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D. Brad Wright

D. Brad Wright

Posted: December 14, 2009 08:16 AM

Health Reform Apologetics

What's Your Reaction:

The health reform debate is inherently political, but it is also about policy, and there is a vital distinction between the two. Policy is often the end result of politics, but politics for politics' sake happens all the time, too. That causes a bit of a problem, because -- especially with our dominant two-party system -- everything seems to get turned into a black or white, heads or tails, us versus them mentality. Many times it is as though one party pulled a policy position from a hat and the other party had no choice but to take the opposing position.

On the whole it makes sense that there are differences between the parties. Otherwise, they might as well unify into a single party. But does it make sense that the parties must take an opposing stance on each and every issue? Absolutely not. There are certain things that are in the best interests of the American people. Don't expect me to give you a comprehensive list of what those things are, but I will offer one: health reform.

Why can't people see that health reform is in their best interests? I think it has everything to do with the powerful cues supplied by master politicians and rhetoricians to the masses of poorly informed individuals. When influence and ignorance intersect, guess whose agenda is pursued? Of course, there are two camps and both are guilty of this political game. For every person who spent the summer shouting for government to keep its hands off their Medicare, there's a "latte-sipping" liberal who supports health reform without really knowing why. Heck, even I've been labeled as being clueless about reform. To which I must respond, as humbly as I can muster, if I'm clueless about health reform then God have mercy on us all.

God. Perhaps this is a good place for an analogy. You see, religion often tends to be a divisive issue just like politics -- maybe even more so. In fact, the two often get inextricably intertwined in an ugly mess that cheapens religion and distorts politics. But aside from how God feels about abortion or the death penalty, there's the bigger question that has an answer whether we've arrived at an answer for ourselves or not: Either there is a God or there isn't. It seems that debating the merits of this issue has become quite trendy of late, and the people who do so, those who attempt to make cogent arguments for the existence of God practice apologetics -- the defense of their faith through reason.

Like the question of God's existence, the question of health reform also has an answer -- either we need to reform the health care system or we do not. This is the question that we must answer before we concern ourselves over the matter of what needs to be done or how it needs to happen, but politics confuses the issue, leading uninformed people to react viscerally to soundbites overheard talking of "death panels" and a Senator from Iowa speaking of "pulling the plug on Grandma." Let us first answer the foundational question from which all others follow.

In our great nation, doing nothing -- perpetuating the status quo -- does not require an argument or an action. No, the argument that must be made is that in support of the need for change. Yet, as I've hopefully made clear by now, politicians cannot be entrusted to make this argument, because they cannot be effectively severed from their political nature. On the contrary, there is a strong need for what I call health reform apologetics to defend the need for health reform. Who are these apologists if not the politicians? They are the academics, the think-tank researchers, policy wonks, and industry experts, who subject to their own political biases, are nevertheless free from the need to woo the voting public.

Fortunately, we have many such health reform apologists, and they've been making strong cases for reform lately. As always there are Jonathan Cohn and Ezra Klein, but so too we have Jill Lepore's commentary on health reform as a preexisting condition, Atul Gawande's examination of widespread geographic variation in Medicare spending, Ron Brownstein's explanation of all the good--and much needed--things that the health reform legislation currently in Congress would achieve, and Jonathan Gruber's careful point-by-point argument in support of health reform entitled "Getting the Facts Straight on Health Care Reform." It's all incredible stuff, which I fully endorse, and you need to read it before making up your mind one way or another on the health reform issue. "But it's all just more politics," you say. Perhaps, to some extent, you're right. Then again, Ron Brownstein's piece has quotes in support of health reform legislation from members of both the Bush and Obama Administrations. Perhaps there are some things that only an elected official can lie about with a straight face.

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HUFFPOST PUNDIT
ReedYoung
global mean temperature, obviously INCREASING
02:24 PM on 12/15/2009
Intriguing. The premise that people are being duped is of course an assumption based on the assessment that they are voting and protesting against their own best interests. I agree with the assessment, but I have to admit that it is unprovable, before I tell you that I find the analysis from that premise outstanding.

"When influence and ignorance intersect, guess whose agenda is pursued?"

Whoever tries to convince you that "ignorance is bliss" is talking about your ignorance, and their bliss. The Republican obsession with "faith" in more and more facets of policy is wholly consistent with your thesis. They do not want people thinking for ourselves about policy, nor reading original source material, on anything from global warming to the biological basis of sexual orientation.
10:11 AM on 12/14/2009
"On the whole it makes sense that there are differences between the parties. Otherwise, they might as well unify into a single party."

Such a statement suggests that the author is either 1) very naive, or 2) accepting and repeating the false status quo meme of a "two party system."

There is only one political party in the US--the US Corporatist Party. The repugs and the dems are merely factional wings of a singular party with the same bottom line goal at the heart of all things political in the US.

While this is not a tangible truth in the sense of an actual organization, it is a practical truth in regards to how our government malfunctions--it ALWAYS errs on the side of corporate power, regardless of which "wing" is currently in charge of perpetuating the "representative government" illusion.

To not recognize this practical truth is to be blind in the face of a complete failure of our so-called representative government.
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HUFFPOST SUPER USER
S E Martin
08:23 PM on 12/14/2009
I don't necessarily think the author would disagree with you about much of what you wrote, but you're forgetting issues like abortion, school funding (Republicans would put a voucher system in place asap), privatization of services and SSI, etc.

I understand your overall point, and there's days I wonder what the difference between the parties is, too, but then I think about George Bush and wonder how different it might have been with Gore or Kerry.

To say there's NO difference, I respectfully submit, is also to ignore many important issues, in particular social issues. Republicans--especially the religious right 'sect' of them--would happily tell you and I what to do with our bodies and when we could do it, if given enough opportunity.
12:11 AM on 12/15/2009
Oh certainly there are differences between the two wings of this singular political entity, but the primary goal has nothing to do with those issues, as they are merely a means to an end.

Our totally ineffective representatives in DC may very well care a great deal about those divisive social issues, but the folks pulling their strings do not.

So, now that the dems are in power the tone of governance is different, but the overall results--ever increasing power and control by corporations--is marching forward, albeit at a slightly lesser pace.