Do That To Me One More Time
President Obama released his thoughts on healthcare reform in preparation of the scheduled bi-partisan healthcare forum that he is calling together on February 25th at Blair House. In it legislators of both parties are invited to sit down and discuss their proposals for healthcare reform. This was in addition to the sit down that Obama had at the Congressional GOP caucus meeting following the Scott Brown election in Massachusetts. During it, House Minority Leader John Boehner (R-OH) presented the President with the outline of the Republican healthcare proposals. Prior to that, several meetings with both sets of leadership from the House and Senate were held.
Through all of these meetings, President Obama remained unaware of Republican healthcare proposals. These proposals (outlined at http://www.gop.gov/download?folder=misc&file=better-solutions-1-10.pdf) include proposals addressing the primary concerns of Americans - cost, pre-existing conditions, and the ability to keep health insurance regardless of where one works. The President stated time and again that the only proposals that he was aware of were the ones proposed by Speaker Nancy Pelosi and Senator Harry Reid. You would think that there would be someone with a computer at the White House checking out what the opposition might be up to.
Making all of this more entertaining was President Obama's lack of directing the debate among the Democrats. To the consternation of Reid and Pelosi, the President did not make his desires clear to the Democratic leadership, which led to the unseemly horse-trading that cast the whole process as corrupt.
On top of all of this was the unruly mob that was the everyday citizenry of the United States, who saw both the proposals and the corruption involved and just said "NO."
President Obama could have walked away at this point. The Congressional leadership, except for Rep. Pelosi, was looking to the 2010 mid-terms and getting re-elected. Senator Reid had spent all of his political capital tilting at this windmill, and though he succeeded in bringing the Senate along by hook and crook, he stands to lose his entire political career on the backroom shenanigans. It could have been a good opportunity for the Administration to hit that famous Reset button, use the lessons learned and get to work in a more inclusive fashion on this and other issues. Alas, that was not to be.
President Obama did pick up the reigns of leadership in presenting his ideas on healthcare reform, be it a day late and a dollar short. We received the proposal in full and were pleased with it's length at only eleven pages. It would be a much easier read that the 2000 page proposed packages from either the Senate or the House. We do think that the Republicans will be less than supportive of the proposal though.
Within minutes of the document's release Republican leaders Rep. John Boehner and Senator Mitch McConnell blasted the proposal and demanded to go back to the drawing board and start anew. One could easily be put off by such a forceful response in such a short time. A careful study of the document took a good half-hour in research at TPP. We can only imagine that the Republican leadership had some idea of what was coming down the pike. When we did conclude our look at the proposal, we had a tendency to allow the Republicans their bluster.
We had expected a carefully crafted policy paper, taking into account both the proposed legislation already cobbled together, as well as the negative reaction of both the Republicans and the general population of the United States. Instead, the proposal reads like a campaign talking point memo or a high school term paper. This may be a deliberate attempt to keep it simple. We can give points for that. The President did not include any public option language in his proposal. We can give credit there as well. The President also proposes negating the infamous deal with Nebraska Senator Ben Nelson. Not so much credit there – that was just a no-brainer. There is no mention of canceling out the sweetheart deals for Senator Mary Landrieu (the “Louisiana Purchase”), or the one that Harry Reid helped himself to for Nevada. Other than that, the proposals just split the difference between the Senate and House bills, and trumpet how this way is much better than either of them. This claim is supported by graphs and numbers (you can see it at: http://www.whitehouse.gov/Issues/health-Care) Going over the details on a point by point basis, each item was covered in one or both of the proposed bills. Other than the implied caving on public option, there are no sops tossed out to the Republicans.
The Obama Administration has been accused, even on these pages, of not doing it's homework. Thia applies to policy (Guantanamo Bay, military tribunals, climate change, even the bid to bring the Olympics to Chicago) as well as errors in speeches (such as the automobile being invented in America). This was not a simple case of being unprepared. This was the equivalent of a second year law student falling behind in his work, plagiarizing a couple of term papers on the net, cramming them together and claiming credit for an insight not held by others. At best, it implies that the Administration has still not graduated out of campaign mode, where a well delivered speech and some feel-good jargon makes the poll numbers better. At worst, it reflects a slacker mentality - getting by on looks and charm, but not having any real talent and making no real contribution. The American public deserves better.
Boehner and McConnell are smart to be wary of this upcoming forum on healthcare. In their initial response to the proposed meeting they sent a letter on behalf of the GOP caucus requesting an agenda. Rumors had been swirling about of the majority just ramming the Senate bill through using the “reconciliation” tactic. Reconciliation is normally reserved for budget passage to keep the government operating – it requires only 51 votes in the Senate, and is not subject to filibuster. It was a concern that the GOP presence would only be window dressing for a done deal. Boehner and McConnell sought assurances that there would be good faith negotiations, and that GOP proposals would be seriously considered. The letter remains unanswered to date. The letter may be viewed at the above link for Better Solutions.
Common Sense Dictates
The Obama Administration has been given a pass on it’s rookie mistakes. They have been in office now for over a year, so rookie season is over. For a time, the President’s party had a supermajority, and could not cobble together a healthcare package that the majority of Americans could support. Now, with the supermajority gone, it appears that Obama still wants to take a run at doing this his way. That is his right. It does bring to mind the last President who lost his presidency by not adapting his policies to meet the realities of the day. That would be Bush the First, turned out of office for being so out of touch with what America cared about.
It is also the prerogative of Ms. Pelosi and Mr. Reid to jump off the cliff with the Administration. For all intents and purposes Mr. Reid already has. The conscience of every elected representative is his or her own, and each will do as conscience dictates.
An often quoted political law is that there is no point in killing someone who is in the middle of committing suicide. If assurances are made that this meeting is to be a legitimate forum for negotiation, it would do the Republicans well to make their case at it. If those assurances are not received, then there is little point in the Republicans attending. They would do better getting the word out on their own proposals, and how those proposals are in agreement with the American people’s priorities. A bipartisan forum is only bipartisan if competing views are held up to equal scrutiny, and examined with equal care. From this examination, judgment may be made as to what the best course of action is. That judgment is reserved not to the administration or to the legislature, but to the American people. Without that, we are just talking dueling soundbites.
RLB

This looks like a setup for the Republicans. Just another opportunity to paint them as the party of no even though no one will listen to their ideas. We don't need to scrap the whole system, or even set up insurance pools. We need purchase across state lines and customizable packages. Lots of people only need major medical or hospitalization. They go without now because they have to buy a plan that covers more than they will ever need. Give them a cheaper plan to buy in with, and that will offset the cost of the higher cost plans with more frills.
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I would welcome the option of a major med / hospitalization plan. I'm in my 30s and in great health. I don't need all of these services. I can pay for a physical once a year. All I need is coverage in case something horrible happens.
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Isn't that the definition of insurance - hedging against something bad happening? That's what all of those actuarial tables are for in setting costs. The more likely you are to need the insurance, the higher the premium. I think that gets lost on a lot of people.
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I just find it ridiculous that the insurers are doing the same thing that they did before the Clinton health reform fizzled. They are running up the rates and cutting back the service, just so things get regulated back to where they were befor Obama showed up. I never liked the national healthcare idea, but I never expected it to get this screwed up since Obama's election.
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Well, maybe the Republicans going was a good thing - they showed some life and some ideas. Obama was looking a little peeved, like he understood he was losing the argument. Hooray for our side for a change.
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Your side, our side - it's not about stuffing the other guy, it's about solving the problem. I'll give you that Obama didn't comer off too well today, but it's not time to take some victory lap. It's time to fix the problem.
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Look, I want the situation fixed too - the uninsured are a huge drain on the system, and force up premiums for all the rest of us. That can be fixed without the government acting as the clearing house for all health care in this country. The Republican propoosals make sense, maybe now they'll make some headlines.
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I dont htink that President Obama came off badly at all. He was getting a little frustrated with being hit by Republican talking points over and over. How could anyone listen to all of those hospital horror stories and still try to block fixing the problems?
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It's not a talking point - it's an actual rational policy. We do NOT need the government taking over the healthcare system. We need to address the needs of the uninsured, bring costs down, make insurance portable and figure out how to get proper healthcare to those with pre-existing conditions. This is the proper function for government - not telling us what insurance to buy or what doctor to see.
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I still think that Obama is going to try to ram this dog through. At least that gets us a Republican majority in November.
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I've got to give it to the Republicans. They came well prepared and stuck to issues. They put on the face of common sense dealling with the actual problems in providing health services. The horro stories? Even if every senator and congressman had a sob story example of what's rwrong with the system, 300 million people participate in it, and most are satisfied except for griping about premiums and copays. There will be mistakes and even some bad doctors, but that will happen in any system. We need to correct the flaws, not scrap the system.
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To me it seems that the Democrats did move a long way to the middle - no public option (which I did not support), coverage of pre-existing conditions, and expanding health insurance to another 30 million people. I guess my biggest issue is the numbers don't seem to add up. We're already up to our necks in debt. Tossing another trillion on top seems like it could break us.
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Ok, I get the philosophical differences here, and I agree that the government should not be running the health system. Still there is a real problem out there that needs to be addressed. You might not want to give Obama his plan, but the fact is that without doing something the uninsured will keep driving up costs for the rest of us. If everybody keeps to this all or nothing mentality, we will be just as broke as if we threw a trillion dollars at the problem.
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Just saw it posted on MSNBC that "with Obama's support" the Democrats thinkl that they can pass the health care package. I guess that means without the Republicans and by reconciliation. That's a suicide play. Hope they enjoyed their time in power.
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I can't imagine doing this by reconciliation will fly out in the country at large. Everyone I know says that the system needs fixing, but no one I know likes this deal even a little bit. I actually like some of the Republican ideas - especially purchase across state lines. It would be refreshing to see a few of those ideas used.
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You're kidding right? The Dems had to scuttle public option, borrowed the "insurance pool" idea, and caved on abortion and excluding undocumented workers. How about you guys come a little bit in our direction?
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No, you don't get it - the government has no business deciding how my decisions on my health are made. They don't gey to dictate my insurance, pick my doctor or tell me what treatment I can have. That's up to me. Just me. This power grab into my life is not welcome. If you don't think it will screw up the whole system, just look at the VA, Medicaid or the DMV. I don't need the government money to screw up my treatment.
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Time to circle the wagons and hold congress's feet to the fire. Scuttlebut on the blogosphere is that reconciliation is going to be the path forward for Obama and his flunkies. Shame we can't vote them all out today.
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