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David Sirota

David Sirota

Posted: January 19, 2010 09:38 AM

Though Obviously Hypocritical, GOP Has Chance to Outflank Dems on Health Care Populism

What's Your Reaction:

Late last week, Firedoglake highlighted this stunning exchange between activist Mike Stark and retiring GOP Rep. John Shadegg over health care:

SHADEGG: Both the House and Senate bills contain mandates that compel, or would compel you and I as individual Americans to buy insurance from Americas private insurance industry. I think America's private insurance industry is the problem...


STARK: So are you for a public option?

SHADDEG: Well, you could better defend a public option than you could defend compelling me to buy a product from the people that have created the problem. America's health insurance industry has wanted this bill and the individual mandate from the get go. That's their idea. Their idea is "look, our product is so lousy, that lots of people don't buy it. So we need the government to force people to buy our product. And stunningly, that's what the Congress appears to be going along with. Why would they do that?...The notion of forcing Americans to buy a product they don't want to buy from companies that aren't doing it right right now is goofy...Making the IRS the bill collector for Aetna and the rest of America's insurance companies...Blue Cross/Blue Shield and United...isn't the way to do it.

Let's first get the issue of Shadegg's integrity out of the way here -- he's obviously a hypocrite. This is a lawmaker who could have voted for the public option that he suggests has value, and could have voted for much stronger overall health care reform bills in the past.

However, hypocrisy by a politician is hardly interesting in an age when President Obama has broken so many explicit promises it's hard to even count them anymore. What is far more notable is the substantive argument Shadegg is voicing -- it's both accurate and politically telling.

Shadegg is absolutely correct that "America's private insurance industry is the problem." He is also correct that this legislation is exactly what that industry wants -- not, as the Orwellian White House spokesholes insist, some great victory over that industry. And Shadegg is right that compelling people to buy an expensive (and faulty) product from a private corporation without giving people at least the choice of a public product is unprecedented and grotesque.

If the health care bill is not improved, this is exactly the kind of argument the Republicans will make in the 2010 and 2012 election. And I say that not just because one lone GOP congressman is making the argument, but because you are starting to hear a similar case being made by top Republican Party officials.

Case in point is the interview I did last week on my AM760 radio show with Colorado Republican Party Chairman Dick Wadhams. You can listen to it here -- and specifically, listen to him rail on the insurance industry.

Again, it's obviously disingenuous coming from Republicans as the GOP has been shilling for the insurance industry for years. However, that doesn't mean it won't be powerful. It will be -- and it will be precisely because the Democrats -- in weakening the health legislation -- have allowed Republicans to potentially outflank them (at least image-wise) as the populist party of the little guy.

 
 
 

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HUFFPOST SUPER USER
dcjdjay
08:04 AM on 01/20/2010
This only proves Senator Specter's point that the Republicans would vote against any and everything proposed by the Democrats. It was all part of a well-crafted strategy whose sole objective was to humiliate the President and the Democrats.

Remember that these are the same Republicans who in 2003 voted to pass an unfunded mandate extending Medicare benefits to prescription drugs and for private health insurance. They're not exactly fiscal hawks as they make themselves out to be now that the Dems are in power.

Clearly, many are smart enough to realize that a public option would have made sense, but they still acted like they were against it.

It's all dirty politics, and the Dems who were too busy kissing up to Chuck Grassley and Olympia Snowe and this gang of Senators and that gang of Senators got shafted.

Add to that the GOP teapartiers (and lets not fool ourselves - the teaparty is a wholly owned subsidiary of the GOP) and the birthers (yet another division of GOP Inc), and the Dems were always on the defensive.

Sickening that the Dems are such patsies.
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bascombe
Send the kids off to die, bleed their country dry.
09:55 PM on 01/19/2010
david,

today proves that very point.
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HUFFPOST SUPER USER
Samalabear
09:28 PM on 01/19/2010
It's fun to watch us get played for fools by both parties. Americans posing as the proverbial ping-pong ball. Can't we stop it already and get a party that really will do what it says -- or go down valiantly trying, at the very least?
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HUFFPOST COMMUNITY MODERATOR
Icantbelieveher
What you do for the least of my brethren, you do f
09:13 PM on 01/19/2010
And we're supposed to believe that if we just vote republican, they'll fix health care? With what they passed when they had the majority? The health care bill that republicans passed when they had the majority and the Whitehouse ...... oh wait, they didn't address health care!

The fact that democrats totally screwed this entire thing up is only the fault of the democrats who allowed it to be watered down and took single payer off the table as well as reconciliation!

The democrats squandered their majority and to date have done nothing to help the people over the corporations! If that's what we wanted, we would have voted for republicans!
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bascombe
Send the kids off to die, bleed their country dry.
10:01 PM on 01/19/2010
the bill that they are trying so hard to rush for Obama to sign is the bill they planned all along.
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08:50 PM on 01/19/2010
This is one of the most mishandled initiatives that I have seen in years. Congress and the WhiteHouse handled this very badly. This should not be a surprise. Politicians, as a class, are not very wise or intelligent.
No one ever analyzed the situation and determined what was broken and needed to be fixed. Instead, they were driven by passion and political ideology. Neither one of which has much of a connection to reality.
08:45 PM on 01/19/2010
What is scary is that if Ted Kennedy had not passed away, the Obama and the congressional Democrats would still be saying that only Tea-Bagger nutcases opposed the "reform."

Now, they can't deny that progressives and independents find their stance on health care to be entirely unacceptable.
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HUFFPOST SUPER USER
eztempo
07:39 PM on 01/19/2010
Shadegg sure quacks like a "progressive" -- "forcing Americans to buy a product they don't want to buy from companies that aren't doing it right.... Making the IRS the bill collector for Aetna and the rest of America's insurance companies..." -- but he certainly doesn't swim like one.

Too bad our Congressional Progressives were too consumed with triangulating a vote from Olympia Snowe and Joe Lieberman to find a way to articulate an alternative to the "bi-partisan" sellout the White House and Max Baucus cobbled together.
10:57 PM on 01/19/2010
Progressives weren't triangulating. It was the corporate Democrats who wanted cover for selling out the the voters to the donors.

The progressives were locked out. As Rahm said, "Don't worry about the Left. Where else are they gonna go?"

The took every kick and came back, like pathetic dogs. In the end, they always rolled over.
06:44 PM on 01/19/2010
It doesn't matter which political party rich people say they belong to, things that require a majority of people to pay money to improve the quality of life for the minority don't pass in america. Not only does the healthcare bill cost most people nothing (becuase they already have employer-subsidized insurance) it also puts in place more insurance industry regulation, minimum coverage requirements and eliminates billions of what we now pay for emergency room visits.

The mandate only applies to people in the individual market and those happen to be the people who most benefit from the subsidies and the exchange. I put myself through the Massachusetts Connector online to see what mandated insurance - a higher mandate with less subsidies than this plan - would cost me. I don't qualify for subsidies and have to buy on the individual market and I would still pay less then I paid for a policy through my employment agency last year.
10:36 PM on 01/19/2010
Unfortunately, there is no meaningful provision for enforcement of the senate bill. It relies on weak state boards that don't enforce the regulations we have now. The regulations, and enforcement in Massachusetts are stronger. Ever driven on an expressway where no one enforces the speed limit, it just means speed. Insurers take advantage of states that don't enforce laws.

You may want to consider the actuarial value of the plan you applied for. If you chose something with higher copays and deductibles, of course it cost you less.
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HUFFPOST SUPER USER
lgillooly
06:06 PM on 01/19/2010
vote up or down for a mediacare for all buy in. Then you will see who really cares about American citizens.
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HUFFPOST SUPER USER
Margot Sheehan
Tiny person in big city.
05:20 PM on 01/19/2010
Concise and insightful. And the possible gain for the GOP isn't just "outflanking" or bashing the Dems. They can now take on the health-insurance lobby without any appearance of opportunism or hypocrisy.

It's ludicrous to think that killing the current House and Senate bills will take us back to a status-quo-ante of two years ago. No: the research has been done, and ideas have been hammered out, and there will some kind of alternative healthcare bill passed by mid-2010, all with a shiny new "bipartisan" glow on it.
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Tony12345
05:37 PM on 01/19/2010
Exactly! Let's learn from the mistakes made, start all over and get it right.
06:19 PM on 01/19/2010
Yeah! The Senate has very little to do in it's next session. Oh, wait. There's the budget, cap and trade, and ten bills that have already passed the house. Do you really think it's smarter to go back through the senate finance committe and the HELP committee with a new bill and fewer democratic votes rather than pass the insurance regulations with the mandate and then bring the public option/medicare buy-in along as budget issues that only need simple majorities to pass?
05:16 PM on 01/19/2010
Are you so caught up with the "idea" of change - that if any side seems to be changing for the better and even for the worse, you admire it, write about it and maybe earn one's keep with it ?

Things will change for the worse and the better but with all due respect, choose a Side not an Abstraction.
05:10 PM on 01/19/2010
The Democrat "Leadership" doesn't know how to fight from their strength, their base, and doesn't know how to govern by LEADING, not groveling for "compromises" that are in reality capitulation to the enemy.
05:23 PM on 01/19/2010
To whom are they compromising? They've had enough votes to pass whatever they want without Republican participation. The compromises are within the Democratic party.
05:27 PM on 01/19/2010
Maybe because a majority of the population doesn't always think in the ways of the boogie man and an Enemy" and the population doesn't naturally look through a "their side - and our side" paradigm. It's this thinking that has promulgated wars and continued strife.
06:25 PM on 01/19/2010
...and it's the reason we don't have single payer health insurance. In an adversarial political system, cooperation is weakness, betrayal or whatever. We would have to cooperate across party lines and potentially through new presidential administrations to start the multi-year process of building the infrastructure and dedicate the tax revenue necessary for single payer.
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Tony12345
05:07 PM on 01/19/2010
This mess was created by hypocrisy -- let's not forget that. We were promised an open, transparent process that would be broadcasted on CSPAN for all to see. What happened? We got a bill filled with backroom deals and then urged to pass it because it's 'better than nothing'...

The best possible outcome of all of this would be to scrap this mess and start all over with the process that Candidate Obama advocated. Otherwise, we will only regret it all later...
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Tony12345
05:03 PM on 01/19/2010
As Massachusetts voters may well attest, the GOP are the party closest to the people on health care.

Let's not forget: It was Obama who promised to have negotiations broadcasted on C-SPAN, so the country could have the open, honest discussion that is so desperately needed. It was the Congress--the party elected to 'dredge the swamp' of corruption--that led closed-door negotiations and gave handouts wherever they could (not only Ben Nelson's 'Cornhusker Kickback', but also the union exemption for the 'Cadillac Tax' ).

Many Americans like myself wanted the 'hope and change' that we believed Obama could deliver -- all he has done was to make people have even less faith in the government and to further inflame tensions. This bill wasn't about health care -- it was about power.

What would a Republican suggest? How about:
* Being able to purchase insurance directly (like with auto insurance), rather than relying on your employer to arrange your insurance. (This would be done by giving individuals the same tax breaks companies get)

* Letting individuals in one state purchase cheaper (yet equally good) insurance offered for sale in another state. (This breaks the stranglehold many insurance companies have--I think there are more than 40 states with only 2 providers?)

* Subsidising insurance costs for those who genuinely need it.

* Banning the exclusion of pre-existing conditions and keeping insurance companies from dropping people who get sick (yes, Republicans are for this, too...).
05:39 PM on 01/19/2010
I agree! Also, maybe a government pool for catastrophic insurance so no one is bankrupted by an illness that costs hundreds of thousands.
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Tony12345
05:51 PM on 01/19/2010
Exactly! There's NO reason someone should be bankrupted by medical bills...
10:39 PM on 01/19/2010
#2 and #4 of your point requires a meaningful national regulator. Many states have weak enforcement of consumer protections. It drives down the cost of plans, but not the out-of-pocket costs. Remember, most medical-bill driven bankruptcies happen to people who HAVE insurance. So that's not the answer.
05:00 PM on 01/19/2010
The only Libral argument I've heard for healthcare is; "Healthcare is a human right and not a privilege!"

First, I want to ask why? Why is healthcare a right? There is no factual follow-up to this arguement.

If healthcare is a right, what other comodity is a right? Food is a basic human need. Is food a human right? Should the government take over restaurants and grocery stores to ensure that everyone has enough food, and no citizen can eat steak if others must eat hamburger.

What about shelter? Shouldn't shelter be a basic human right? No one should live with better shelter than another. Shouldn't the government redistribute shelter equally so there isn't anyone who doesn't have this basic human right. The number of homeless could be used to justify the legislation, even if the numbers are made up like the number of uninsured.
06:30 PM on 01/19/2010
No, the liberal argument is that we are paying twice as much as any other country for lower quality healthcare. Our market is less efficient than markets with higher subsidies and larger pools. It is not only inhumane to have 33 million people rely on the emergency room for all medical care, it's extremely expensive and dumb. With medical costs increasing at double inflation, this is a problem that must be solved.
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HUFFPOST COMMUNITY MODERATOR
Icantbelieveher
What you do for the least of my brethren, you do f
09:16 PM on 01/19/2010
The liberal argument is that insurance bring nothing significant to the table. They do nothing for health care and cutting out the middle man who is in it specifically for a profit and not for health care would be the best thing to ever happen to America!

There is nothing that insurance companies do that we can't live without!