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Robert Creamer

Robert Creamer

Posted: September 3, 2009 08:58 AM

Why Health Insurance Reform Will Pass This Fall -- It's the High Political Ground

What's Your Reaction?

Forget about the talking heads' narrative about the "sagging prospects" of President Obama's health insurance reform proposal. Much of the same gang was completely convinced that Obama could never win the nomination -- and once nominated would have a hard time winning the election.

You have to wonder sometimes if there shouldn't be a penalty for pundits who make self-assured predictions that are regularly wrong, and yet continue to be treated as if they know what they're talking about.

The fact is that the odds are very good that President Obama will succeed in passing landmark health insurance reform legislation this fall - with a robust public health insurance option. The reason is simple: it's the high political ground.

Health insurance reform represents the high political ground for four major reasons:

1). Most Americans - including swing voters - can't stand the health insurance industry. As Congress reconvenes, the Administration and its allies will unleash a major drive to correctly define the battle as a contest between the interests of private health insurance companies and ordinary Americans. Health Care for America Now (HCAN), the big coalition of progressive organizations and Labor, will put it this way: If the insurance companies win, you lose.

They will systematically define just how the big private insurers impact ordinary people and how the Obama health insurance reform proposal will solve the problem.

It's a pretty compelling narrative. For decades, the health insurance companies have made a fortune (over $60 billion in profits over the last eight years) by denying claims, denying insurance because of pre-existing conditions, making health care decisions instead of doctors and raising premiums almost four time faster than wages.

And all the while the CEO's of the ten largest insurers made an average of $8.5 million in pay last year - about $4,100 per hour.

Think about the campaign commercial that paints the picture of the incumbent Member of Congress who votes for health insurance CEO's like Cigna's Edward Hanway -- who will retire with a $73 million golden parachute this fall - and votes against patients who are denied coverage for their cancer treatments. It is not a pretty political picture and it will become more and more vivid in the minds of Members of Congress as November 2010 comes into view over the political horizon.

2). The Obama Administration will use every ounce of its political capital to win this battle. The President and his top advisors understand that -- when it comes to health care -- failure is simply not an option. They know that defeat on health care would be a huge blow to the President's ability to pass his entire agenda and his own standing with the voters. People follow successful leaders - not those who fail.

As a result, the President will use every bit of his charm, his persuasive ability and the formidable powers of the Presidency to secure the votes to win.

And make no mistake. While Barack Obama would prefer a bi-partisan bill passed through the regular order with broad consensus, he has an iron will and will pass a bill by one vote using special budget procedures if that is necessary to win. He is a huge fan of Lincoln's Team of Rivals, but in matters of legislation his model is Lyndon Johnson.

Anyone who doubts the strength of his resolve - or his resourcefulness - doesn't yet understand Barack Obama.

3). As the vote grows closer, many moderate Democrats will begin to realize the price they will pay personally if health insurance reform fails. After the defeat of the Clinton health care proposal in 1994, it was not the most progressive members of the Democratic Caucus who lost when the Republicans took back control of the House - it was the moderates and conservatives.

The fact is that just as a rising tide raises all boats, when the tide recedes, it is those in the shallowest political water who are left aground.

If the President's positives -- and those of the Democratic Party -- plummet because they fail to pass health insurance reform (which is exactly what the Republicans believe will happen), moderate Democrats -- even those who opposed the bill -- will pay the price at the polls. In the final analysis after all, even in more conservative districts, if swing voters decide they like Democrats less, they are likely to vote for a real Republican not a Democrat who acts like one.

This principle works for both parties. Last year, when the political tide receeded for Republicans across the country, the losers were not Members from bright red districts. They were people like Norm Coleman and Gordon Smith who turned themselves into pretzels to look "moderate".

4). Finally, the pundits have ignored a critically important new development : the Obama base has been energized.

Early in August, Progressives were surprised at the ferocity of the right wing assault on Congressional town meetings. But it didn't take long for them to respond. Led by Obama's own organization , Organize for America (OFA), as well as HCAN, the Service Employees International Union, and the American Federation of State, County and Municipal Employees -- hundreds of thousands of Progressives have been mobilized to counter the Right. They swamped the Right at town meetings at the end of August and are now conducting a week of 2000 "Let's Get It Done" events in the lead-up to Congress' return.

There is no longer any lack of progressive intensity. The right wing assault awakened progressive passion that has spread like the Los Angeles wildfires.

My wife, Congresswoman Jan Schakowsky, hosted a town meeting in Skokie, Illinois on Monday night that attracted 2,300 people. Eighty-percent supported reform -- and they were pumped.

The response of voters asked to call Congress about health insurance reform has exploded.

Some of the millions of Americans who were engaged and mobilized by last year's Presidential campaign may have taken a respite from politics in the early months of 2009 - but they're back - and they are a massive political army that cannot be taken lightly.

In other words, as Members of Congress reconvene on the battleground for this fall's decisive engagement over health insurance reform, they will look up the political ridge and see that the cavalry has arrived.

I believe we will win.


Robert Creamer is a longtime political organizer and strategist, and author of the recent book: Stand Up Straight: How Progressives Can Win, available on Amazon.com.

 
 
 
 
 
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HUFFPOST SUPER USER
live by the golden rule
04:36 PM on 09/06/2009
"You have to wonder sometimes if there shouldn't be a penalty for pundits who make self-assured predictions that are regularly wrong, and yet continue to be treated as if they know what they're talking about."

YES! perhaps a website with links to all these pompous fools getting everything wrong dating back decades? Volunteers? Creamer will you set one up?
10:27 AM on 09/06/2009
I surely hope you've got it right. I would love nothing better than to see Obama start flexing some political muscle on this issue. Your reasoning seems sound to me, hopefully the administration sees it the same way. I agree with the agenda and the decisions made by this president so far, I will not be happy without support of a strong publc option. I am prepared to drop support for democratic members of congress that don't show support to the administration. Let's see what happens on Wednesday, It's time to show some strength and move on to the next issue.
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HUFFPOST SUPER USER
JusticiaParaTodos
10:38 AM on 09/09/2009
Health insurance reform? What happened to reforming our healthcare system(s)? Sure we might get some semblence of reform, however the culprits of our healthcare woes, the HMOs and Big Pharma will continue their profit binging at our expense.

Nothing substantial will change. Single payer was the only humane and viable alternative to the gross injustice we have now. Neither the White House or Congress has the guts to stand up to the healthcare corporate monsters! What a tragedy!

What is now needed is electoral reform! We need to change unfair laws to allow for the creation of viable political alternatives to the Democraatic and/or Republican monopoly. Our electoral system is far too corrupt for anyone to say we have a true democracy!
11:10 AM on 09/05/2009
I would simply use the phrase: "We want to get well. They want to get rich. And only one of us can get what we want."
09:02 PM on 09/05/2009
This is brilliantly put. I hope this reaches the upper tiers of the Administration, and that someone has the stones to employ it. It's perfect.
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HUFFPOST SUPER USER
Rainmakr44
05:21 AM on 09/06/2009
You don't get. There will be NO Big Government take over of Heath Care. We want it changed, but not by allowing Big Government take over of Health, Auto, Banks. You will have a Civil war if you try to cram Government run programs down our throat. That's not a threat, it's History. They work for us. You want this Congress Woman running Health Care?

http://www.youtube.com/watch?v=n66xbpUcskU
10:14 AM on 09/06/2009
You really need to stop spreading your poisonous BS. I have never seen a party do as much whining as the republicans. They don't have power right now and are afraid that their profits will be endagered, welcome to what the middle class in this country has been facing in the past eight years. I love the outrage I see from the right, It let's me know they're threatened and they ought to be. The republicans have done more damage to this country than anyone in history. Fighting for special interests and big coorporate profits makes you a puppet. Maybe you like that role in society, not me. I want a strong middle class to reappear in this country, health care reform is a good start at that.
03:33 PM on 09/04/2009
I put a lot of pro Obama stuff up yesterday. And beyond standing up with him and accepting that this is not a life/death issue for his career as much as its a life and death issue for millions of Americans, I have a radical back stop suggestion. IF THE POLITICAL PROCESS DOES NOT STAND UP FOR OUR NEEDS WE THE PEOPLE NEED TO STAND UP TO THE INSURANCE COMPANIES IN THE SIMPLEST WAY-A NO PAY STRIKE. IF WE DON'T GET A PUBLIC OPTION BECAUSE THEY HAVE SO MUCH MONEY THE CAN EVEN BUY OUR PRESIDENT THEN WE NEED TO REDUCE THAT AMOUNT. THERE IT IS!
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HUFFPOST SUPER USER
Rainmakr44
05:25 AM on 09/06/2009
Ill take this huge Government intrusion into my Health Care, when Congressman, and Senators take the same option. Fat chance. Here's someone who's on your side..Congress Woman Watson from Calif.

http://www.youtube.com/watch?v=n66xbpUcskU
12:53 PM on 09/04/2009
Sir, may your brave predictions be proven correct. We'll see what Obama is made out of. We'll see if he's a true leader who forges ahead on what's needed for the country, or is one who caves in to the pressures of being a President out to win the favor of reelection. I sincerely hope it's the former choice. To hell with the naysayers and the corporate shills who will continue to whine and moan about having to change until the very last minute. Change is inevitable, so let's get this ball rolling.
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HUFFPOST SUPER USER
DragonflyChase
02:43 PM on 09/04/2009
the only way Obama can win favor for re election is to support those who supported him on the way. I think pandering and caving in will make him a one - term president. I think that's what you mean to say, and if so, then I'm backin' ya up. :)
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Hiphopcrates
Kicking the money lenders out of the Temple
11:57 AM on 09/04/2009
Robert, it has been deeply humiliating watching the President allow himself to be bloodied and bruised by extremists on both sides. When will Barack Obama pull off the "rope-a rope"?
Time is running short - the bullies are growing bolder.
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HUFFPOST SUPER USER
AnotherToerag
11:55 AM on 09/04/2009
Right on with the bit about the Obama base taking the early months of 2009 off. I was personally drained and exhausted from all of the events of 2008... but I have a feeling I'm about ready to get back to it.
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HUFFPOST SUPER USER
Dale Larson
11:46 AM on 09/04/2009
It's time to end our "risky experiment" of "For-profit health insurance". It's a proven failure.

HR676 (http://hr676.org) Single Payer system that is proven, pro-business and pro-people:

* Slashes at least 30% of costs off the top by removing private insurance overhead.
* Companies take health care expenses off their books. Stock value increases. Better able to compete internationally.
* Small companies could have access to higher skilled workers because previously they couldn't compete in the labor market by offering similar benefits.
* More entrepreneurial ventures will launch since they have more money and less unrelated risk.
* Dramatic drop in bankruptcies.
* Dramatic drop in lawsuits. Most of these lawsuits are simply to obtain money to cover health care if something interrupts their coverage.
* Reduced system complexity. Greater efficiency due to fewer regulations.
* Savings from employees not having to fight with their insurers during work hours.
* HSA and MSA dollars redirected back into the economy for goods and services.
* Additional money to spend from not having to carry "uninsured motorist coverage" on your auto policy.
* Contract employment is more viable for workers since they are guaranteed access to health care.
* People are covered when unemployed. No chance of being wiped out financially if you lose your job.
* Health care providers (doctors, hospitals, therapists...) see increase in business with much less administrative expense.
10:54 PM on 09/04/2009
Ain't gonna happen! Not in my lifetime, and probably not in yours. Single payer, although the best and most logical solution, is a nonstarter for at least the next 30 years.
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HUFFPOST SUPER USER
Dale Larson
10:56 AM on 09/05/2009
"Single payer, although the best and most logical solution, is a nonstarter for at least the next 30 years."

Go for the gold and get the silver. Without focusing on the prize you won't even get the gift packaging.
10:07 AM on 09/05/2009
This is nonsense. WE need true health reform but we don't need a GOVERNMENT run plan by no means. Do you think for one minute we will get the best of health care, the kind that all poloticians get? No way, just like their retirement-they are paid the same salary for the rest of their lives and so are their wives. Just serve one term and you are set for life-no lowly social security for them. So what makes you think for one minute that the government will allow the rest of us to have good health care? Okay, you're young, healthy, so you will be just fine and you like doctors that aren't quite up to par since affirmative action is going to force medical schools to take some medical students that aren't quite up to par..Of course, when you reach 50 and over, you will start to see how much this progressive congress gives you in health care, etc. The largest expense will be the ADMINISTRATION of this since it will include another 30 new agencies who will write their own agendas and can't be over riden by the congress . LIke the new czars- you'll love health care-, WHAT is "green" doing in this? .Should I go on? And oh, by the way, since we're broke right now, whose going to pay for this massive invasion of the federal government-yes, they want your medical records, your IRS records, your bank account records..
11:36 AM on 09/04/2009
Sorry Robert - off message Again Great Article!!!
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Quitcherbichin
If you are posting here, thank a veteran.
12:59 PM on 09/04/2009
An excerpt from the mission state of HR 676: few Americans are aware that there is a bill in Congress RIGHT NOW that will change all that and actually create a single-payer national health insurance system for all in the United States simply by expanding and improving Medicare, one of the best and most efficient medical managements systems in the world. This new improved and expanded Medicare will cover everybody and everything including prescription drugs, dental care, nursing home care and much, much more at prices that we can all afford. There will be no more expensive co-pays or deductibles. Exclusions for pre-existing conditions will be a thing of the past. No American will ever again be forced into bankruptcy because of health care debt. The bill is called House Resolution (H.R.) 676.

Mr. Larson, please give me a rational answer as to exactly HOW this pie in the sky plan will be paid for short of a complete government takeover of ALL health care in this country.
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HUFFPOST SUPER USER
Dale Larson
09:05 PM on 09/04/2009
"Mr. Larson, please give me a rational answer as to exactly HOW this pie in the sky plan will be paid for short of a complete government takeover of ALL health care in this country."

Read the HR676 bill. It's only 30 pages and the answer lies within.

http://johnconyers.com/hr676text

Only the payment system is run by the government. All providers must convert to non-profit status but are otherwise private owned.

Here is the Senate analogue of HR676 which is designated S.703.

http://www.healthcare-now.org/hr-676/s-703/

And a comparison between them:

http://www.healthcare-now.org/docs/676s703.pdf
07:12 PM on 09/05/2009
Higher taxes, taxes, taxes to hard working Americans so lazy Americans can live the good life. This leads to lowered motivations. A good Profit Motive is not always a bad thing. It leads to improvements in all aspects of our lives, including health care.

I am young and have never needed to go to the hospital or see a doctor. Why should I be taxed for health care and help pay for everyone else??????????? If I were a fat smoker, why would anyone else want to pay for my lung cancer, diabetes, heart disease, and hip replacement???????????
11:35 AM on 09/04/2009
I hear you "Therealargument". I live in TX too and we probably have more of an uphill battle than they do in the deep deep south. I was on a major campaign yesterday confronting all the school districts in houston, the dept of education in WA, my congressman and anyone else I could think of. It's not a politcial speech, it's a push for education within the education system. surely we all remember the dumbfounded look on Bush's face on 9-11 as he was in School TALKING TO THE CHILDREN!! And he made a speech on CSpan for ALL THE CHILDREN on 10-11-2001, look it up. In that speech he asked the kids to RAISE MONEY for the children of Afganistan! Public Schools are partially GOVT FUNDED. President Obama is our COMMANDER IN CHIEF!!!!. If there are dimwits that don't want the president to assist our teachers in getting the message out, then homeschool, dissolve PTO, out with the flag, no pledge of alliance, no star spangled banner. Heck, why don't we let our men in military "opt out", if this is the kind of society we've become then what in the HELL are we fighting for?
11:25 AM on 09/04/2009
Great Article!!! We can't just blog we gotta get out there just as we did last Nov! I participated in a rally yesterday in TX. (yes TX!!!!) We came out in numbers that overran the opposition by almost 20 to 1! An we held it downtown and it's amazing that once people see you pumped up and passionate, their hope is revived. People leaving work downtown stopped and joined us so it was great! Now, the local news stations made it like a 1 second clip and they will hear from me today!!!
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HUFFPOST SUPER USER
CTC123
10:52 AM on 09/04/2009
Consider the Connection to:
Going POSITIVE
The Presidents goals will require an act of congress with consumer back-up

what can we do?
Search 4 concerned organizations.
Take ACTION!!!
Great article, Robert Creamer
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BassguyGG
Former Moderate driven Left by eight years of Bush
10:18 AM on 09/04/2009
From your keyboard to God's monitor, my friend. I hope you're right.
08:59 AM on 09/04/2009
I hope you are right! I'm getting quite cynical about the whole thing. I just don't like the way he handled things.

I just think it's wrong to let the wingnuts lead this country!! They scream louder and get their way and that's utterly unacceptable!
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proudem
does not suffer fools gladly
11:51 AM on 09/04/2009
I agree!
02:36 PM on 09/04/2009
Did you read the article? Progressives have appeared at town hall meetings in droves to support a health care package that includes a public option. Yes, the right wing nutcases are present too, but they are clearly outnumbered.
06:40 AM on 09/04/2009
I agree with Troyxx. Everyone who believes in this health reform should get out and protest . Show your support and voice your opinion. Let it be heard !!!!!
Help organize and see how fast supporters can make it be heard.