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Peter Daou

Peter Daou

Posted: August 4, 2009 04:15 PM

Five Reasons the Health Care Battle Is NOT the Presidential Campaign


Democrats and progressives are clearly rattled by how quickly the right has come out of the gate in the much-anticipated August health care battle.

Zandar, keying off Josh Marshall, explains:

Josh Marshall considers the health care town hall ambushes by the teabagger crowds and asks: "Folks can whine on endlessly about outfits like Freedom Works putting these rackets together. But if the president's plan has any public support they should be able to get supporters to these events too, right? Not to pull the Black Shirt routine but to provide some public demonstration that there's real public support for making reform a reality. ... If there is. So that's the question. Where's the other team?"


If they're waiting until after the Senate recesses on Friday, then they're ceding an entire week to the goon squads here. They were ready to go as early as this weekend and will continue to attack for the next four weeks. It's a very good question and very indicative of the problem Obama has had in the last six weeks: for the centerpiece of his administration's policy initiatives, he's sure not acting like he wants this very much.

The GOP, on the other hand, is treating this fight as what it is: an existential battle. They know that if robust health care reform passes, they are beyond toast. Democrats will run the show for a generation. They are pulling out all the stops on the attacks and the pressure. To use a crappy sports metaphor, they want the win more.

Team Obama has gotten hamstrung here in the last three days. Multiple Democrats have been jumped at appearances. The GOP telegraphed the plan well in advance. So far it's looking like the Dems don't have much of a "boots on the ground" response. I am hoping this changes and fast. The best organized grassroots political machine ever conceived rolled over the landscape last fall. Where is it now?

A major question (and source of angst) on the left is encapsulated in that last sentence, namely, where's the vaunted Obama operation and why can't it counter a ragtag group of so-called "teabaggers"? [For the record, as someone who protested the Iraq war and believes in citizen activism, I don't like using broad-brush pejorative terms for grassroots activists, even if I disagree with them politically. Two exceptions: astroturfers organized by big moneyed interests deserve all the disdain they get, and those who have a race-based anti-Obama agenda are despicable beyond words.]

Weeks ago, I cautioned that the White House was in perpetual campaign mode. Now we read that the Obama team will once again turn to the tried and true methods of the 2008 campaign.

Therein lies the problem. The August health care battle isn't the presidential campaign. Here are five reasons why:

1. The media and punditocracy have a different agenda. Back then, the favored narrative was David vs. Goliath, i.e. the unthinkable and exhilarating notion that Obama could vanquish three formidable foes: the indomitable Clinton operation, the resurgent McCain campaign, and the rightwing Swift-Boat machine. Today's narrative is also David vs. Goliath, but in reverse: can the downtrodden GOP, with the aid of insurance companies and assorted Obama detractors, deal him a gut-wrenching political blow? And can they convince enough rank and file Republicans and independents to work against their own best interests and sink the Obama agenda?

2. Obama's much-talked about online 'army' of 13 million people doesn't exist. At least not in the mobilized, battle-ready and efficient form we saw during the campaign. Between natural attrition rates and typical open (and conversion) rates, that 13 million is closer to a tenth the number who actually read the emails and far fewer who take concrete actions. The singular focus of a presidential race is absent in a multi-faceted legislative fight. Mobilizing an online 'army' on the scale of a presidential campaign is significantly more difficult in these circumstances, if not impossible.

3. Republicans and conservatives have far less to lose. When McCain-Palin were a few percentage points away from the White House, there was an incentive to be somewhat (and I emphasize 'somewhat') restrained, for fear of completely turning off the country. Now there's much more to gain politically by throwing caution to the wind and being total obstructionists. The dirty politics everyone expected during the campaign is showing up in full force now.

4. Inside baseball is less effective when you're on the inside. The media manipulation that helped win the White House, the masterful messaging, the leaks, the back-scratching, the hard-hitting conference calls with strategists and advisers while the candidate stayed above it all, the playing of one outlet and one reporter against the other, the smart turns of phrase, the snarky retorts, the outsider vs. insider kabuki, all these lose a good deal of potency when campaigning gives way to governing. Especially when bankers are running away with taxpayer money, polls are shifting and the public is hurting.

5. The netroots, excited and energized by the prospect of an Obama presidency, are disillusioned. The administration's Bush-affirming decisions on secrecy, civil liberties, torture, gay rights, etc. have alienated a good number of influential bloggers and progressive activists. These are the elite opinion-makers on the left, and their voices have been perennially marginalized (and their impact underestimated) by Democrats.

As Democrats fight for a signature issue, a serious strategic blunder has left them scrambling to catch up with their opponents. The White House should have laid out clear, unwavering objectives, a solid plan, rather than leave the health debate to meander through Congress. That vacuum has enabled the proponents of the status quo to marshal their forces.

Perhaps resorting to campaign tactics will turn the tide, I certainly hope so, but it bears acknowledging that the landscape has changed.

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09:27 PM on 08/08/2009
Supporters of health care reform did their thing with the election. It's up to the legislators to acknowledge their responsibility to their constituents that voted for them, because of their promise to reform health care. Why would you want to change the rules, and start over? peter's a jerk. He thinks he can rewrite history with little more than garbage fed to his audience, the right wing.
08:39 AM on 08/06/2009
The Corporations are spending $1,500,000.000.00 per day to stick it to the American people. They will win.
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epcraig
After a couple of strokes...
09:22 PM on 08/05/2009
When the single-payer teabaggers come out I'll join them.
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DaveCarroll4
Retired Substance Abuse Counselor. Long-time Democ
07:15 PM on 08/05/2009
What is a real health care reform Bill? Well, the real thing was pretty much tossed by the wayside before Congress even started writing one. SINGLE PAYER! We know that the bought off Congressional Criminals are not going to do anything "that good" for us! We know that the Criminals who bribe our Congress are not going to let anything "that good" for us, happen! So, we get stuck with the Public Option... and we can swallow that, knowing we can't expect very much of anything better to come out of Washington D.C. the Capitol of criminal conspiracy. This is attested by the poll numbers that consistently show that, we the people, don't trust Congress very much at all, and very much less the any President! So we have the Public Option on the table. Well, every day we hear that another piece of it has been negotiated away, after that day's pay-offs from the lobbyists (bribery experts) have hit Congressional wallets. Vote after vote is delayed. We wonder what this or that delay is selling at the expense of American lives. What is a real health care reform Bill? Something we pretty much know, for some reason, we don't have coming to us. The Reason? Our Government is a bunch of crooks and thugs to be bought by the highest bid, period! I'm a very dissatisfied Vet and one of many broken-hearted citizens wondering what happened to Our Country! It's been sold!!!
06:58 PM on 08/05/2009
I was visiting my cousin and went to a town hall meeting with her hosted by her Democratic
Congressional member. My cousin is a Democrat as were all the people we sat with
and they are not supporting this plan. I think that calling all of these meetings attacks by the right
is just burying your head in the sand. There are many Democrats who are concerned with things they have heard about the plan.......or how is this for a concept they have actually found out by reading the bill. Many questions came from portions of policy that are in the bill.
There is a great worry over the cost of the plan and how it will be paid for. There is a general feeling that the Obama Administration is not telling the truth about things like rationing and how people who lose their insurance will lose their choice and be forced into the public option. (This is in the bill by the way.) Many of the seniors wanted to know, why if Medicare is already in such bad shape, Obama wants to take 500 billion out of it and what will happen to the people who are now in it
or fast approaching the time when they will be. I also attended the tea party that was held in my hometown and the people there were from both parties and independents.......I think ignoring this
fact is a big mistake for the Obama Administration.
10:28 AM on 08/06/2009
gabbyone-you're right about the medicare-obama wants to take out $500 billion that we the citizens paid in?? How about our social security that Johnson and others passed laws so they could rob that fund-"after all, it had so much money in it that it wouldn't hurt anything", and now that fund is in trouble too. The money was put into the general fund and used for whatever congress wanted to spend it on-our pensions-sounds like big businesses who go bankrupt but their pension plans have more regulations than ours do since the government just took it.. so now, they want to do the same with medicare?? I'm 65 years old, still work part time, and still pay into the medicare system even though I now qualify for it. I would never survive without a supplement. People in America will band together when the going gets rough-just like we did after 9/11..well, this time, it's health care.. Once again, the senate and house aren't reading it and we are relying on others to read it and tell us what's in this thing. I know what's coming down the line and I want to be able to live my later years knowing I have doctors who are the best .Obama says he needs at least 150,000 general practioners -,, I am not under any leadership of any special interest group-I'm just an American who is sick of the mess in Washington .
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DaveCarroll4
Retired Substance Abuse Counselor. Long-time Democ
06:55 PM on 08/05/2009
Because the Democrats and the President are losing ground in the poles on the health care issue, doesn't mean that the Republicants and the far right are winning, anything. It merely means that we the people are fixing to get shafted, once again! What is concerning the American people is that there is NOT going to be "enough reform" in the health care Bill. The Dems can't work as a team. The Republicants have nothing except "No" on their agenda. Meanwhile some BS Congressional agenda for bipartisanship is clear to the people who have seen this over and over for 40 years. A good idea for Us is conceived. The press batters it around. Then Congress takes it, strips it down to nothing, literally raping the original concept or idea. Big business is reassured that their Bribery (lobbying) has been successful (with the Criminals we elected to Congress) and the status quo prevails, and we, the people, take it up the keester once again. That is what WE see going on right now. President Obama needs to toss this whole bipartisan load of crap (we overwhelmingly voted the Republicant philosophy out), and be the President and get a real reform bill passed, making it clear that nothing else will get signed and that Congress will have to go back to work and stay at it until a real Reform Bill comes to his desk!
06:43 PM on 08/05/2009
Huff Po writers are you listening? A lot of articles on this liberal leaning website about socialized healthcare and most responses are against. This is not just a small angry mob against more government expansion into our private lives. The public is demanding to be heard. Bottom line- socialized medicine will bring down the most advanced healthcare system in the world and thank goodness most Americans are smart enough to know this. The economic justifications for socialized medicine just do not add up.
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DaveCarroll4
Retired Substance Abuse Counselor. Long-time Democ
07:19 PM on 08/05/2009
Wrong! What you are really hearing is that people don't trust Congress to do much of anything, properly!
09:44 PM on 08/05/2009
Just who do you trust? The Democrats now have control of all three branches of government and still George Bush has them tied in knots. I think the children have the pony by the tail and don't know what to do with it. If you really need to see Government run ______ (fill in the blank), just go to the DMV, any Vetrans hospital, any Post Office, or watch any road crew in action. These will be the same people running your health care.
11:51 AM on 08/06/2009
Sorry person. The present for profit health care system, and all it's advantages, go to only those who can afford to pay. And that's good for the wealth base. Working people pay tax, many who do not get health "insurance", and many that do find insurance is a joke when they get sick, help fund the miracles, so called, that our great health industry provides, for a big price. To me this is more welfare for the rich, but that's all this country is about anyway. Perhaps always has been. Lot's of us stupid pukes out there thought we were something other than cheap labor and a cash cow for corporate interests.

And then there are those like me. Worked for 1 co. for over 27 yrs. Injured on the job not by my lack of care, but my body failed to respond to increased physical labor cause by short staffing, etc. My co. wouldn't take me back, why would they? I was top pay, top benefits, etc. I have had no health care for years since my choice is being treated and homeless, or at least having the dignity of having a roof over my head. I am 58, have health issues, and this country cares nothing about me. I was a cash cow and now I am expendable. US is a great place. The few who are really talented can make a killing here, and our laws have been geared to that. But the majority of us? Screwed.
06:28 PM on 08/05/2009
You loser conservatives have no idea what is coming down the pike for you once this is defeated, and it will be defeated. Congressional Republicans are working on a bill that will have you pay fees for all medical services (including Dr. E.R.) at time of delivery, and prove you have either sufficient insurance or 100+K in savings to cover an ER visit and probable hospitalization. Hospitals will no longer be reimbursed by taxpayer money, nor will they be able to deduct unfunded treatment. They will, however, be free of any liability for refusing to treat or intervene if a person has no insurance or sufficient funds for all EXPECTED treatment/procedures. Hospitals will take what is needed, and you get to keep the change per episode -- keep in mind surgeries often cost 10 - 20k or more plus recovery expenses. Then you can start to save another 100k. I am sooo glad I have employer paid health care. The rest of you conservative idiot losers better get plenty of 'tussin and band aids because Dr. E.R. will want money up front. Added plus: if you have children without having health insurance, you will be charged with criminal negligence and your kids will be placed into medical foster care. It will be all in the Medical Personal Responsibility Reform Act that is making its way in committee. It will be entertaining seeing you wing nuts get turned away at the E.R. Gimme some popcorn for this.
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JusticiaParaTodos
06:07 PM on 08/05/2009
If the public isn't turning out in masses for Obama's public option it is because the plan has been kept in secret! The only thing we know is that it would allow the HMOs to continue profiteering at the expense of the American people and decide who is in and who isn't. So where is the change?

Ask yourselves, how many supporters of the public option have been ejected from Senate hearings and jailed? 0 as of this date. On the other hand over 20 single payer activists have been jailed for having the audacity to demand that Congress give single payer equal consideration. So what plan has the HMOs shaking in their boots? What plan will include everyone and exclude NO ONE? SINGLE PAYER!
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JusticiaParaTodos
06:03 PM on 08/05/2009
If the public doesn't support President's "public option" plan it is because few people know what it entails. It remains vague with the exception that the profiteers from the private HMOs and other healthcare corporatists will continue providing declining services as their profits rocket skyward!

Single payer on the other hand is supported by the public, physicians, nurses over 540 labor organizations, yet no one wants to give it the opportunity to be heard that it deserves! How many people have been ejected from Senate hearings and thrown in jail that support the "public option"? As of today's date; 0. Over 20 single payer activists have been jailed since last May for the audacity to demand that Congress give serious to single payer as the option for REAL healthcare reform! So what is the REAL reform plan? What plan has the corporate profiteers shaking in their boots?
05:54 PM on 08/05/2009
The core question is should the Federal Government have a hand in how health care is managed and delivered to its citizens, a reasonable question.
For those who say no, the Federal Government should retreat from every aspect of the health care business, from Medicare payments to states and people, hospitals as well as any aspect of social security that addresses medical needs. It truly is an all or nothing proposition. If you believe it is a government issue then it is likely best left for each state to decide how they desire to deal with the care of its people. What happens if you travel between or among states, its time for health insurance to be issued the same way that auto insurance is. I have no problem with those States that treat education like health care, some states do a great job others would rather brag how low their tax’s are.
If you are poor and cannot afford health insurance, apparently it sucks to be you and you need to yell at your State officials to have them give you a helping hand. I suspect in some states all you will receive is part of the hand.

Oh by the way, somehow the Federal Government has administered a Social Security System for over 60 years, and while not perfect certainly works, If you don't believe it does go ask the white haired crowd.
09:51 PM on 08/05/2009
Well I'm one of the white haired crowd and have paid into Social Security since I was 14. Thank God I don't have to live on the $1700 the Gov. has decided is my fair return. And you Boom
Babies - I hope you have lined up someting on the side, cause things will really get tight for you, once the Government starts pushing weed.
05:17 PM on 08/05/2009
The Obama Army is ever ready to mobilize but for what? THERE IS NO OBAMA HEALTH PLAN. Worst, even if there were universal coverage, WHO WOULD PROVIDE IT? Shortage of primary care physicians is now dangerous. What doctors there are give away their yearof graduation by how they practice medicine because they're allowed no time to update. Their guides are FOR-PROFIT HMOs and FOR-PROFIT PHARMA reps who preach :LESS IS MORE! Until Obama masses rise up and insist: "WE ARE NOT MEAT ON THE TABLE OF FOR-PROFIT CANNIBALS!" Americans are short- sighted. They don't see past the TV commercials to realize that their health insurance is like TERM-LIFE-INSURANCE that expires, no matter how much you payed into it, when you reach a certain age in that IT IS FINE UNTIL YOU REACH AN AGE AT WHICH FOR-PROFITS ESTIMATE YOU'RE GOING TO BECOME EXPENSIVE, when you're 45-50, some 25-30 years before Medicare kicks in. A single-payer-plan covers you from cradle to grave and DOESN'T ABANDON YOU AT 40 when your employer can no longer afford to cover you. Once they get that clear, Americans will rise up to shout down the for-profit mercenaries payed by lobbyists to intimidate Congressional Townhalls.
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01:41 AM on 08/06/2009
AMEN
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ssfahrer
05:09 PM on 08/05/2009
The problem with this entire debate is that we refuse to face the real question: Why have we allowed the U S population to grow FAR TOO FAST???? At 200 million, the USA was already over populated. At 350 million, this statement is even more true. Someone (let it be me) has to enough guts to say "No" to lifespans beyond a certain age, a Chinese style "one child" policy, etc. so that those who are privileged to be alive (and life is a privilege, NOT a "right") can have a decent standard of living.

Many African countries suffer because they have far too many people than their nations can afford to maintain. Do you want America to become like Africa? If so, keep on supporting policies that maintain far too many people for far too long. The Bible gives us a guideline at 70 (three score and 10) years. That's long enough. Anything after that is gravy. With our present average lifespan far over this amount, it's no wonder we are in trouble. Both Liberals AND Conservatives refuse to face this question. We should continue to ask it-- How can we live BEYOND what the Bible wants and still remain a "nation under God"?????
06:38 PM on 08/05/2009
China's one child policy is a blind alley, as many have pointed out, with the old doomed to twilight years without a younger generation to support them.

The rich know that if the laboring class were given good wages and a quality life, then they would do more in life then make many babies to care for them in old age.

The rich are the ones destroying nature, the rich are the ones who are starving off the poor, the rich are the ones by wars unending trying to kill off the poor, and in days to come the rich will be the greatest enemy to society the world has ever known.
06:48 PM on 08/05/2009
China’s one child policy is a blind alley, as many have pointed out, with the old doomed to twilight years without a younger generation to support them.

Surely if the laboring class were given good wages and a quality life, they would then do more in life then make many babies to care for them in old age.

Inhuman corporations are the ones destroying nature, corporations are the ones who are starving off the poor, corporations are the ones who by wars unending kill off the poor, and in days to come corporations will be the greatest enemy to society the world has ever known.
04:19 PM on 08/05/2009
Does anyone here know if this is true?:
Page 22 of the HC Bill: Mandates that the Government will audit books of all employers that self insure!
Page 42 of HC Bill: The Health Choices Commissioner will choose your HC Benefits for you. You have no choice!
Page 59 HC Bill lines 21-24: Government will have direct access to your bank accounts for elective funds transfer.
05:19 PM on 08/05/2009
Only you would know, as only you know if "the HC bill" is real, or just your fiction, fantasy and fairy tale.
07:47 PM on 08/05/2009
So, there is no HC (Health Care) Bill? It's just my fiction, fantasy and fairy tale? Hmmm??
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wyldwoman007
01:58 PM on 08/06/2009
These issues are addressed elsewhere on HuffPo in an article from Tuesday, I believe, by Linda Bergthold.
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lcarliner
03:40 PM on 08/05/2009
The Tom Delay/Dick Armey Republicans are using the same tactics of thuggish intimindation that was use to block the election recount in Florida's 2000 year presidential election! Just look at the clips of the scenes in the Michael Moore movie "Farenheigt 9/11"! Then look at the clips from the town meetings that were shouted down!

BTW, Lou Dobbs claims to be the only new program that is examining the other nations health systems, but no one has told him about the PBS Frontline program that analyzed the systems of some five nations (UK, France, Germany, Japan and Tiwan), as well as the movie "Sicko", which dealt with UK, France, and Cuba.
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whyisthis41
08:41 PM on 08/05/2009
'Armey has his so called freedom watch geared up to decimate town hall meetings this month. Everyone needs to wake up....this country has been dumbed down during the last 8 years. . The 2000 NON ELECTION attacks are being used once more. BTW a fab rolling bus tour came to Charlotte NC yesterday and was warmly welcomed by pat mcrory the outgoing repug mayor. I wonder why!!!!!