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Dylan Loewe

Dylan Loewe

Posted: January 20, 2010 07:51 AM

Saving Health Care After Coakley

What's Your Reaction:

Over the next 24 hours, there will be plenty written about the ineptitude required to lose a Senate race in Massachusetts as a Democrat. There are simply an endless number of reasons to criticize Martha Coakley today.

That her campaign chose to go dark after the primary rather than running ads; that Coakley herself did only 20 events during the general election, compared to nearly 70 for her opponent; that when they did finally run ads, the Coakley campaign spelled Massachusetts wrong.

There were the shocking quotes from Coakley, one decrying shaking hands with voters at Fenway, the other calling Curt Schilling a Yankee fan. And of course, there was the Election Day memo from Coakley's advisers, who blamed the loss (in advance of the polls
closing) on the White House and the failure of national Democrats to pay the race due attention.

As a candidate, saying Curt Schilling is a Yankee fan doesn't just make you seem like you're out of touch; it means you're out of touch. As a political strategist, believing you can save your reputation by attacking the White House before polls have closed is proof in itself that you aren't very good at messaging, and should consider another career.

There is no sympathy to be had for Coakley. The laziness of her campaign, the lack of due care paid to the legacy of the senator that preceded her, the recklessness with which she put the entire Democratic agenda at risk -- none of it can be understated, dismissed or defended. There is no spin. Not any at all. Martha Coakley should be deeply, deeply ashamed. That isn't to say that she isn't smart and capable. But on the campaign trail, she was neither. And now health care reform, after nearly a year of fights and debates and compromises and struggles, is once again in serious jeopardy.

With Brown's win comes a set of very tough choices for Democrats. Within the next ten days, Brown is likely to be seated, stripping the Democrats in the Senate of that critical 60th vote. That leaves Democrats with few options. They could quickly pass health care reform before Brown gets to Washington. But that would have required that they already reached a compromise. They haven't. At this point, even if a compromise is reached tomorrow morning, there isn't enough time to get it to the CBO for scoring, get it back, and overcome the procedural hurdles to get the bill through the Senate once more.

The next option is reconciliation, but a reconciliation bill, as has been the problem since the idea was first floated, cannot include in it the critical insurance regulations that make up the bulk of the bill's value. And reconciliation, if used, will surely drag out the health care debate for a number of additional months, leaving Democrats even more vulnerable in November.

There is however, a third option, one that if used, may actually, shockingly, incredulously result in a health care bill that is better than it would have been had Coakley not lost Ted Kennedy's seat for the Democrats.

It's not the Senate bill. It's not reconciliation. It's both. The House could agree to pass the Senate bill, but with the caveat that the substance of their negotiations be dealt with later this year, during the reconciliation process. This does a couple of things: it allows liberals in the House to vote for the Senate bill they don't like, assured that in the very near future, they will be able to improve it. It allows Democrats to take a curtain call on health care, perhaps even in time for the president's State of the Union on January 27th. And most importantly, it presents the potential for creating a health care bill that is substantially stronger than it otherwise would have been.

As of yesterday, negotiations at the White House between the House and Senate were buffered in large part by the reality that any compromise would need 60 votes in the Senate. Given the difficulty of garnering 60 votes the first time around, the possibility of reaching substantive agreement on major changes was remote at best.

But in the new context, these compromise negotiations would require only 51 votes in the Senate, allowing House progressives to get a bill much closer to the one they had originally crafted and hoped for. And while the political capital might not be there for the effort, in this context, it might even be possible to revive the public option yet again.

This is not to suggest that things are better than they seem, or that the brighter side here is particularly bright. The Coakley loss is a severe one, and the consequences of that loss will reverberate through the rest of the year, perhaps beyond. The health care bill, while still passable, has come up against its most substantial hurdle yet.

What happens from here will be a long, hard slog. But still, in the end, we may get what Ted Kennedy fought for all along. Let us hope that Democrats in Washington move forward today in his name, on his behalf, and ours.


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06:28 AM on 01/23/2010
Ask your Congressman/woman to sign on to HR676; which is supported by Congressman Dennis Kucinich and about 95 other members of the House.

HR676 is called Medicare For All.
02:32 PM on 01/21/2010
Dear MoveOn member,

Tuesday's election was a shock. But the aftermath was even worse: President Obama and some Democrats in Congress are now considering scaling back health care reform.1

That would be a huge mistake. We saw on Tuesday that voters don't feel like Washington is delivering on the change they voted for in 2008.2 Caving on health care reform will only make that worse.

So we're launching an emergency campaign to save real health care reform. The first step is running full-page ads in national newspapers with thousands of names of folks calling on Democrats to step up and pass strong health care reform. Will you add your name to the ad today? Just click the link below.

http://pol.moveon.org/bold/?id=18657-9193653-bzdGSQx&t=2
06:22 AM on 01/23/2010
I signed. You should too. MoveOn could use 10 million signatures.
HUFFPOST SUPER USER
Publius67
02:11 PM on 01/21/2010
All of this is beside the point - no matter how poor a campaign Coakley ran, that is no excuse for the voters. Surely anyone who cared already knew about their Attorney General, and paid at least minimal attention during the primary was clued in. Are the voters really such babies? Shame on them.

(and while Schilling may have been a great Sox player, his record since makes it clear he's no friend to Boston)
01:33 PM on 01/21/2010
I have such a problem with this situation and all the interpretations
.
There's no question that Brown's election has significant IMPLICATIONS for Health Care/Insurance Reform; particularly since the Dems concede every time the Repubs threaten a filibuster.

However, it's hard for me to see it as a REFERENDUM on President Obama and/or health care or even the economy, because Coakley had such a significant lead for so much of the campaign. Her lead continued, even after the Senate passed their version of the bill. And, sadly, the economy hasn't changed that much in the past month when her poll ratings dropped.

If the American people were so against all of this, Obama's poll ratings should be well below 50%.

And if the voters in Massachusetts were so upset with President Obama or the other issues being discussed, wouldn't they have immediately rejected the Democratic candidate?

It looks to me like they rejected her for all the reasons cited in a previous post that reflected a pretty poorly run campaign.
02:02 PM on 01/21/2010
Right on! Don't change at all! Keep the pedal to the metal! Voters are too stupid to know what's good for them anyway.
01:29 PM on 01/21/2010
Single payer will come instantly if congress refuses to reform the system to the advantage of Americans.We can ignore the current bills in the senate and house and through an executive order expand medicare to include all Americans from 20 years old.Establish a separate national health insurance non profit company with rates one third the size of the current useless rip off mafia type companies.

Bush used his powers for a lot more clandestine and illegal activities.
02:31 PM on 01/21/2010
Amen brother! I'm not sad to see this deteriorated bill go by the wayside. I'm more convinced that ever that a not-for-profit single payer is the only viable, long-term sustainable solution. The profit motive will *always* skew things further and further away from meeting the citizenry's need for healthcare.
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HUFFPOST PUNDIT
den1953
The National Inquire of Politics the GOP!
12:03 PM on 01/21/2010
Here's a idea give Republicans everything they want watch them stall and bring it up to a vote a watch them vote it down then listen as to why they can't vote for it that is the truth and it should have been that way from the start if the Democrats were smart they would call the Republicans out!
12:03 PM on 01/21/2010
Post-Coakley conventional wisdom -

draft better, more motivated candidates.
11:36 AM on 01/21/2010
According to the UN WHO, France ranks number one in the health care available to the "average" citizen at a cost of about 8% of Gross Domestic Product.

The US ranks 37th in quality at a cost of about 16% GDP. How is it that France is able to provide five times the quality at half the price?

France, or any of the other top 10 countries, have working models on the ground and up and running. No guess work there! The health care debate in the US, which has been going on in ernest for about a year and about 75 years overall, was doomed at the start by turning the discussion over to the corporate lobbyists and special interest groups. Best to scrap the current bills and just copy a winner. There is nobody in France that feels they are a "slave" or a "victim of a government takeover", that is just spin from stakeholders desperate to preserve obscene profits made off of sick people.
02:36 PM on 01/21/2010
Yes, the only "debate" at this point, is how to protect corporate profitability while creating the illusion that the system is being reformed to the benefit of the average citizen.

Somebody needs to say it: "Profit is the root of all evil." If something is good, right, and necessary to do, people shouldn't in addition have to be bribed to do it.
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dizmo4
11:31 AM on 01/21/2010
I think its incorrect to assume Brown as being an automatic filibuster in the Senate. He may have upset Coakley in THIS special election, but if he behaves as a typical ultra-conservative Republican he's going to lose big in 2012. The voters of Massachusetts are liberal--not center left but full left.
He's a pro-choice Republican which automatically disqualifies him from the Presidency and VP. So his only political future is in Massachusetts--either as a long server Senator or possibly a governor.

I think the only way for him to succeed is to work with the Democrats. His pro-choice stance already makes him more liberal than a Ben Nelson. I don't think he'll be willing to block regulatory reform or some of the other key issues the Democrats need passed. He may be the 41st vote on the current Health care bill, but the current bill is a bloated mess. I don't think people should confuse his opposition to the current bill with opposition to ALL HCR.
12:42 PM on 01/21/2010
I agree.

That MA would choose to fill Ted Kennedy's seat with Brown is clearly a message on the current bill(s). How many times did he repeat that he would vote against it.

How about keeping coverage requirements and subsidies and adding in some ideas that would reduce costs like allowing consumers to purchase insurance across state lines, tort reform, a phased reduction of tax benefits that applies to everyone, equivalent rules and pricing for all states?
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09:40 AM on 01/21/2010
I would repectfully ask the author, just WHY would anyone run as a Democrat right now? It is NOT because of the national political climate that I ask, it is because of the INTERNAL Democratic Party dynamic that is so distasteful.

When consummate INSIDER Jon Corzine lost in NJ, all the Party insiders were quick to blame the conditions 'unique' to NJ. The exonerated the campaign of Jon Corzine, and blamed NJ voters for being frustrated.

HOWEVER, when Creigh Deeds lost VA, and now when Martha Coakley lost MA, the "insiders" are too quick to blame the candidate--completely ignoring the role of the respective voters disenchantment OR the actual, observable failures of the Administration.


IF the DCCC were trying to pursuade me to run, they would recieve a rapid, and not too polite refusal.
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LetsGoSteve
11:24 AM on 01/21/2010
It has to be anything but the democratic policy that is out of step with the people.
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dizmo4
11:25 AM on 01/21/2010
Deeds was a lousey candidate that ran as a DINO and ran away from the President. The Dem base didn't turn out in northern Virginia since it really didn't matter who won.

The Coakley loss is more interesting. I think mass voters wanted to show that they can't be taken for granted by the Democratic party and that even a state as liberal as Mass is perfectly willing to vote for a Republican if they think that they are not being respected by the Democratic party.

There's also a lot of anger and frustration in the country right now, and Pres. Obama was right last night when he said the same forces that swept him into office, swept Brown into office.

Voters see the two-party system we have as being completely broken. the US Government is broken.
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LetsGoSteve
11:32 AM on 01/21/2010
Yes, you are thinking just the way conservatives want you think. Just keep blamming the candidates and the local conditions.
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12:10 PM on 01/21/2010
Yeah, yeah--he ran away from the President and lost.

WELL, Coakley ran toward the President and lost.

Keep making excuses.

The responsibility lies in the West Wing of the White House on Pennsylvania Ave. Specifically, Obama on policy, Axlerod on messaging and Emmanuel on strategy.
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AnnfromCA
08:13 AM on 01/21/2010
She should be deeply "ashamed?" I am simply amazed at the audacity and the self-riteous vibe from Dems.

She followed on the heels of blue NJ going Red, VA going Red and deep into the state government structure, at that. Polls from NJ were readily available to the DNC or to the WH, and from my own cursory reading, they told the story of MA in advance. It's the suburban Independents, whom Obama won, who are now pouring into the polling booths to make their voices heard. No, this is NOT what they bargained for, and they aren't interested in giving Pelosi Inc. another year.

All the finger-wagging at this candidate is ridiculous. She's a darn sight better prepared than Doug Hoffman was in NY23, and he came close, very close to pulling off the upset as an Independent!
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02:44 PM on 01/21/2010
Those suburban independents were all for her until they actually got to know her. She should be more than ashamed. She was beyond arrogant in her approach. MA is used to Ted Kennedy whom you can count on for direct intervention on your behalf if you encounter any problems. No way would MA vote for someone who couldn't even bother to campaign for their votes. Why would they?
04:16 AM on 01/21/2010
The real issue is that the blue dogs are DINOS (Democrats In Name Only)
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Donald Fannin
provocatuer
04:13 AM on 01/21/2010
The current Democratic Leadership is too incompetent to execute your plan. They all need to resign. They have over a year knowing they would be in the majority, a veto proof majority even a filibuster proof majority. They didn't even have a bill until Christmas. The bill they did have was so weak and watered down that if wasn't even close to what was promised in the election. Like the fans of a bad football team democrats should be wearing paper bags over their faces.
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Ricardo Aviles
03:18 AM on 01/21/2010
If Coakley’s loss means the Health Care bill is doomed, this was a fix-up by both sides, Republicans and Democrats that don’t really want this bill to pass because special interest are involved for its failure. Is money involved by health insurance providers to kill the bill?. If so, this means that 38 Million Americans will die without Health Insurance and because of it not passing. If my wandering mind is correct, then the only ones that will save democracy and the U.S. are the Independent candidates to every U.S. electoral position without political party interference. Political parties are becoming something of the past. We need a real democracy and Independent candidates seem to be the answer. Lets pick candidates that are not bound by political parties. Lets create their candidacies the “Ämerican Idol” way and may the best candidates win! We need to save democracy by the people and for the people and not for special interests. Speaking of Cloakley, I would check her savings account six months after the GOP candidate is sworn in just in case. My definition of a politician: The art of deceiving others. I believe that when a candidate’s campaign runs into these incredible faults, it must be because of a fix-up in order to derail or disrupt an important bill that is to be passed against special interests. If I am correct, then democracy is a failure. If I am wrong, Ms. Coakley, please forgive me!
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clearthinker2008
we need to respect each other
06:47 AM on 01/21/2010
"If Coakley’s loss means the Health Care bill is doomed, this was a fix-up by both sides, Republicans and Democrats that don’t really want this bill to pass because special interest are involved for its failure."

I have to say I was thinking the "fix" is in. Look how quick Reid put things on hold, for what a Republican to get sworn in and seated only to vote against them? Yeah right.
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12:14 AM on 01/21/2010
Democrats need to learn how to play hardball and get things done,or he is one term and out, quit messing are with those teabaggers and otherassh%$. Damn this nice guy please everybody has got to stop or we are dead meat in 2012, You won the election Mr,President
TIME TO ACT LIKE IT
04:34 AM on 01/21/2010
Yep, the Democrats need to do some of their own "fear mongering".

Start exposing cases where people denied jealth insurance chose to die instead of bankrupting their spouses and children.

Give a history lesson on the Great Depression ask them if the want to also close the FDIC along with not bailing out the banks and show them what would happen.

The people of this nation need a kick in their arrogance, ignorance, and greed.
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AnnfromCA
08:18 AM on 01/21/2010
Oh please, they have been doing just that. It's ineffectual.