Showing posts with label Healthcare. Show all posts
Showing posts with label Healthcare. Show all posts

Friday, July 6, 2012

Romney campaign faces messaging dilemma…

How does a presidential campaign stay on message when its candidate is a moderate conservative and there is no longer a governing center in your party? The answer is it doesn’t. Thus far, the election campaign of presumptive GOP nominee Mitt Romney has morphed into whatever appears to be politically expedient at any given time and place. When Governor Romney campaigns in Florida he sounds like a Marco Rubio Republican, courting undecided Latino voters with inclusive rhetoric; but, when stumping in a state like Arizona, he speaks with in the same divisive language as Sheriff Joe Arpaio and anti-hispanic members of the Freedom Works Tea Party. Simply put, there is no consistency or uniform vision in the Romney campaign’s messaging from day to day, and the expanding list of chameleon-like changes by the campaign on many of the key policy positions of the 2012 election continues to the dismay of GOP loyalists. “Believe in America” simply doesn’t cut it as a slogan for Romney, it’s no different than “Country First”, and it can only be interpreted by those who are not die hard Republicans as a disingenuous and arrogant move to insinuate from your campaign slogan that over half of the American electorate does not believe in the present and future prosperity of their own country. But the question presented here is what exactly does Romney believe in?

The so-called “Etch A Sketch” candidate has thus far lived up to the nickname given to him by his Republican foes in reaction to statements by Romney aide Eric Fehrnstrom on CNN during the GOP primaries, where he eloquently stated while discussing the transition to the general election: “I think you hit a reset button for the fall campaign. Everything changes. It’s almost like an Etch-A-Sketch,”… “You can kind of shake it up, and we start all over again.” With the latest addition of contradicting statements within the Romney campaign, pertaining to the individual mandate tax or penalty discussion, the flip flopping has now become so obvious and expected of the candidate and his staff that serious questions must be asked by conservative American voters regarding what version of Romney is the real thing and which version is simply pandering for votes at the expense of his personal beliefs and principals. This most recent intra-campaign confusion seems to justify concerns over Romney’s ability to effectively message on health care reform and validate former candidate Rick Santorum who famously predicted that Romney would be the “worst Republican to run on the issue of Obamacare.”

Now that it has become obvious that Governor Romney’s campaign staff is often not properly briefed or clear on his current position on numerous major issues, expect grave concern and calls for firings from Republican sympathizers and donors who have poured millions into Romney’s campaign war chest and outside groups. The delayed and inconsistent reactions by the campaign to the health care ruling and the recent immigration policy change declared by President Obama (Romney would not answer direct questions) are distinctive indicators of a campaign that lacks discipline and clarity at its roots. Simply put, no campaign can succeed without consistent messaging on the biggest issues that will swing voters and effect turnout, and the Romney campaign is obviously not on the same page given its recent blunders (which also include a slew of embarrassing typos and visible indecision from spokespersons when facing non-Fox News reporters).

The GOP and conservative independents must live with the fact that they have a nominee in Mitt Romney who vigorously defended the individual health care mandate as Governor of a blue state; indeed Romney has been captured on video stating his desire to test the Massachusetts plan at the national level and touting the mandate as a “personal responsibility” provision. This same man as a GOP candidate for President of the United States has now said that he would act to repeal what is essentially his own vision for healthcare reform in the name of winning over anti-Obama right-wingers. He wants greatly to appeal to independents while not alienating far right Fox News Republicans. But this has become nearly impossible because it is a fact that the moderates in his party are a dying breed. The result is that Romney has ultimately been forced to compromise his truly moderate conservative principles (based on his record as Governor of Massachusetts) in the name of winning an election. Unfortunately for Governor Romney, because of his own actions and the actions of his staff, he is now clearly vulnerable to the same kind of flip flopping claims that capsized John Kerry’s bid for the White House in 2004.

Tuesday, March 30, 2010

Thoughts on education and our future progress...


There is an educational paradigm facing the United States of America. Every time a student drops out of high school or college, the collective intelligence and prosperity of the entire nation suffers, and the future of that individual becomes statistically bleak. According to the UN Education Index, the United States ranks at a dismal 19th in educational attainment. This is unacceptable by our lofty standards, and hints at a cynical standpoint by some who claim that we have the best educational system in the world. The bottom line is that unless we address the standards by which we judge a good education, from teachers and parents, to the student loan system, we will continue to see rising underemployment and unemployment in this country. Given this fact, it is useful for us to address the learning deficit problem head on.

This criticism of our educational system acknowledges that there are also exceptions to the status quo. There are many great schools in America, primarily in well off districts, which have high graduation rates and send a majority of their students to college. But, this is not the case in many less fortunate school districts across America. The truth is that many middle and lower income communities have an educational crisis on their hands. Minority populations, in particular African Americans and Hispanics, are falling too far behind, collectively graduating approximately 53% (according to the Alliance for Excellent Education) of high school students in 2009; A rate that is 19% lower than that of their White and Asian counterparts. Not only are thousands of public school budgets in the red, Federal programs, such as No Child Left Behind, are in need of increased funding and improved direction.

As America slowly climbs out of this recession, the heart of the recovery lies in our unified ingenuity and ambitions. We have a collective responsibility and a vested interest in creating an environment where learning and continuing education are the norm. In order to compete globally today and in the future, our educational standards must rise, and our tolerance for ignorance must shrink. The facts of the matter are staggering. As states make tough financial decisions regarding education budgets, the numbers tell us that the future success of a majority of Americans lies greatly on the education level attained by that individual.

According to recent polling data, there is a direct link between underemployment, unemployment and a citizen’s education level. Though there are always exceptions to the norm, the collected data tells this highly predictable story. A recent article by Gallup states that amongst the underemployed, “the underemployment picture for those without a high school diploma is even bleaker. They currently face a 36.2% underemployment rate, and are 50% more likely than high school graduates to be underemployed, three times more likely than those having a college degree, and four times more likely than those who have done postgraduate work. High school graduates are twice as likely as college graduates to be underemployed.” These numbers are identical in proportion to overall unemployment. These staggering figures also show why it is imperative that we tackle the problem of preparing our citizenry for global competition. If graduation levels do not improve, with an emphasis on all subjects, we will continue to see falling tax revenues and an increased need for hiring foreign talent to work in jobs that will not go to an unprepared American job force. Our interests in all sectors of the economy are at risk if the government does not act. Take healthcare, the majority of the increasing number of the uninsured are those who are unemployed or working part time shifts. To buck the costly trend towards increased underemployment, we need our schools to produce a better educated workforce capable of creating opportunities for the next generation who should aspire to do great things in America.

Going forward, it will be important for our schools to put students in a better position to succeed. Along with encouraging responsible parenting, we need to examine nationwide curriculum standards with an emphasis on building up the weakest links on the educational chain. As mentioned in my previous article, the return of nearly 8 to 10 Billion dollars per month of taxpayer money to the treasury, following the end of the Iraq War, will provide much needed funds for an educational system in dire economic straits. Along with updating the standards set in No Child Left Behind, actions taken to address state budgetary issues will provide a much needed boost to schools underperforming and/or on the brink of closure.

Today, President Obama signed legislation which will take big steps to remove bank greed from the student loan process. This law, coupled with changes to the health care reform bill, sets limits on the interest rates and minimum payments for those who are taking part in this expanded federal student loan program. In addition, the fact that many middle and lower income families will now have an added incentive to push their children to the college level, because of an even financial playing field for all Americans seeking student loans for continued education ,will encourage a culture of learning and innovation in minority communities nationwide.

America’s ambitious students deserve an honest bi-partisan effort to reform the educational system. As the Iraq War winds down, and resources become available to solve the problems facing our schools, let’s hope that our leaders will realize the urgency of renewing America’s intellectual status worldwide. We must use these incoming funds wisely. The education of our citizenry is a matter of national interest that must be addressed both immediately and responsibly. In the upcoming months, we should keep a close eye on the education debate. The time has come to bring the American educational system into the 21st century for all citizens, not just the elite and/or fortunate few. The future viability of American progress is at stake, and our ability to lead globally lies in addressing the paradigm facing our educational system.

Monday, March 29, 2010

Thoughts on war and the domestic agenda of the United States…


Upon analysis of the proposed budget for fiscal year 2011, it has become obvious that the priorities of the United States are in great jeopardy due to massive debt incurred from the wars in Iraq and Afghanistan. Not only have over 4,000 servicemen (including my first cousin) and women died in the war on terror, but over 30,000 will return home with life altering battle wounds. In addition, billions in taxpayer dollars have disappeared due to mismanagement by hired contractors, overpayment to companies like Halliburton, and corruption by those who are responsible with using these funds appropriately as directed.

Unfortunately for taxpayers, the war debt created by the Bush Administration has now come due, and with heavy interest. This year alone, it is estimated that US taxpayers will foot a bill of nearly 200 billion dollars for debt incurred over the past decade. Our military budget is 1.2 Trillion dollars this year, and the fact that war spending was billed as a separate budget entity under President Bush, only recently to be included in the full budget, demonstrates the degree to which fiscal irresponsibility was ignored in the name of fighting the “axis of evil” abroad.

The Obama Administration, despite escalating troop levels to finish the fight in Afghanistan, has already begun to reign in wasteful defense spending. Not because they intend to back down to outside threats, but because the cost of waging war for nine years has taken a critical toll on the domestic agenda here at home. Programs such as Social Security and Medicare are at risk because we are spending nearly $10 billion a month fighting overseas. To date, the Iraq War has cost over $740 billion. In comparison, Afghanistan, the true stomping grounds of the 9/11 planners, has cost a mere $260 billion or one-third of Iraq. In all, over one trillion dollars have been spent on anti-terror based operations, and only now are we truly focused on finishing the job of dusting off the Taliban and capturing Al Qaeda leadership.

In stark contrast, W. Bush’s father was able to wage the first Gulf War at a total cost of $62 billion, including returning our troops home to safety upon completion of the mission. W, as opposed to his father, declared victory, but then chose to extend the conflict into an ambitious nation building operation. This decision was made with budgeting practices which ignored the long term viability of such an action. As the price of the War in Iraq skyrocketed, it became apparent that defense spending was spiraling out of control. Thus, the Bush Administration told the Pentagon to scrap unnecessary projects, such as a new fleet of Presidential helicopters, in a shallow attempt to appear frugal.

With defense spending dominating budgetary matters, the mainland American public was suffering dire economic consequences. From unregulated banks, Wall Street greed, and an exploding housing bubble, there is no denying that fighting two wars, while largely ignoring the home front, ultimately led us to near chaos in late 2008. While it cost taxpayers over $390,000 to deploy a solider abroad, middle class and lower income families saw their wages remain stagnant amidst inflation in healthcare costs and gas prices that peaked near $6 dollars a gallon at the height of the Iraq War.

In a sense, our country has not only lent its heart, soul, and children to fight these wars, we’ve sacrificed a decade worth of monetary progress to avenge a savage act on our soil. To debate the necessity of the Iraq War is futile; as it is coming to an end as you read this, but there is no doubt that the American people are less well off because of the irresponsible manner in which it was conducted. Our reputation abroad was damaged because of holes in the game plan, and the proximity of the conflict to Iran and Israel has allowed tensions to reach a boil. This brewing conflict took center stage, while our education, healthcare, and immigration systems required attention that was not being given to them.

Now is the time for us to focus on the problems that are right under our noses. President Obama has begun to draw down the troop levels in Iraq, diverting additional resources to the fight in Afghanistan, and setting his sights on 9/11 and Al Qaeda. The eventual return of a majority of our armed forces to the mainland will have a dramatic effect on the morale of the country, and aid in our ability to handle tough domestic issues. Going forward, it will be vital to refocus on building an America that is ready to lead both militarily and intellectually in the 21st century.

We need to become a healthier nation from a mental standpoint, and we need to reevaluate what kind of country we want to be going forward. Are we to be defined by our wars or by our ideas? Are we going to be a nation that fears the future, or relishes it? These questions are important to think about as we witness new foreign and domestic policies begin to take form. It will be in the vested interest of all Americans to take note of the impact of a less confrontational world view on our perception abroad, as well as the effects of having an extra $10 billion per month to use for domestic purposes.

Though in the end these wars we have waged are but a blip in the violent history of the world, we must realize that this is our time to regroup as a nation. The decisions that are made by our leaders going forward will ultimately define all of our futures. For this reason, we must all agree that no matter what our petty differences may be, our common needs do not change because we are at war. It is because of this fact that future wars must be fought within the realm of financial reason. Ultimately, we cannot afford to fight preemptively if it means bankrupting our nation again. The time has come to take note of what has happened to us, and to avoid repeating history in the future.

Addendum I: Effects of ending the War in Iraq: The successful return home of the brave soldiers stationed in Iraq should have short term positive boost on the morale of the entire nation. It will be our responsibility to help our biggest patriots mesh into the non-war world. We have to remember that this has been the longest War we have fought in several lifetimes, so it will be difficult even for the strongest minded of our troops to adapt to the calmness of daily life in America. In addition, a decline in tension between the US and Iran may be possible some time down the road given that much of the current day paranoia expressed by the President of Iran is due to our proximity to their border and their fear of American imperialism. Finally, world markets should welcome the renewed flow of billions more in domestic spending to renew the American economy, leaving the potential for a late 90's type boom.

Wednesday, March 24, 2010

Thoughts on the future of the Tea Party Movement


The Boston Tea Party of 1773 was a landmark occurrence in the sequence of events leading to the American Revolution. That day, fed up colonists revolted violently against the imposing taxes placed on tea by King George. Their cause, defending the rights of the colonies to engage in commerce without such a huge tax burden imposed by the British, ultimately led to the tar and feathering of British soldiers in front of an angry mob. The actions taken that day eventually helped to allow revolutionary aspirations to reach a fever pitch.

Flash forward to 2008, following the selection of Sarah Palin as the Vice-Presidential nominee of the Republican Party, it seemed there was a dramatic split between the social conservatives in the party and John McCain’s moderate Republican base. McCain, considered barely a Republican by many conservatives (dating back to his battles with George W. Bush during the 2000 Republican Primary process), never had control of his own party’s message. Social conservatives felt alienated by the mainstream Republican’s lack of enthusiasm for their core issues, including abortion, gun control, and a united disdain for Barack Obama and the Democrats. Their discontent would seal his fate.

Though McCain would attempt to entice the far right with gimmicks such as “Joe the Plumber”, most social conservatives felt a lack of enthusiasm by the mainstream Republican Party towards their social agenda, and they stayed home on election night in 2008. The next morning, it was obvious that there was a considerable gap in the conservative movement. Born out of discontent towards Washington, a perception of taxation without representation, and a general dislike for the agenda of President Obama, The Tea Party Movement, as they called themselves, took on increased traction by filling the gap amongst social conservatives looking for a platform to organize upon.

The Tea Party quickly grew into a group of loosely affiliated sub-groups, rallying behind politicians who fulfilled their agenda of a more socially conservative union. Though on the face, the movement had legitimate grass-roots ideals, such as opposition to the bank bailouts and the Recovery Act, the lack of leadership amongst the group allowed a radical element to hijack their cause. During the heated debates over health care last summer, The Tea Party jumped upon every rumor, true or false, and marketed health care as a government takeover. Followers took to the streets and town halls, and the opportunists in the crowd began to use the publicity of the moment to promote anti-minority, anti-government, and generally divisive sentiments among the movement.

Though it is true that many Tea Party members are good people, the above-stated hijacking took center stage this past weekend with the actions of health care protesters in Washington DC. Representing the Tea Party “Patriots”, some in the crowd channeled their inner 1960’s by raining down verbal abuse on minority members of Congress as they made their way to debate and vote on the bill before them. 50 years after the civil rights era, a radical few have tainted the image of the social conservative movement in this country. Tea Party members, lacking a leader, have no unified message with which to combat the hijacking of their cause by the fringes of the right. Some seem to condone the actions, and some seem to hold these people in contempt. What is sure, is the demise of the Tea Party Movement should they continue to allow uncivil behavior to define them going forward.

Republicans who have embraced the Tea Party, such as House Minority Leader John Boehner and Sarah Palin, stand guilty of inciting these crowds by playing to their most cynical and egregious claims for short term political gain. The result of this kind of irresponsible guidance has been mob like action by radical Tea Party members who have taken the support of these politicians to heart. The reality is that the Republican Part cannot allow the Tea Party to grow too large without incorporating them, or they run the risk of having the conservative vote split in November.

In the upcoming weeks, we will see attempts by many previously moderate Republicans to embrace the Tea Party. Even though they fly to the right of their true political identity. Already, in an attempt to reign in the Tea Partiers, former Bush Chief of Staff Karl Rove has begun talking down to them, blaming their lack of civility on the politically unsophisticated nature of the movement. Leading to the bigger questions going forward: First, will a cause, which has taken on its own identity, begin to run its own candidates in opposition to Democrats and Republicans? Second, will the Tea Party fold to pressure from the GOP and join the Republican cause going forward? And finally, can the Republican Party survive without gaining their support? The answers will arise in the months ahead, but the impact on the political landscape, much like the Tea Party of 1773, will be felt for years to come.

Monday, March 22, 2010

Thoughts on Congress moving forward post health care reform


There is no denying that the historic piece of health care reform legislation passed by the House of Representatives Sunday evening will leave lasting memories in the minds of most Americans. Deep rooted ideological differences, legal maneuvering, political posturing, and the messy nature of the bill passing process were brought to the forefront. At the same time, it’s quite possible that our system worked exactly as it was intended. When faced with a complex paradigm like the health of our citizens, both chambers of Congress exhausted the plentiful arguments of both sides, triggering a tidal wave of opinion across the entire country.

In the third way tradition of FDR and Clinton, President Obama let the arguments of both sides reach a collective boil, taking into account the best ideas of both sides, incorporating over 200 amendments from the minority party, and directing the bill towards the center of the political spectrum. The fringes of each side, tending to be the loudest of the American citizenry, put pressure on Congress and the President to appease both more radical forms of change by the left and putting a halt to the process altogether by the right. The winners in the end would be those with pre-existing conditions, the uninsured, the middle class, and the millions who overpay for insurance that doesn’t always serve its purpose of delivering a quality deal for the sickest Americans.

It was common knowledge that no one bill could appease all sides of such a personal debate, with the costs so high for both parties, there was no question that this would be an ugly process. The protests took a negative turn, but civil minds prevailed, therefore the question now shifts to moving forward to solve the other pressing issues facing us. Largely overlooked throughout the health care debate were bi-partisan bills which passed to get people back to work, such as the HIRE Act. Immigration reform, environmental and energy policies, and a host of other potentially divisive issues will soon take hold of the conversation, but we can rest assured that despite our differences there can still be meaningful policy made by our government.

It may be true that in politics nothing is simple, there are always going to be opposing viewpoints, but when civility, common sense, and healthy debate are allowed to take the stage, the result is often a legislative product that will benefit the whole of our society, not just the loudest, richest, or the most powerful amongst us. The promising result of a century long debate gives us good reason to be optimistic for the future of our country, and a chance to realize and appreciate the power of uniting our ideas beyond simplistic, and often divisive political theatre.

Friday, March 19, 2010

Thougts on whether arguments against health care reform based on abortion language are warranted


Having just listened to Rep. Cao of Louisiana acknowledge that he is voting against health care reform based on his religious beliefs, rather than fulfilling the will of his constituents, I think now is the perfect time to analyze the validity of the anti-abortion argument as it relates to the current health care bill before the House of Representatives.

In the previous article, I spoke about the need for Senators and members of Congress to represent the collective views of their districts and states as opposed to voting for, or on ideological, party line, or personal religious reasons. Obviously, not everyone will share the same religious beliefs as Rep. Cao, so the debates on policy in this country really should hinge on the content and merits of the bill, rather than on one single minded congressman’s thoughts on an idealistic, anti-abortion, America.

After reading the text of the legislation closely, I’m struggling to see how any honest legislator, on either side of the aisle, catholic or pro-choice, can argue that the bill before them will ultimately lead to federally funded abortion in the future. If these congressmen and women are so inclined to fight abortions, they should focus more closely on the fact that private insurers, not the government, are already covering thousands of abortions at this time.

To deny 32 million Americans health care coverage in the name of something that doesn’t exist in the bill at hand seems to make absolutely no sense. In the name of compromise, it has been stated from the very beginning, that the intention of this bill is not to increase access to abortions, nor to involve the government in the practice. Republicans and Democrats who have read the full text should know this, which is why many people might be dumbfounded by the voting decision of Rep. Cao on that basis.

Not to lay this all on Cao, but he represents a population in desperate need of care and has chosen his own selfish religious ideals over solving one of the biggest problems facing the population which he was elected to represent. There is still a group of congressmen, including Cao, and led by Rep. Stupak, who insist on staying firm based on their belief in a huge abortion rush in the future.

Is it time for these representatives to take a hard look at themselves, the people they represent, and decide whether saving the lives of thousands of Americans is less important than a fear of fulfilling a selfish virtue? Should a bill, which can be amended and fine-tuned in the future to clean up small disparagements, fail on the basis of a matter which has been settled in principle already? Are representatives who vote for themselves, or their parties, over the needs of their constituents the right people to lead our country?

As we have learned from the messy process before us now, who we send to Washington to represent our collective interests is a vital decision which we must take seriously. The responsibility ultimately lies with each of us to stay relative in the political process by exercising our right to vote in every election, even the less popular mid-term elections. Collectively, we need to do a better job picking our leaders this November. If we do this, we may be able to avoid elected officials like Cao who will stop progress based on fact less claims.

Thursday, March 18, 2010

Thoughts on Speaking for All Americans


Over the past year, it has become increasingly apparent that our major political parties have become infected with members who insist they speak on behalf of all Americans. Yesterday, I heard Rep. John Boehner continue to insist to CNN that “Americans don’t want this health care bill,” which no matter how you feel about its passage, is clearly both untrue, and arrogant. No matter which party you may support, we can all agree that there is only one elected official who has been sent to speak on behalf of all Americans, The President of the United States.

Whether you support the right, left or the middle, it is simply not true that a Senator or Congressman/woman is sent to Congress to represent anything other than the needs of their particular state or district. If you represent Virginia, don’t tell someone in Texas what they think, they didn’t elect you. If you support a bill, or are adamantly opposed to something, speak on behalf of your constituents, not the entire nation. It reeks of arrogance, and turns off many people who don’t appreciate being told what they believe.

The recent Health Care Summit was a prime example of this, with both sides collectively claiming things that are not unanimous by any means, and even though there may be polling that shows favor towards on side, it still does not mean that all Americans feel a certain way about it. This infection has spread like a wildfire through the minority party as of late, which is very ironic since Republicans are not in a position to truthfully claim they represent the prevailing interest in this country. If that were true, Barack Obama would not be in the White House, which leads to a closing thought.

In my opinion, it is a sign of disrespect to most Americans when officials who represent states with tiny populations claim to represent the entire country. There is a reason why the representatives of the 50 states are sent to a chamber where they are to collectively determine the best interests of the country. The purpose of the Senate and US Congress is not minority rule. When the collective of the Congress is in favor of a measure, even still they cannot claim to speak for all Americans, just a majority of Americans. The minority party, to be truthful, would have to pre-phrase their statements with “a minority of Americans feel” or “the people of my state feel.” These recommendations, though they will most likely be victim to deaf ears, may be the recipe for more realistic political statements. Let the current President speak for the Americans who voted for him, and let the Senate and Congress collectively speak for their respective States. Anything more is simply outside of the scope of reality.

Wednesday, March 17, 2010

Thoughts on Deaths Related to Lack of Health Insurance in the US


Today, while doing my research for this article, I stumbled upon an old USA Today article from May of 2002. In the article, it had been determined by researchers that 18,000 people in the United States had died from a lack of health insurance in 2001. The article also mentioned that approximately 30 million people lacked health insurance at the time, a number relatively equal to the amount of people who will be covered under the Senate’s health care bill. These numbers, while staggering, pale in comparison to the numbers researchers found in 2009.

In a CNN article from September of 2009, It was determined that over 45,000 Americans died in 2008 because they did not have health care insurance, a number we can only sadly predict as having risen since. This, with approximately 45 million Americans off of the Health Insurance rolls. At the same time, health insurance CEO’s raked in massive salaries, while denying coverage to many of these people who are no longer with us. 15 Million People joined the ranks of the uninsured, and a staggering increase of deaths amongst this group makes this the biggest homeland threat we have ever faced.

We have spent nearly 750 billion dollars on the War in Iraq, but nothing has been done to respond to the thousands of deaths occurring right under our noses. Using basic math, passing the current bill would save approximately 30,000 lives over the course of a year, just by providing basic health care services to the sick and needy. The short term costs of a trillion dollars over 10 years, while tough to swallow, are nothing compared to the costs to families across the country. If the current system remains in place, we are effectively allowing people to die on our watch. It’s really that simple. No matter what the partisan debate of the moment may be, we must all agree that the status quo is not acceptable.

In the end, the bill will not make anybody 100% happy. But, if we can save that many lives per year, and potentially pay down the costs over the next decade, then why not use the Senate Bill as a starting point, a base from which adjustments can be made over time? If we can save the lives of our fellow Americans by passing this historic reform package, then it would seem passing the bill now would be in the best interest of everyone but the insurance companies.

This week should see resolution of a yearlong debate over the current process and the product created by both houses. Will everyone be happy? No, but if we all do some soul searching, and think about those less fortunate, maybe we can all agree that saving the lives of our fellow citizens, and making health care a right, not a privilege, will be in the long term best interest of our economy, our communities, and our country.

Friday, March 12, 2010

Thoughts on the Process and Pace of Obama’s Health Reform Agenda


Last March, President Obama made the critical decision to pursue one of the toughest domestic agendas that a modern President has ever undertaken. In the midst of recession, war, and a toxic political environment, a bitter fight to overhaul the health care system in our country has done nothing but add another degree of difficulty to the already steep uphill climb facing The President and both houses of Congress. Nonetheless, we stand within ten days of a final up or down vote on the matter, despite billions spent to stop legislation, and summits that highlighted the deep ideological divide which exists between the two prominent political parties, resolution is actually near. After an ugly year of infighting, tea parties, and rabid punditry, we are finally seeing one of the biggest issues of our time approach resolution. In the end, there is no way everyone will be happy with the final result. In fact, no matter what form of the bill is passed; there is a good chance that some in Congress will lose their respective elections over their vote on the matter.

This long process should come as no surprise to those who understand how President Obama leads and legislates. In his latest book, The Audacity of Hope, he outlines how he approached passing his proposed bill allowing cameras to videotape interrogations and confessions in capital murder cases , despite fierce opposition from some in the law enforcement community. He knew there were deep rooted differences when it came to whether capital punishment did anything to deter crime, but knowing that, he got all sides together to see where they all agreed. The original bill, much like the current health care bill, would undergo changes incorporating the best ideas of all parties, and would ultimately pass despite deep rooted ideological differences on the broader issues.

Obama has always taken his time, listened to all sides, and then encouraged all parties to be happy with the combination of ideas that follows. Of course, the political realities he faced in Illinois were tame in comparison to the lion’s den he is in now, but it seems that in his second year in the White House he is starting to understand how the game is played from the President’s perspective. The pace of things will irritate those who have no patience for process. A bill so large had no chance of passing quickly, and it is only a year later that we see a final vote approaching. Obama knew this, laying out deadlines, not because he thought the Congress would actually meet them, but to put some pressure and a sense of urgency in the air.

Despite our differences as Americans, no one denies that health care costs are out of control, and though we may disagree on the process, we should rest well knowing that the issue was fully vetted and torn apart. Reform is always messy, but every now and then it may be necessary to have some faith in our collective government’s ability to work its way through difficult issues. In the end, the proof will be in the long term effects of the legislation, not the process. Then, as voters, we can render our final verdict on all parties involved.
 
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