons life can and does use 30-50% of the total expenditures for health care in that individuals life span. Are we saving lives, or prolonging them? Our society is so youth oriented it refuses to accept the inevitability of death. (The Death Panel argument). Until a serious conversation can be held on this topic, I see no great change in the cost of care.
10:31 AM on 03/25/2010
"Since when did solving a problem become a liberal cause?"

Since Ronald Regan convinced a majority of the country that the government can't fix anything, only make things worse!

I completely agree that healthcare is not a left/right issue, but it seems that the left are the only ones willing to DO anything about it! Republicans had control of BOTH houses and the White House and costs continued to skyrocket.

If conservatives really thought the system was broken, they could have FIXED it. But they didn't even care or try when they had the power to do so.
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okim5150
I only drink to make you more interesting
10:03 AM on 03/25/2010
Our political system now requires politicians to raise lots of money. The ability to raise the most money often decides who will win the election. Highly profitable businesses like health insurance companies have money to donate to donate to candidates. Medicare doesn't donate money to political candidates. Which system is better depends on what you are using that system for.
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Carl Caroli
Give peace a chance
09:09 AM on 03/25/2010
Republicans are not interested in solving the nations problems - their only focus is regaining power, and they will do anything to get it, even throw the rest of the country under the bus.
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oldwhitewomantoo
07:45 AM on 03/25/2010
Mr. Rubin, you are a breath of fresh air in a highly-charged debate. Thank you for your post.

Keep up the dialogue. Keep trying to educate.
12:26 AM on 03/25/2010
Are you familiar with Jonathan Haidt's work on moral psychology? He's done a couple of TED talks on it. If you are seeing harmful problems, and trying to undo such harm, without any concern about moral intuitions regarding purity, in-group/out-group status, and the cultural authority of the status quo, then like it or not, you are going to be coded liberal by rightists.

If you can understand the fact the the religious right want to eliminate teen pregnancy and all abortions, but when faced with the facts that sexual education, contraception, poverty reduction and accessible healthcare produce the results they want... *but* they refuse to take the measures that actually *do* reduce teen pregnancy etc., because it is more important to them to insist on a solution that emphasizes purity - even if this fix is pure fantasy which produces no results... *then* you understand why you are called liberal. The liberal retort to the right-wing complaints that the media have a liberal bias ("reality has a liberal bias") is rooted in a moral psychology where liberals articulate solutions that actually do reduce harm, but "moral conservatives" can't because solving the problem requires admitting the world is impure, and making that admission is disloyal.
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blingbling65943
11:05 PM on 03/24/2010
Two things, When conservatives criticize you (or anyone) for being a Huffington Post Liberal, or even just a regular Liberal, they aren't putting a hell of alot of thought in to it.

to these people, Its almost a meaningless, ambiguous smear like calling someone a Doodo-Head, its a word they use to describe anything they don't like.

Second, it became a liberal cause to fix problems when Ronald Reagan said Guberment isn't the solution, its the problem, meaning everything that is happening at any given time is the way its suppose to be, just sit back and enjoy the Free Market ride.
11:05 PM on 03/24/2010
Since creating problems became a conservative cause.
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shryock
It never is what it is anymore
09:29 PM on 03/24/2010
your statement "To me, health care reform is not about being a conservative or a liberal. It is about fixing something that is broken in our country" is what gets you labeled a liberal by the conservatives of today. only liberals believe that there is anything in our country that is not by definition perfect and in no need of fixing or improvement. conservatives today believe that admitting we have problems is anti-american. conservatives believe that if it is in america and is american it is by definition the very best ever and the very best possible and the very best for all time, and if you believe anything needs improvement, you are by definition liberal, and a kook and probably a socialist or communist since conservatives believe socialism and communism are the same thing. the conservative movement has been co-opted by the fringe, and the fringe is craaaaaaaaaazzzzzzzzzyyy.
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FearlessFraz
10:38 AM on 03/25/2010
My experience with such "conservatives" bears out your premise! Thanks for your voice!
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TheHandyman
Death...the last new experience you will ever have
09:16 PM on 03/24/2010
And I am going to take you to task for perpetuating the notion that there are some problems that can't be fixed! If you believe that then you belong on the Forrest Gump side of the bell curve. Every problem can be solved. There was and still is a simple solution to the health care problem that exists within this country right now. The President himself acknowledged it himself when he stood, more than once and stated that the only solution was "a single payer health care system!" Then he proceeded to lie about why that wasn't possible in the very country he described as being able to able to do anything they set their minds to do! Why is it we can't do what 50 other countries have done? There are 37 countries who have better health outcomes, live longer and whose people say their lives are happier than the US. And most of them have been doing it since WWII.

You are right when you say you cannot solve it with health insurance. That is like saying you can't cure smallpox with anthrax! While it is true I can't fly an airplane to the moon but I sure as hell can if I build a rocket. It is time to change the paradigm upon which the game is played.
11:58 PM on 03/24/2010
I am a democrat, a nurse practitioner, and have supported a singly payor/universal health care system since I was in nursing school in my 20's... but as much as I support it (and was sad it was not on offer, and sadder still the public option was lost) I am the first to acknowledge that it still would not solve all of our problems (cost, access, among others). There are advantages and disadvantages to all of the systems and proposals, so while I think a universal system would be a major improvement it does not mean that all of our health care problems would be fixed. We are 37th in health outcomes - a lot of that has to do with health care, but I fear a lot of that as well has to do with who we are as a society... and I think that a society that doesn't collectively agree that everyone should be entitled to some basic amount of health care is intrinsically a more stressful society to live in (and therefore less healthy). The HCR bill signed into law is not perfect, and not universal, but a moderate step in the right direction - unfortunately, it may take a lot more than signing historic legislation into law to dissipate the toxic environment around us that quietly erodes our health.
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SilviaMaria
08:26 PM on 03/24/2010
Thank you Mr. Rubin. I think you nailed it: fixing problems should be common sense. We all do that in our daily lives.

Health care is not about left or right; it is about giving people a peace of mind when they get sick so they do not have to think about medical bill and losing their homes to pay for them.

You are right: our health care system is broken, it has to be fixed. Our political system is broken, we need to fix by kicking out the interest groups ....
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whoknew42
In bad times: the good go crazy, the smart go bad
07:42 PM on 03/24/2010
I became a liberal because I didn't want to be associated with a bunch of fear-mongering, hate speech-spewing conservatives that were so self-righteous and vain that they actually thought that god only manifested himself through their distorted views of christianity.

I also recognized all of the 'underlying' agenda's' behind all that tea party stuff from the beginning! When people start screaming "I want my country back", I'm pretty sure they're not representing my demographic!!
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dfranz
With Liberty and Justice for all
07:16 PM on 03/24/2010
It's all about empathy. Liberals have it and conservatives think they are weak because of it.

Therefore all social issues are looked at as entitlements by conservatives whlie liberals see them as a right of citizenship.
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jsgaetano
Semper Fidelis Tyrannosaurus!
07:07 PM on 03/24/2010
"Since When is Fixing a Problem a Liberal Cause?"

Since always. Conservative ideology means doing nothing about everything is a virtue. It's the ideology of corruption, corrosion, and sloth. It's knowing something has to be done, and vowing to make sure it never gets done.