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babylonsister Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:38 PM
Original message
Why the health care bill is the greatest social achievement of our time.
http://www.tnr.com/article/politics/just-noise


And the Rest Is Just Noise
Why the health care bill is the greatest social achievement of our time.

Jonathan Chait


American liberals have a habit of withdrawing into cynicism and ennui at the most inopportune moments. The 2000 presidential election, and subsequent recount, was one such moment. The most die-hard reaches of the left, deeming the Democratic Party hopelessly corrupt, rallied to Ralph Nader’s fulsome populist denunciation of Al Gore’s subservience to the corporate agenda. Among more moderate quarters, an attitude of wry detachment prevailed. (“G.O.P.-lite, Democrat-lite,” sighed Frank Rich, “For the 95 percent of the country unwilling to go for Ralph Nader or Pat Buchanan, that is the choice, it always has been the choice, and it will still be the choice on Nov. 7.”) Those liberals who did see something large at stake took on an almost apologetic tone, conceding the lack of any inspired positive choice and focusing instead on the dangers of Bush.

The right, meanwhile, was engulfed in passion that occasionally flared into rage. Mobs of chanting conservatives harassed Gore at his residence day after day. Another such mob intimidated Miami canvassers into abandoning a recount then seen as potentially decisive. The left met all this with a shrug.

The denouement of the health care debate has brought about a similar moment in the political culture. The opponents of the bill are full of passionate intensity. The right, of course, is subsumed in rage and paranoia. Conservatives have been joined by fiery liberals like Howard Dean and a slew of left-wing blogs, denouncing the bill as a corporate giveaway and urging its defeat. The attitude closer to the center is more resignation and disappointment. (Frank Rich again: “Though the American left and right don’t agree on much, they are both now coalescing around the suspicion that Obama’s brilliant presidential campaign was as hollow as Tiger ’s public image.”) The endorsements invariably have a defensive tone—the bill “has some imperfections but is worthy of support,” concludes a New York Times editorial.

At some level, it is possible to understand the roots of liberal frustration. The machinery of Congress has ground away at the health care bill, as it does to almost any bill. But at a broader level, the liberal mood is insane. What has emerged from that machinery is not merely “better than nothing” or “a good start.” It is the most significant American legislative triumph in at least four decades. Why can so few people see that?

snip//

But what about the left? Why has the rhetoric from progressives increasingly come to mirror the uninformed ranting of the right?

One reason, obviously, lies in the slow, painful political death of the public option. The public plan did play an important role in the design of Obama’s health care plan. The plan relies upon regulated competition between private health insurance, but it’s not clear how effectively government can regulate insurers. The establishment of a public plan, which would not be tempted to mistreat customers in the pursuit of profit, would help provide a backstop in case regulation failed.

The defeat of the public plan, largely at the behest of insurance companies that don’t want competition, does weaken the reform plan. Yet liberals have responded out of all proportion to the scale of the setback. Left-of-center economists and policy wonks—including Yale political scientist Jacob Hacker, who created the public option—have endorsed the Senate bill. Liberal activists, bloggers, talk show hosts, and a few members of Congress, by contrast, have attacked it as, in Howard Dean’s words, a “bailout for the insurance industry.”

Right-wingers, oddly enough, have joined this critique. (Joe Scarborough: “And as Howard Dean said, and this is a devastating fact, insurance companies' stocks reached a 52-year high on Friday after this so-called reform bill got its 60th vote.”) Until not very long ago, the conservative line was that the health care industry was a bunch of dupes, collaborating with a reform that would crush them beneath the foot of big government. “They’re just negotiating with the cannibals over who gets eaten last,” complained one Republican in August. The Wall Street Journal editorial page ran a series of columns pleading with the industry to turn against reform for the sake of its own survival. The new right-wing line casts the industry as co-conspirators in Obama’s corporatist scheme to engorge their profits at the expense of the public’s freedom.

Reality lies in between the two mutually exclusive caricatures. First of all, the insurance industry has taken a decidedly mixed stance on health care reform. (Here’s a recent news story detailing industry complaints.) Second of all, most of us normally accept private profit accompanying public services. Liberals don’t call programs to reduce class size a “teacher’s union bailout.” (Nor do conservatives call Pentagon increases a “defense contractor’s bailout.” If you support the the policy being provided, nobody objects to somebody making a buck providing it.) Insurers may be getting a lot of new customers, but that comes with the trade-off of a lot of unwanted regulation. There is more at work in the progressive revolt than an irrational attachment to the public plan or an executive distrust of private industry. The bizarre convergence of left-wing and right-wing paranoia echoes the forces that brought down the moderate consensus of the postwar era. The GOP retreat into Palinism represents one half of this collapse. The left’s revolt against health care reform represents the other. What has re-emerged in recent weeks is the spirit of the New Left--distrustful of evolutionary change, compromise between business and labor, and the practical tools of progressive reform. It is the spirit that rejected Hubert Humphrey in 1968 and Al Gore in 2000.

The New Left rejection of “corporate liberalism” came at what we now regard as the historical apex of American liberalism. At the moment of another historical triumph, liberals are retreating from politics into languor, rage, and other incarnations of anti-politics. One day they may look back upon this time with longing.
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BlooInBloo Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:40 PM
Response to Original message
1. "Why can so few people see that?"
Because self-proclaimed "true progressives" have a deep rhetorical investment in Obama being a failure.

This has been another episode of Simple Answers To Simple Questions.
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FreakinDJ Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:53 PM
Response to Reply #1
4. Doesn't this bill take a shot at Unions by taxing benefits
looks like my plan will be under the tax limit but only because it covers my whole family. If I file single I get hit with a new tax
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IndianaGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 06:45 PM
Response to Reply #4
18. And LGBT families are treated as singles, thanks to DOMA
The corporate wing of the Democratic Party will reap profits from this deal, while the working class gets the shaft!
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doc03 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 07:32 PM
Response to Reply #4
20. Will that limit be indexed for inflation?
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depakid Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:58 PM
Response to Reply #1
6. Talk about shallow and one tracked....
not to mention paranoid.

:eyes:
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PurityOfEssence Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 02:55 AM
Response to Reply #1
30. Brought to you in glorious Simpervision (TM)
Drive-by dismissal at it's facile best, as usual.
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liberalmuse Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:42 PM
Response to Original message
2. Thank you, but I really have to say...
that it is incredible that a long-time poster who has a record of posting credible, noteworthy articles and who has been a consistently constructive contributor to DU is now at 'Unrec'. It's simply mindbloggling.
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HughMoran Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:51 PM
Response to Reply #2
3. Mindboggling is the new "normal"
Hate is the new 'constructive criticism'.
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dcsmart Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:59 PM
Response to Reply #2
7. not for long....
:headbang:
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Kurt_and_Hunter Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:01 PM
Response to Reply #2
9. perhaps not all recs are personality driven
You seem to think that people are supposed to rec or unrec something based on who posted it.

What an odd notion.
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Hepburn Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:36 PM
Response to Reply #9
14. +1
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nonsequitur Donating Member (88 posts) Send PM | Profile | Ignore Sun Dec-27-09 02:53 PM
Response to Reply #2
33. A bad bill is a bad bill, I don't care who wrote it. The polls show it's not liked, at least not yet
Let's see what comes out after the house and senate work on it. I don't like mandates, and I don't care of it's my party writing the bill. If this was a Bush bill I have a feeling almost everyone on here would be losing their minds. I can't pretend to like a bad bill because my party is pushing it through. I worry what the consequences will be and why the taxing part begins now and the major part of the benefits don't begin until 2014. It makes no sense to me and I'm not happy with it. Sorry, that's the way I feel at this time. That may change if the bill has some major over hauls in the next month or two.
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OKNancy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:56 PM
Response to Original message
5. out of proportion is right.
I guess the loudest voices must have health insurance paid for by their employer or are rich enough to buy a private plan.
I'll post the same thing in every thread until I'm posted out: It's going to help my family a lot! With the subsidy up to 400% of poverty...
and according to some online calculators, my payments will go from $1200.00 per month (if I had insurance), to between $230-$270 per month.
I also have a "pre-existing condition".. bad back and knees from years of dancing, so all the new rules there will help too.

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babylonsister Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:03 PM
Response to Reply #5
11. Thank you for being our reminder, OKNancy. I think once people
are aware of other DUers around here who will benefit, maybe they'll tone it down. Then again, maybe not! ;)
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OKNancy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:14 PM
Response to Reply #11
12. SOME liberals care about the "masses" but not the individual
I see it here all the time.
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MH1 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 06:23 PM
Response to Reply #12
15. I wish more folks would post about how it would help them.
Me, it probably won't help directly, (so I can't post about how it will help me personally) but that's ok. After reading both sides I think there is a lot of good in the bill, and the bad doesn't significantly worsen the status quo, IMO.

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Armstead Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 08:01 PM
Response to Reply #12
23. I am among the uninsured masses and I think this bill is a disaster
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CitizenLeft Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 08:14 PM
Response to Reply #12
24. you are exactly right.
Edited on Sat Dec-26-09 08:18 PM by CitizenLeft
It's similar to wingnuts and their "right-to-life" outlook - almost it's mirror image. Life is sacred, but only in the womb. Otherwise, to hell with you.

The "masses" - the middle-class - will suffer from this bill, right? Mandates, fines... But people dying because they've had to go without healthcare? Who gives a shit?
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PassingFair Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 06:37 PM
Response to Reply #5
16. Do the words "unfunded mandate" remind you of anything?
No cost controls + mandates = disaster.


You will be "subsidized", but the bills will
still have to be paid, at escalating rates.

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Bodhi BloodWave Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 08:20 PM
Response to Reply #16
25. so where does the 400 pages or so of regulation fit into the above math? n/t
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PassingFair Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 09:02 PM
Response to Reply #25
27. They can still charge whatever they want....
there are no caps on PRICES.

There is no method for negotiating
PRICES.
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firedupdem Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 04:59 PM
Response to Original message
8. Rec'd and appreciated. n/t
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EFerrari Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:01 PM
Response to Original message
10. American liberals have a habit of withdrawing into cynicism and ennui at the most inopportune moment
LOL.

What a huge crock.
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Donnachaidh Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 05:21 PM
Response to Original message
13. greatest social achievement is forcing people to buy a for-profit POS insurance plan?
Sometimes you need more than hipwaders to get past the waves of bullshit posted here.

Greatest social achievement my granny's moldering ass! FDR holds that social achievement. This administration has the distinction of acting the part of arm-twister for private insurance. Yeah, that's REAL social, ain't it?
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IndianaGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 06:43 PM
Response to Reply #13
17. And Big Brother just raised the chocolate rations to 20 grams per week
That is an extraordinary achievement!
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hayu_lol Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 07:17 PM
Response to Reply #17
19. This bill probably will get ranked right up there...
with that wonderful Medicare Part D.

Shame is that there are no controls on the healthcare industry. They have Carte Blanche to do as they please, charge what they please, pay off on what they please etc etc.

The results of what this bill MIGHT do will tie up the courts for years.
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Bodhi BloodWave Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 08:22 PM
Response to Reply #19
26. as i mentioned only in the title of post 25 in this thread
where does the 400 or so pages of regulation on the insurance companies fit into the no controls?
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TheKentuckian Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 04:23 PM
Response to Reply #26
36. What in them transforms and enforces they transform from predatory monopoly to
responsible corporate citizen?

It is funny that the same people that have spent the past 20 years railing on the evils of big insurance now trust them to behave and trust that bought off state regulators will now do their jobs.
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Undercurrent Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 07:39 PM
Response to Original message
21. K&R
:dem:
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Armstead Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Dec-26-09 07:51 PM
Response to Original message
22. The New Republic -- Specializing in bashing anyone who is not a Centrist
Their crusade against critics of the rush to war in Iraq was especially helpful an d accurate.

:eyes:
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chill_wind Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 02:04 AM
Response to Reply #22
28. And the least we could request is a paragraph limit on the tripe.
This one must have been an extra special missive.
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ibegurpard Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 02:47 AM
Response to Original message
29. Who cares if it's a legislative triumph?
that's the attitude that's so infuriating..."we won!"
we won what? institutionalization of insurance corporations as the gatekeepers of our healthcare?
It's all about the political game to so many.
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old mark Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 04:04 AM
Response to Original message
31. Rec. Great post. Too bad people are too "Progressive" to grasp reality.
The bill is THE FIRST TIME the government has actually taken a real position on health insurance/payment for citizens.

There is so much self serving, petty bullshit on the left it is a wonder we ever get organized enough to get anything done.

mark
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Hekate Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 04:55 AM
Response to Original message
32. KnR.
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Greyhound Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 02:56 PM
Response to Original message
34. Classic false premise
with the circular argument thrown in for good measure.
:woohoo:


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Better Believe It Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Dec-27-09 03:00 PM
Response to Original message
35. That's true if you are looking out for the interests of the health insurance industry and big Pharma
Edited on Sun Dec-27-09 03:01 PM by Better Believe It

Tens of millions of new mandatory clients, hundreds of billions of dollars in government handouts and hundreds of billions of dollars in new profits.

What's not too like?
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