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Edited on Tue Dec-22-09 02:27 AM by Cessna Invesco Palin
I take no joy in writing this, but I think it must be said.
At this point in time it seems reasonably clear that both the House and Senate have passed health care reform legislation which bears very little resemblance to the plans espoused by various interweb commentators, bloggers, pundits, and self-appointed keepers of the "progressive" flame. It is likely that the bill which emerges from committee will bear close resemblance to both the House and Senate bills, neither of which support a strong public option or an extension/buy-in provision for medicare for those 55-65. It is entirely likely that the resulting bill will be signed into law by President Obama. While we do not know the exact details of the final bill, some assumptions can be drawn from what has been delivered by the House and the Senate. This bill will do little to reduce health care costs - one of the primary objectives of this whole endeavour. It will expand coverage, while simultaneously putting a larger burden of the middle class for health care costs. It is a deeply flawed piece of legislation, which may end up costing a very large amount of money. Which is, as far as I'm concerned, what we were trying to avoid. In short, the efforts of the self-appointed "progressive" wing of the Democratic party have been a complete and utter failure with respect to this legislation. Even those members of the House and Senate most closely aligned with the views of the Netroots and progressives are likely to vote for whatever comes out of committee.
Why?
Let's go to the map. There are between thirty and fifty million Americans (depending on whose figures you use) who basically have no access to health care. Until recently I was one of them. And despite its flaws, this bill (provided it sticks to the roadmap given by the House and Senate) will make reasonable health care affordable to many who could not afford it before. It will remove the draconian restrictions on pre-existing conditions, set reasonable limits on out-of-pocket expenses, and begin to regulate the health insurance industry in a way which it has never been regulated before.
None of what is being proposed is as ideal as a single-payer plan. The lack of a public option is pretty shit. But at the end of the day, what has been accomplished here is little short of a miracle, considering the obstacles to its implementation. This is why nearly all of the progressives in both the House and Senate will vote for the bill, imperfect as it may be. And here I come to the point of this post:
The progressive blogosphere, DU, et al. have focused on the insurance industry to the exclusion of everything else. It may surprise you to discover that most people care about their own health and the health of their families more than they care for making a stand on a political position. People want to have access to health care. They want their children to have access to health care. That is the primary concern. Whether or not the CEO of BigHealthInsuranceCo gets his bonus payout this year is of little relevance to most people, provided that they have access to decent care.
Providing decent care is the driving force behind the current legislation.
Everybody hates health insurance companies. Hell, I hate them. But most people prioritize the health of their family ahead of their populist concerns about bastard healthCo executives. And unless it is totally gutted, the conference bill will provide better options for most people.
Which brings me to my last point...
The netroots has failed to recognize or identify with any of the above, choosing instead to focus on destroying the health insurance industry. This was never a widely popular position to begin with, and it is certainly less popular than ever when we are on the cusp of achieving the first serious health care reform in a quarter of a century. If you are wondering why your progressive heroes in the House and Senate have abandoned your fight, one need look no further than this. Destroying the for-profit health care industry was never much more than a pipe dream - one that has very little relevance to the average unemployed or self-employed person who would like little more than to be able to buy decent health insurance for a reasonable price. In terms of hitting the mark, the progressive netroots have aimed for Atlanta and hit Antarctica, and even their strongest proponents in Congress are willing to give this a try, lest we spend another ten or fifteen years in the wilderness.
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