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Taylor Marsh

Taylor Marsh

Posted: March 23, 2010 09:08 AM

Obama's Republican Health Care Bill

What's Your Reaction:

A new CBS poll says it all. The American public knows the final passage of the health care bill was more about politics than policy. Stupak's dramatic grandstanding that brought an executive order so he could save face was the finale after the White House final pitch to "save Obama's presidency" by not handing Pres. Obama a domestic legislative failure on an issue Democrats had taken over a year to pass. Meanwhile, everyone missed just how conservative the Obama-Pelosi Democratic bill actually is. That Democrats ignored the people wanted a public option, doing instead what they wanted, revealed how rotten politics has become, as well as how toothless progressives proved to be in the end, especially the pro-choice caucus led by Rep. DeGrette. From the CBS poll:

Asked why Democrats worked to pass a health care bill, 57 percent said "mostly political reasons." Just 35 percent said it was because Democrats think the bill is good policy.

Americans had an even more cynical view of Republican motivations: Sixty-one percent said Republicans were acting on the basis of political concerns, while 29 percent said Republicans truly believed the bill was bad policy.

When you look at the health care bill Obama, Pelosi and Democrats ended up passing, the politics over policy reality becomes even more apparent.

But it's no wonder insurance company stocks went soaring.

Before the vote, Robert Reich demanded that House Democrats pass the bill. Yesterday he said no one should be confused that it's progressive in the least.

Medicare built on Franklin D. Roosevelt's New Deal notion of government as insurer, with citizens making payments to government, and government paying out benefits. That was the central idea of Social Security, and Medicare piggybacked on Social Security.

Obama's legislation comes from an alternative idea, begun under the Eisenhower administration and developed under Nixon, of a market for health care based on private insurers and employers. [...] Obama applies Nixon's idea and takes it a step further by requiring all Americans to carry health insurance, and giving subsidies to those who need it.

As for the appalling way Democrats handled women's rights, Planned Parenthood simply shrugged, while NARAL and NOW sent out strong condemnation of the Obama-Stupak final deal, complete with executive order. But where were these women's groups when Stupak was rising? Expect a fundraising letter in your email inbox. Their ineptitude to manage any meaningful campaign to thwart or at least challenge the conservative Democratic minority is one reason I don't belong to any of these groups.

2010-03-23-nixonobama.jpg

The whole health care affair has made leading conservative editorial pages, written by Bill Kristol and the editors of NRO, crack under the strain, while forgetting their own history. Pushing repeal of the the health care bill, as did Rush Limbaugh, it doesn't seem Republicans are living in reality. Megan McArdle's "tyranny of the majority" is one of the more humorous responses to Speaker Pelosi's win, though I concur on her assessment of America's "toxic politics."

EJ Dionne, one of the biggest insider Dems, but also one of the only ones honest enough to write it, said it through a title on Friday: Why Democrats Are Fighting for a Republican Health Plan. A snippet is below:

Yes, Democrats have rallied behind a bill that Republicans--or at least large numbers of them--should love. It is built on a series of principles that Republicans espoused for years.

Republicans have said that they do not want to destroy the private insurance market. This bill not only preserves that market but strengthens it by bringing in millions of new customers. The plan before Congress does not call for a government "takeover" of health care. It provides subsidies so more people can buy private insurance.

Republicans always say they are against "socialized medicine." Not only is this bill nothing like a "single-payer" health system along Canadian or British lines. It doesn't even include the "public option" that would have allowed people voluntarily to buy their insurance from the government.

... [...] You could argue that Democrats have learned from Republicans. Some might say that Democrats have been less than true to their principles.

But there is a simpler conclusion: Democrats, including President Obama, are so anxious to get everyone health insurance that they are more than willing to try a market-based system and hope it works. It's a shame the Republicans can no longer take "yes" for an answer.

When you have Speaker Pelosi's office inviting only the boys, so called "progressives" who are insider Democrats whose only goal it is to prop up the presidency instead of focusing on strong policy, the current health care bill is what you get. Even when you go beyond the issue that Democrats willingly eroded women's rights, the fact that Democrats didn't even try to push for a public option reveals the fundamental failure of Democrats, because they ignored what the majority of the American people want.

The conservative minority was able to beat them and target women's rights in the bill by simply sticking together. The larger block of progressives who wanted a public option simply folded, as did the pro-choice caucus. Relegating the progressive brand to that of wimps, there is simply no way these people and their enablers in new media will ever best the likes of Rahm Emanuel. The reality is that congressional progressives failed utterly.

From throwing the American people into a system without any choice, providing private insurance companies with new customers, to using women's rights to get it done while progressive Democrats enabled it to happen, what Democrats have done is produce a Republican health care bill that Richard Nixon would have loved.

From Steve Pearlstein back in August 2009:

It was back in 1971 and President Nixon was concerned that he would once again have to face a Kennedy in the next year's election -- in this case a Kennedy with a proposal to extend health care to all Americans. Feeling the need to offer an alternative, Nixon asked Congress to require for the first time that all companies provide a health plan for their employees, with federal subsidies for low-income workers. Nixon was particularly intrigued by a new idea called health maintenance organizations, which held the promise of providing high-quality care at lower prices by relying on salaried physicians to manage and coordinate patient care.


At first, Kennedy rejected Nixon's proposal as nothing more than a bonanza for the insurance industry that would create a two-class system of health care in America. But after Nixon won reelection, Kennedy began a series of secret negotiations with the White House that almost led to a public agreement. In the end, Nixon backed out after receiving pressure from small-business owners and the American Medical Association. And Kennedy himself decided to back off after receiving heavy pressure from labor leaders, who urged him to hold out for a single-payer system once Democrats recaptured the White House in the wake of the Watergate scandal.

But it should tell you how far the country has moved to the right that the various proposals put forward by a Democratic president and Congress bear an eerie resemblance to the deal cooked up between Kennedy and Nixon, while Nixon's political heirs vilify it as nothing less than a socialist plot. [...]

Yes, Nixon would have loved Obama's Republican health care bill. Well, except maybe for the taxes.

... "even socialists like myself know you don't raise taxes in a recession." - Lawrence O'Donnell, via Joe Scarborough on Twitter

I now return Democrats and progressives to cheerleading, art provided by the White House and a fancy signing ceremony.

Taylor Marsh is a political analyst out of Washington, D.C.

 

Follow Taylor Marsh on Twitter: www.twitter.com/taylormarsh

 
 
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06:34 AM on 04/07/2010
Thank you, Ms. Marsh, for seeing through the cheerleading. Though I voted for the president in the primary and the general election, I am not in denial about how this so-called reform is both a gift to the insurance industry and an assurance that the system will eventually fall under its own weight. With no public option and little cost control (including no importation of medication), the insurance companies will continue to game the system to their own benefit--and to the patients' disadvantage. The administration made its deals early on, and the real tragedy of this bill is not that it is Republican; it is that it cements in place a system that does not provide universal coverage--and, as Michael Moore demonstrated in Sicko, coverage does not prevent bankruptcy nor guarantee real help. It's sad to see how many progressives fell for this sham reform; I appreciate you not being one of them.
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06:27 AM on 03/25/2010
Why is Taylor Marsh such a cynic on anything and everything about President Obama. Is it because he is male, black, or simply the one who defeated her candidate Hillary Clinton, and she cannot forgive. Revenge politics, Clinton style, played out as political commentary, is amusing entertainment. But with the challenges facing the nation, and true, but imperfect progress on healthcare reform, why would any progressive concerned about the nation not give a iittle credit?

Hillary Clinton failed miserably in an arrogant, all or nothing, my way or no way approach to reform in 1993-94 and accomplished NOTHING but fuel for a GOP takeover of Congress for the first time in forty years in the 1994 mid-term election. ANY PROSPECT for reform was off the table for more than 15 years. President Obama, the pragmatist, learned from that catastrophe, developed a different strategy placing the oneous on Congress, and has accomplished an END to exclusion based on pre-existing conditions. HUGE. Enough? no But both a strart on reform and EVIDCENCE that progressives can overcome intense Conserative opposition.

Why can't Taylor Marsh simply acknowledge progress, imperfect as it may be, instead of pursuing her politcial vindetta against anything Obama?
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UrbanRevolution
Rabble Rouser & Instigator of theurbanrevolution.c
03:04 PM on 03/24/2010
Medicaid was supposed to be passed when social security was. Social security only included a handful of "groups" of people when it was passed. The fair housing laws of the 60s didn't get real teeth until nearly a decade later the same is true for the civil rights bill.

this is a proces, and as a parent with a asthmatic child about to graduate am happy that he can stay on the family's insurance.
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Tim303
09:42 AM on 03/24/2010
The logical conclusion is that Republicans must hate Bob Dole.

Unless you are saying that just since a Republican formulated it, we should continue to deny asthmatic babies a nebulizer because it's a pre-existing condition.
09:37 AM on 03/24/2010
Cry me a river.

He got the legislation passed! No one else could, what part of that do you folks not understand?

This is not some ideological purity test, this bill will help real people who are suffering.

He just showed you how governing works.
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rflctammt
War doesn't prove who is right, only who is left.
09:10 AM on 03/24/2010
This bill is better than nothing. So much better than nothing - which is what the Republicans wanted. That and to see President Obama fail - which is synonymous with seeing America fail. If it is not all that it could have been, or should have been, then it is up to us to get busy and make it better. But it is a start.

And BTW, it starts, for me, by ensuring that 6 of my grandchildren and 3 of my children and 2 of their spouses will have access to healthcare by the end of this year. Thank you, thank you, thank you, those that helped get "something" for 32 million people.
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PoliticalEnnui
09:56 AM on 03/24/2010
You to realize that Ms. Marsh *wants* to see Obama fail, too. That way Hillary can see the crack of daylight to run against him in the 2012 primaries.
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06:36 AM on 03/25/2010
Bingo.
08:15 AM on 03/24/2010
The simple fact of the matter is American per capita health costs are approaching $10,000.00 dlooars a year, very close to the annual wages of poor Americans. In other words just to live here healthily you are broke. No money for anything else. And how long to these guys think this is going to last? And what bill have republicans ever passed that did not punish some one. If it did not they would not be leading, becasue in any leading there MUST be coercion or punishment. It is a cardinal rule of war for them. They can;t get through a day without trying to yell at a liberal. It's hilarious.I wish I could put it in a pill. God I'd be rich.
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02:28 AM on 03/24/2010
It is really "the insurance industry bailout bill"
Sloane7
Proud Liberal
02:12 AM on 03/24/2010
I regard this bill as the beginning of the reform. I do not think this is the final bill and I think Democrats have openly said, this is the beginning of reform. Reid has already said the Public Option will likely be voted on in a matter of months. Passing what we had, what had been agreed to by the Senate, was CRITICAL in keeping health reform an open discussion. If this had not been passed, Republicans would have killed the opportunity and crowed like roosters while they killed it.

I do cheer for this health care bill. We had to start somewhere!!!
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06:38 AM on 03/25/2010
Sloane7,,, excellent post. The 2010 Congressional election is the opportunity for every citizen and VOTER concerned about continued reform, particularly cost containment and public option, to make sure the new Congress has a mandate from the People to continue the hard but essential reform process.
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Quinny
My micro-bio has been seized by the Feds
01:43 AM on 03/24/2010
Ms. Marsh,
You are dead on. This "Health Care" bill is nothing more than a $500 Billion
dollar tax on the middle class - source: Bloomberg.com - to help pay for the 30 million
uninsured, HALF of which are illegal aliens. Yet no one who signed the bill can explain
to you why aspirins are ten bucks a pop, and a stent implant and a ONE DAY hospital
stay cost $65,000.00!!
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UrbanRevolution
Rabble Rouser & Instigator of theurbanrevolution.c
03:05 PM on 03/24/2010
exact bloomberg post?
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Quinny
My micro-bio has been seized by the Feds
11:00 PM on 03/25/2010
Google:

New health care taxes help Obama spread the wealth / Bloomberg.com
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06:45 AM on 03/25/2010
Quinny, healthcare profits are one reason costs are out of control and the other is excessive high cost law suits. Tort reform must also be a component of healthcare reform. But the Trial Lawyers are also darlings of Congress. Malpractice insurance is astronomical, excessive use of expensive tests does nothing to improve healthcare, but is just another insurance against agressive lawyers intent on get big malpractice fees. And when juries award astronomical damages for human errors, those costs are passed on to policy holders and patients. Profiteering by healthcare insurance and drug companies is a concern. Malpractice is a real concern, patients need protection. But profiteering by lawyers is also part of the current formula and must be part of the solution as well to assure better, affordable healthcare for all.
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Quinny
My micro-bio has been seized by the Feds
11:17 PM on 03/25/2010
Party-of-one,
Any judge can cap the monies awarded in a civil / malpractice
suit. Or, as recently happened in New York, the judge in the 9/11 First
Responders case ruled that the settlement offered in the case was too LOW
and that the lawyers were getting too MUCH of the cash. Here's the
bottom line for me in malpractice cases: Was it "just" a mistake?
Or was it negligence? Those are two different levels of culpability,
and any settlement should reflect that dynamic.

All The Best,
Quinny
12:16 AM on 03/24/2010
I might take hell for this, but I find that this article and its supporters have so much negative baggage and an inability to deal with the political realities of the day, that you can't even muster enough happiness for those that WILL BE BETTER OFF with this reform.
01:11 AM on 03/24/2010
Agreed. It needs to be improved upon but this bill will help a lot of people living on the margins, forced to choose between their health and other necessities. Ideologues, left and right, don't care about that. Ms. Marsh is a bitter PUMA and has been for quite a long time.
02:03 AM on 03/24/2010
that's a pretty broad brush of judgment to be using. i don't support this law because i don't believe that it will help the people on the margins get health care. what it will get them is a subsidized health insurance policy. what if that policy has a 5K deductible, or a 10K deductible, with huge copays? i did not see any guarantees of health care or access to?

Right now people with jobs and insurance are going bankrupt because of medical bills. Some of those people loose their homes. Once again, that is people WITH jobs and insurance. I saw nothing in this law that will change that. how much more vulnerable are people on the margin?

I hope i am wrong.
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Quinny
My micro-bio has been seized by the Feds
01:48 AM on 03/24/2010
When you say "better off" are you referring to the 15 to 20,000 NEW IRS agents
that will be hired to enforce this bill? Or the insurance companies who will have
30 million more clients?
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06:51 AM on 03/25/2010
How do you propose providing health insurance for the uninsured without the healthcare companies having new clients? Our economy cannot support free, universal healthcare for every Amercan. There is not the political will or way to nationalize the insurance industry. We are borrowing money now to cover Medicare and Medicaid costs. When does financial responsibility and reality become a concern? We can't keep financing government to address every human need WITH A CREDIT CARD.
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PoliticalEnnui
11:44 PM on 03/23/2010
Yeah, why get all gooey over health care reform legislation that can't hold a candle to Hillary Care? Oh, right, that died in committee, didn't it?
08:50 PM on 03/23/2010
Thank you, Ms. Marsh!
07:39 PM on 03/23/2010
Very proud of the Dem's, but pretty certain this will not stand. It only took 6 million to put a Republican in Kennedy's seat. The price for insurance companies to buy a repeal of the law is cheaper by far than the price to let it stand. That is capitalism. Zero human element. Everything decided according to the balance sheet.

http://lettersfromitia.wordpress.com/2010/03/23/healthcare-law-already-in-legal-battle-special-report/
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UrbanRevolution
Rabble Rouser & Instigator of theurbanrevolution.c
03:06 PM on 03/24/2010
don't agree. their stock went up because now everyone must buy insurance. why would they fight this?
06:10 PM on 03/23/2010
hiplib...the benefits listed in your comment are good & a step in the right direction. However, why do these first steps come with a "trillion dollar" price tag? These changes could have been passed with very little additional cost to tax payers & support from both sides.
Much of the bill doesn't go into effect until 2014...what are the uninsured to do until then? This bill has nothing to do with helping the uninsured or controlling the cost of healthcare.
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UrbanRevolution
Rabble Rouser & Instigator of theurbanrevolution.c
03:08 PM on 03/24/2010
we will keep fighting to add the public option then go on to universal health care. but it's a start and now my child can stay on my insurance.