Category: Health care

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Health care

Lamar Alexander Defends Senate from Those Who Say It Needs Reform

[digg-reddit-me]Watching Lamar Alexander being interviewed on This Week it struck me that he was defending how the least popular institution in America works. Being a politician, he wouldn’t admit this outright – but his meaning was rather clear:

Well, you know, former governors — and I’m one — always have a hard time with the Senate. You know, we’re — we’re used — governors are used to saying, “Let’s go this way,” and a legislator in a reactor to things. So that’s part of the problem.

According to Alexander, the problem is that governors expect to get things done – that’s “part of the problem.” Lamar Alexander defends the the Senate as an institution designed to slow things down; but he further defends the current status quo which combines recent rules changes and a changed political atmosphere, to create an institution now seemingly designed to prevent any major legislation from being passed at all. Lamar Alexander though – and many other Republicans these days – defend this status quo. Alexander claims that this inability to create big programs means we instead will have to adopt a piecemeal approach, which is better. From an interview with Ezra Klein:

It is arrogant to imagine that 100 senators are wise enough to reform comprehensively a health-care system that constitutes 17 percent of the world’s largest economy and affects 300 million Americans of disparate backgrounds and circumstances.

He lists all the failed bills that attempted to find comprehensive solutions to problems that failed in the Senate: Immigration and social security reform under Bush, health care reform under Clinton, health care and climate change under Obama. But Alexander sees this as a good thing:

We don’t do comprehensive well in the Senate. It’s not because we don’t do our job well. It’s because we’re such a complicated country.

The common understanding, and probably the true one is that Alexander – like George Will – apparently has come around to this disdain for comprehensive solutions in the period since a Democrat took office. Accusations always fly back and forth over convenient flip flops regarding institutional power and procedures once the balance of powers changes. This isn’t news – and its hard to figure out how to approach this issue if you don’t take the position being offered at face value, even if you can see the partisan strings that seem to be motivating the change in position. Even Alexander’s position seems at odds with the Republican plans he cites and supports – allowing insurance to be sold across state lines for example which is an extremely radical move.

But if you squint you may see some consistency in Alexander’s positions. Alexander may not be deriding radicalism as it seems, but, as his words say, “comprehensive” radicalism. The problem isn’t then that the Senate might introduce a radical change that entirely changes America’s health care system – it’s that the solution is comprehensive and complicated. One thing each of the comprehensive failures Alexander points out have in common is that they all involved difficult and contentious issues with many interests groups competing and the reform attempted to preserve many elements of the status quo. The only status quo that I’ve heard Lamar Alexander defend however is the broken legislative body of which he is a member.

On the other hand, Alexander was a major proponent of Bush’s tax cuts which were radical, budget-busting legislation that significantly re-wrote America’s social contract. They weren’t part of some comprehensive plan though – they were just one isolated measure enacted (perhaps) without regard to the consequences or preserving the status quo. (Or, actually several isolated measures.) He supported the Iraq War which was certainly radical – but once again, didn’t seem to be part of any comprehensive plan to accomplish anything. He supported Medicare Part D – which seem much closer to being comprehensive, but could also be seen as merely “fixing a hole in the roof” and helping out the seniors who he needs to get reelected.

Senator Alexander’s problem then isn’t with radical measures passing the Senate. It is with well-thought out and complicated legislation – with, in his words, “comprehensive” legislation.

[Image by Talk Radio News licensed under Creative Commons.]

Categories
Barack Obama Domestic issues Health care Politics The Opinionsphere

What Obama Is Trying to Accomplish With the Bipartisan Health Care Summit

One thing I had noticed but not managed to fit into my post on why Republicans didn’t want to go to the health care summit that they had been demanding was how perfectly Obama’s proposed summit fit into “the Obama method.” Jonathan Chait makes the point I would have:

Obama knows perfectly well that the Republicans have no serious proposals to address the main problems of the health care system and have no interest (or political room, given their crazy base) in handing him a victory of any substance. Obama is bringing them in to discuss health care so he can expose this reality.

I’m not saying this is some kind of genius maneuver. I’m not even saying it will work. (I wouldn’t bet against it, though.) I’m just saying that this — not starting over, and not pleading for bipartisan cover — is what Obama is trying to accomplish.

[Image not subject to copyright.]

Categories
Barack Obama Criticism Health care National Security Politics The Opinionsphere The War on Terrorism

How the Media Undermines Civility

[digg-reddit-me]Civility in political discourse is a difficult thing to maintain – as people engage in politics often because they believe strongly in what they are advocating. One of the ways to maintain this is to politely refrain from accusing your opponents of dastardly deeds – and instead, be circumspect and try to make uncontroversial points of agreement that undermine your opponents. For example, when debating the recent Supreme Court decision on corporate political spending, you might plausibly say in the course of argument that, “Without free speech, we would live in tyranny,” or “Attacking the First Amendment is un-American.” While the thrust of your argument may be that your opponents are – given the rest of what you’re saying – undermining the First Amendment, you don’t claim that they are advocating tyranny or are un-American. You don’t call them names, in other words. You criticize their actions as you perceive them. It’s a fine line – but an important one.

However, the news is 24/7, right?

And every minute needs to be filled up with some new scandal, some new story-of-the-day. This is how uncontroversial statements become provocative headlines – specifically provocative headlines that tap into a narrative the public already knows. These provocative headlines then quickly become talking points for someone as they attempt to use the news to push their message. So, for example, Nancy Pelosi and Steny Hoyer publish an op-ed in USA Today which – rather uncontroversially – claims:

Drowning out opposing views is simply un-American.

Suddenly, the right wing begins complaining of the McCarthyite push for health care. (Pelosi called the Tea Party crowd “un-American”!!!!)

Now, again, John Brennan, Deputy National Security Advisor, writes in an op-ed for USA Today:

Politically motivated criticism and unfounded fear-mongering only serve the goals of al-Qaeda. Terrorists are not 100-feet tall. Nor do they deserve the abject fear they seek to instill.

Relatively uncontroversial, you would think. But for those lacking the time to read this short piece, Jake Tapper summarizes it:

WH: Some Critics ‘Serving the Goals of al Qaeda’

Matt Drudge though saw the need to remove a few qualifiers in his big headline of the day:

WHITE HOUSE: OBAMA CRITICS HELPING AL QAEDA

The common thread here is this: in the midst of making an argument, an uncontroversial point is made. News reporters, eager to make their quota of new scandals for the day, remove all qualifiers from the sentence, take only a word or two, and recast the entire argument as pure demonization of the overall target of the piece.

This is one of the essential aspects of the Freak Show that is our Washington news.

——

Of course, some politicians seem to deliberately cross over these lines to make their points. Perhaps I’m biased here – and if so, tell me. But I think there’s a difference in how Dick Cheney and Sarah Palin often talk. At one point, for example, Cheney claimed that:

I think [the decision to try Khalid Sheikh Muhammad as a civilian is] likely to give encouragement — aid and comfort — to the enemy.

By rather directly describing the Obama administration’s actions as meeting the legal standard of treason, Cheney seems to be crossing a line. And of course, Sarah Palin famously “asked”:

Our opponent though, is someone who sees America it seems as being so imperfect that he’s palling around with terrorists who would target their own country?

I wonder – is it just my bias that makes me see the distinction between these two sets of statements? Or are they clearly of a different sort?

[Image by me and sysop licensed under Creative Commons.]

Categories
Barack Obama Domestic issues Health care Politics The Opinionsphere

Why the Republicans Don’t Want to Go to the Obama Health Care Summit They’ve Been Demanding

[digg-reddit-me]When Obama agreed to the Republicans’ demand for a televised summit to discuss health care, Republican leadership was faced with a quandary: How could they say no and not look like the bad guys?

Their solution is apparently to demand that Obama preemptively give up the reforms he has been working for the past 8 months on (the framework of reforms that is broadly popular even though the legislation creating the framework doesn’t poll well). To make their demands even more unreasonable, they also demand that he tell everyone in advance what he plans on proposing to allow Republicans “at least 72 hours beforehand” to figure out reasons to oppose it and give up his only way to push his agenda without Republican support.

Eric Cantor and John Boehner – the Republican Whip and Leader – made these demands in a letter that didn’t include an ultimatum that they would boycott the summit if their demands weren’t met. But their tone was clearly meant to agitate. They must know that they didn’t come off well in their last televised back-and-forth with the president – and they must also know that despite recent polling, Democratic health care ideas are far more popular than Republican ones. But they also suspect – rightly in my opinion – that whoever the public blames for scuttling these talks will hold this against them.

The White House is eager to go forward – because it is difficult for them to lose this: The public largely believes reform is needed. The Republicans so far do not agree on an alternative. The Democrats – after great struggle – have coalesced around a “next step,” which is undoubtedly part of the reason the Republicans want this “next step” off the table. This plan the Republicans are trying to scrap is – indeed – similar to the Republican alternative to Bill Clinton’s plan, a point which the president has made. Yet the Republicans cannot endorse this – or any – alternative offered by the Democrats for partisan reasons because it will hurt their prospects in the 2010 midterms, giving Obama and the Democrats something to run on in 2010 and 2012. And in the long term, Republicans have even more to fear, as Will Kristol explained in a confidential strategy memo on the risks of allowing Clinton’s health care plan to pass:

It will revive the reputation of the party that spends and regulates, the Democrats, as the generous protector of middle-class interests. And it will at the same time strike a punishing blow against Republican claims to defend the middle-class by restraining the growth of government.

Further, one of the core goals of these health care reforms finally agreed to by the Democrats is to cut the long-term growth of health care costs. The rapidly growing health care costs are the largest part of the unsustainable deficits America will be facing in the long-term. The prospect of this deficit though is one of the driving forces motivating the anti-Democrat and largely pro-Republican Tea Party. At the same time, the fiscal catastrophe that would result from failing to deal with the deficit is the conscious goal of the more ideological Republicans with their “starve the beast” strategy. The ideal outcome for the Republicans would be for the Democrats to force this plan through and for it to fail miserably, either as its implementation is sabotaged by the Republicans or on its own.

There is – in other words – absolutely no fundamental incentive whatsoever for the Republicans as a party to endorse any health care reforms Democrats might want.

The Democrats alternatively will be faulted for the perceived shortcomings of the bill should it pass or not in the 2010 elections, and stand to gain significantly if the bill does anything like what it has promised. Passing such a significant piece of legislation also gives them something to rally their base around, even if some portion of the Democratic base is disappointed with the bill itself.

The fundamental politics of this situation has determined what has happened and will happen: that the Democrats will seek a compromise, and be strung along by the Republicans who will never come to an agreement. The President’s summit on health care with the Republicans and Democrats seems the perfect venue to demonstrate these fundamentals to the public – which is exactly why the Republicans are seeking a way out.

Update: Ezra Klein suggests a brilliant counter-proposal for the White House to offer:

I think the administration should release a counter-proposal. They will agree to literally every one of the GOP’s demands — including the ones that don’t make any sense — in return for one, simple promise: The final legislation is guaranteed an up-or-down vote in the House and the Senate. No filibusters. No delays. No procedural tricks. If the GOP wants a clean process, I bet a deal can be struck here.

The problem is that this type of proposal would muddy the waters – and cause those individuals paying less attention to not know who to blame. Whatever the last deal offered was will be the primary focus of attention. Better it be this sham of a Republican proposal.

[Image by talkradionews licensed under Creative Commons.]

Categories
Domestic issues Health care Politics The Opinionsphere

Why Bipartisanship Is Impossible: The parties are locked in a zero-sum struggle for control of the government

Ezra Klein:

The problem with the Senate is not that you can’t get 60 people out of 100 people to agree on something. It’s that roughly half the folks will lose any chance at a promotion, and they may even lose their job, if they agree with the other half. Bipartisanship isn’t impossible because people disagree on the finer points of American policy, though many of them certainly do. It’s impossible because the parties are locked in a zero-sum struggle for control, and you don’t gain an advantage if you give the other side a major accomplishment and then tell the American people they really did a good job reaching out to your and your colleagues. That’s the equivalent of saying to your employer, “Don’t give me a promotion, and in fact, think hard about whether you might want to lay me off next year.”

As I’ve said before, it is very near to impossible to build out an ideological model explaining why Republicans who voted for the deficit-financed Medicare Prescription Drug Benefit would vote against the deficit-neutral health-care reform bill. But it’s very easy to build out a model explaining why Republicans would vote for a bill that would help them if it passed and against a bill that would hurt them if it failed. Same goes for Democrats. Good-faith disagreement is not the explanation that best fits the data.

Categories
Barack Obama Domestic issues Economics Health care National Security Politics The Bush Legacy The Opinionsphere The War on Terrorism

Must-Reads of the Week: Ezra Klein, Sleeper Issue of 2010, Success, Virtual Insanity, Abdulmutallab, Obstruction, and Madden

1. Ezra Klein on Rep. Paul Ryan, Health Care, and the Deficit. If you want a serious, policy-oriented daily take on health care and fiscal issues, turn to Ezra Klein. This week, he began the opinionosphere’s discussion of Rep. Paul Ryan’s serious attempt to balance the budget (which has no chance of being embraced even by the Republicans or Democrats.) Later, he interviewed Rep. Ryan – though it read more like a discussion between two serious people about fiscal policy and health care reform. Klein later attempted to see where along the political spectrum the Senate health care reform bill fell:

Take Rep. Paul Ryan’s health-care plan…as the conservative pole on this issue. Then take single-payer and place it on the other side of the spectrum. Where does the Senate bill fall?

It’s closer to Ryan’s plan than to single-payer. A lot closer, in fact.

Yet this basic fact – that Obama has taken a rather conservative approach to health care substantively similar to the 1994 plan Republicans counter-proposed to Bill Clinton – has been obscured by a Republican Party intent on obstructing Obama’s agenda to gain partisan advantage. As Klein explains, the problem is that the incentives for each party don’t line up:

[T]hat’s the underlying reality of health-care reform. Substantive compromise is easy. In fact, the bill is a substantive compromise. It’s a deficit-neutral, universal-coverage scheme that relies on the private insurance market and looks like one of the Republican alternatives from 1994. What’s hard is political compromise. Because there, the two positions are that Democrats are helped if a bill passes and Republicans make gains if a bill fails. There’s no way to split the difference between those positions.

At the same time, however, Klein castigates Democrats as well as Republicans for failing to put the national good over their own political situations:

The distinguishing feature of the budget conversation, however, is that it happens at a very abstract level. This red line needs to come down to meet this black line, and this huge number needs to eventually become this slightly-smaller number. That’s all fine for a floor speech, but when you start trying to muscle the red line into position or subtract from the very big number, things get real specific, real quick. Suddenly, you’re telling seniors that there are treatments they just can’t get and you’re telling workers that the insurance system is going to have to change. And just as Conrad doesn’t have much appetite for doing that to his constituents on the small things that most of them don’t notice, very few legislators have demonstrated much appetite for doing this to the country on the big things that pretty much everyone notices.

2. I do not accept second place for the United States of America. Edward Alden and E. J. Dionne comment on what is brewing to become the big issue of the 2010 elections, not coincidentally countering the main narrative put forth by the right wing.

3. A successful first year. Norm Ornstein and John P. Judis explain some of the significant accomplishments of Obama’s first year in office.

4. Virtual insanity. Andrew Sullivan’s main theme this week has been the virtual insanity of the Republican Party. He writes: “On every single major issue of the day, they are incoherent.” He quotes Daniel Larison:

Republicans have been treating temporary, tactical political victories as if they were far more significant, strategic victories, when, in fact, they have no political strategy worth mentioning.

Then of course are the highlights from that Daily Kos poll in which – for example – 59% of Republicans believe Obama should be impeached for something-or-other.

5. Reid v. Abdulmutallab. Steve Benen at the Washington Monthly gets some hard hits in on the ridiculousness of the Republican response to Obama’s handling of the panty-bomber. And Benen doesn’t even get into the fact that Abdulmutallab is now cooperating.

6. Obstruction. I examined some of the theories of why the Republicans are so uniformly obstructionist.

7. Madden vs. Real Life. As a football-related article for this Super Bowl weekend, Chris Suellentrop for Wired explored how the video game Madden is affecting the real game of football.

[Image by Doug Kim, used with permission of the creator, and in anticipation of the snowstorm that might rock Manhattan today as I’m commuting home.]

Categories
Barack Obama Criticism Health care Politics The Opinionsphere

Obama: You’re Calling Me a ‘Bolshevik’ for Using Republican Ideas for Democratic Ends

[digg-reddit-me]I wrote a post a few months ago listing some similarities of the Dole-Chafee bill presented as an alternative to Bill Clinton’s 1994 reform effort to the health care reform effort today which has recently started to get some attention thanks to Obama’s referencing exactly this fact in response to questioning by the House Republicans on Friday:

[I]f you were to listen to the debate, and, frankly, how some of you went after this bill, you’d think that this thing was some Bolshevik plot…

[But] if you look at the facts of this bill, most independent observers would say this is actually what many Republicans — it — it’s similar to what many Republicans proposed to Bill Clinton when he was doing his debate on health care.

So all I’m saying is we’ve got to close the gap a little bit between the rhetoric and the reality.

I’m not suggesting that we’re going to agree on everything, whether it’s on health care or energy or what have you, but if the way these issues are being presented by the Republicans is that this is some wild-eyed plot to impose huge government in every aspect of our lives, what happens is you guys then don’t have a lot of room to negotiate with me.

Obama adopted this Republican framework to meet some Democratic goals. (Though I shouldn’t give all the credit to him, as his general framework was created by a number of liberal thinkers including Jacob Hacker, Peter Orszag, &tc, and was adopted by John Edwards and Hillary Clinton in the 2008 primary.) Obama’s approach represents a synthesis of the core conservative critique of Reagan, Hayek, &tc with an empirical approach towards government generally favored by liberals. In other words, Obama saw the limits of centralized planning and the power of markets that lay at the core of Reagan. But he did not adopt Reagan’s visceral hatred for government. Instead, he believed government could be useful. Rather than seeing government as something that needed to be attacked, he adopted Hayek’s view that “we needed to think of the world more as gardeners tending a garden and less as architects trying to build some system.”

While I described this as evidence of Obama’s attempt to seriously grapple with Republican ideas while pursuing Democratic ends, a number of commentators – specifically pm317 on Hillaryis44 and Ann Althouse’s blog, seemingly a PUMA – used the post as proof that Obama is a sell-out, encouraging people to:

Tell your bluest of blue friends who are still supporting Obama to read this little piece…

My piece was actually positive in its description of how Obama was grappling with Republican ideas – but pm317 read it to mean the opposite, seeing it as yet another proof of Obama’s awfulness. pm317 wants Obama supporters to reject ideas because they are labeled “Republican” or once were supported by Republicans – and while this may happen,  she presumes these Obama supporters are driven by the same politics of ressentiment and identity that seemingly motivate him/her. Confronted with the fact that I am an Obama supporter, and that I wasn’t condemning Obama for using Republican ideas, pm317 responded:

Obama’s base supporters cheerleading his GoP stunt ARE highly partisan and they want single payer system or at least a public option and don’t want any of the republican ideas. They must see how Obama is sneaking in republican ideas into his plan.

Which is just an odd response. Do he/she presume that “Obama’s base supporters cheerleading his GoP stunt” didn’t notice that he explicitly said in that same event they are “cheerleading” that his health care plan is “similar to what many Republicans proposed to Bill Clinton when he was doing his debate on health care” – which is what started this whole conversation in the first place? How is that “sneaking”?

It seems likely to me, given the evidence available to me, that the accuser is describing themself – describing someone motivated by the politics of ressentiment and someone who is extremely partisan and rejects the ideas of Republicans and Obama supporters out of hand.

I only bring this particular example up to illustrate the seemingly visceral reaction against Obama and his health care plan – and how in this instance at least – it seems motivated primarily by ressentiment rather than any attempt to grapple with the issue.

The problem, in other words, is about politics rather than policy.

[This image is not subject to copyright.]

Categories
Economics Health care Politics The Opinionsphere

Ezra Klein: Our government’s partial role is pricier than the whole of government-run systems.

Ezra Klein:

We don’t have a government-run system. But our system is so expensive that our government’s partial role is pricier than the whole of government-run systems.

I’d love to see conservaties grapple with this issue – rather than try to deflect it with unsourced claims that our health care system is simply the best in the world.

It’s also worth pointing out that Republicans, conservatives, or others defending America’s health care system as the “best in the world” generally use facts that suggest our system is best for those with the money to buy the best. So, for example, if a foreign despot needs treatment for cancer, he’ll come to America. If you have similar financial resources, you too can buy this world-class treatment.

Most other attempts to defend our status quo are simply about deflecting claims. For example, someone might claim that poor people do get treated – with or without insurance – and that they don’t get a lesser quality of care. (Studies have demonstrated that they do – but that’s a different topic.)

The point that Ezra Klein makes here is scarcely understood by most Americans – as they insist that the government stop wasting money, and decry cuts to Medicare.

Categories
Barack Obama Criticism Domestic issues Health care Politics The Opinionsphere

Must-Reads of the Week: Obama (mythical figure), Democratic Talking Points, Health Care Misinformation & Defenses of Reform, & Musical Predictions

1. The greatest Obama myth. Jonathn Cohn in The New Republic asks where the Obama he voted for was – before the State of the Union:

[F]or the first time, at least in my memory, Democrats had a leader who consistently outsmarted not just his opponents but his supporters as well. Over and over again in the 2008 campaign, those of us rooting for him would panic over his strategy. Over and over again, Obama proved us wrong. He had an uncanny ability to block out the noise and confound Beltway perceptions, to ignore the ups and downs of the news cycle in order to pursue broader goals. Even for me, somebody who generally resisted the Obama kool-aid, it was something to behold.

I remember the sensation most vividly during the financial crisis of September–when John McCain suspended his campaign and suggested canceling a scheduled debate, in order to return to Washington. Suggesting that a president should be able to campaign and govern simultaneously, Obama rebuffed the proposal–a move for which, I was sure, nervous voters would punish him. Instead, the public rallied to Obama and rejected McCain. They saw a leader who was unflappable, who had his own sense of direction, and who could manage a crisis.

This cool demeanor became his trademark and, eventually, supporters took to emailing around a photoshop image every time political trouble appeared. If you’re on a progressive mailing list, chances are you saw it a few dozen times–a picture of Obama giving a speech, with the caption “Everybody Chill the F*** Out. I’ve Got This.”

Obama left me with the impression he still clearly had that demeanor and confidence – and the speech left Cohn guardedly optimistic.

2. Democratic Talking Points, 2010. Chris Good at The Atlantic posts the Democratic Senators’ 2010 national strategy memo.

3. Woefully misinformed about the health care reform bill. Nate Silver points out that the support of the various proposals within the health care bill are greater than the support for the bill itself – and that the public is seriously misinformed about the contents of it:

What we see is that most individual components of the bill are popular — in some cases, quite popular. But awareness lags behind. Only 61 percent are aware that the bill bans denials of coverage for pre-existing conditions. Only 42 percent know that it bans lifetime coverage limits. Only 58 percent are aware that it set up insurance exchanges. Just 44 percent know that it closes the Medicare donut hole — and so on and so forth.

“Awareness”, by the way, might be a forgiving term in this context. For the most part in Kaiser’s survey, when the respondent doesn’t affirm that the bill contains a particular provision, he actually believes that the bills don’t include that provision. 29 percent, for instance, say the bill does not contain a provision requiring insurers to cover those with pre-existing conditions; 20 percent think it does not expand subsidies.

4. Pass the Damn Bill. Paul Starr, veteran of the Clinton attempt at health reform, argues for progressives embracing Obama’s health care reforms in The American Prospect:

Even with its compromises, health reform is the most ambitious effort in decades to reorganize a big part of life around principles of justice and efficiency…

5. Do you spend hours each day having fun making predictions? Jonah Lehrer on what moves us about music: the patterns in it, and our attempts to predict these patterns.

[Image by Diego Cupolo licensed under Creative Commons.]

Categories
Barack Obama Criticism Economics Health care The Opinionsphere

Defending Obama’s First Year in Office

[digg-reddit-me]When the press mentions the online hordes who gathered on the tubes of the internets to push Obama to victory, they are talking about people like me. I started a blog because (along with my unhealthy compulsion to write) I decided to support Obama in 2007; I raised several thousand dollars from dozens of my friends and online contacts; I sent out emails making the case for Obama to my family; I bought a sign to place in my front yard and attended rallies in Brooklyn and Manhattan; I fought against smears in emails and in the social media (on reddit, on digg, on Stumbleupon, on Facebook, and on discussion boards); and on November 4, 2008, for the first time in my life, I walked out of the polling center proud of who I had cast my vote for.

A year on, there has been much commentary about what people like me think now – the young, the wired, the inspired. Were we were just naive and now feel fooled by Obama’s promise of “Hope, change, blah, blah, blah,” as speechwriter Jon Favreau referred to the Obama’s magic formula? Do we think that Obama sold-out to the banks and health insurance industry? Has he disappointed us with his escalation in Afghanistan? Certainly, a good portion of the left has turned against Obama with the passion of scorned lovers – as demonstrated by the histrionic pronouncements of Howard Dean (who denounced the health care bill as a “bigger bailout for the insurance industry than AIG“) and the Village Voice (which labeled the president, “George W. Obama.”)

I cannot speak for all of my fellow liberal bloggers, my fellow redditors, my fellow Obama supporters – but I, for one, am not disappointed. During the campaign, I saw Obama as – and exhorted others to support him because – he was an idealistic tinkerer. He inspired with his grand rhetoric but his policy proposals and instincts were epistemologically modest. He understood that the status quo was difficult to change, and that change brought with it its own perils. His proposals sought to pragmatically improve our society a bit at a time – creating processes that would allow for organic change rather than imposing radical top-down measures. For anyone who took the time to investigate his policy proposals, this was clear – that Obama had learned deeply the lessons of Ronald Reagan and the conservative movement – that centralized government action always had unanticipated consequences; yet at the same time, Obama had not rejected the lessons of Franklin Roosevelt and Bill Clinton – that government could also do much good, that collective action was needed to shape our society, and that times of crisis called for, “bold, persistent experimentation.”

Obama has met my high expectations; he has governed seriously and with bipartisan substance. His Congressionalist approach has led to a string of legislative accomplishments rarely seen in Washington and a stronger record of spending cuts than George W. Bush. (Though his predecessor admittedly did not set the highest standard.) He passed a massive stimulus bill supported by policy wonks on the left and right, composed of more than a third tax cuts, but including much needed funding for education, infrastructure, and technological innovation. He pulled the nation back from the brink of a financial crisis and recession without nationalizing the banks or bailing them out yet again. He moved America back from the panicked emergency measures adopted by George W. Bush in the aftermath of September 11. He salvaged some deal from Copenhagen despite the Chinese attempts to undercut America’s position. He appointed a moderate, liberal pragmatist to the Supreme Court. He has made many long-term bets in domestic and foreign policy which we have yet to see play out. And of course, there is his attempt at health care reform – combining the most significant attempt at cost control in a generation with the most significant expansion of access to medical insurance. (The two goals being surprisingly compatible as Milton Friedman acknowledged.) Though this last bill still has not had its fate decided, these are serious and substantial accomplishments that form the basis of a solid legacy. Yet Obama hasn’t been able to achieve his core promise: to overcome the Freak Show that has dominated our political discourse for a generation.

This is the one profound disappointment I have with Obama’s presidency to date. His core promise (which helped him defeat Senator Clinton) was that he would be better able to move past the rabid partisanship and petty squabbles of the Baby Boomers – that he could surmount the influence of the “idiocrats” on our political conversations, as they jumped from petty scandal to scandal, from one moment of faux outrage to another. This Freak Show that dominated our political conversation forced politicians to treat their constituents as children incapable of understanding either why their leaders might be less than perfect or that they could not both lower taxes and increase spending forever. As Obama addressed the issue of Reverend Wright in his campaign, he proved he was capable – at least for a moment – of surmounting this Freak Show mentality, treating the American people as if they were adults capable to wrestling with the difficult issues of race and religion. But since this moment, Obama has seemed unable to fully rise above this Freak Show. With the Tea Party demonstrations in August 2009 rallying against “death panels,” handouts to illegal immigrants, “government mandated abortion” and other myths that were useful in rallying the Republican base (if not in describing the bill), he seemed finally to have lost the conversation. Those with legitimate and conservative concerns, as well as those with progressive ones, were overshadowed by the inchoate anger of the hysterical.

Now that Scott Brown has replaced Ted Kennedy – and with the pundits and media figures and Republicans circling – the Freak Show has declared health care reform dead. Again. For Obama to resurrect this bill, to restore the momentum in his presidency, and prove he is capable of governing and dealing with long-term issues (rather than the political posturing which have marked the past 15 years), he will need to break the hold that the idiocrats have over our political discourse and reconnect with his grassroots supporters instead of playing the inside Washington game. While Obama spent his first year focused on governing and policy, with his State of the Union last night, Obama began to focus on the political task of getting the American people behind him as he attempts to tackle the difficult, long-term issues that have been festering for so long unaddressed by our dysfunctional politics.

We should remember one thing as Tea Party supporters jubilantly support their momentum and energy with Scott Brown’s election: 14 months is a very long time in this political age. Interpreting political movements in light of the Feiler Faster thesis, it’s not surprising that it was just 14 months ago that the Obama grass roots which seemed ascendant now seem dormant; and 14 months from the August birth of the Tea Party movement happens to be November 2010.

[Image not subject to copyright.]