Tag: Jonathan Cohn

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Barack Obama Domestic issues Health care Politics The Opinionsphere

Health Care Reform: A Test of Whether the Country Could Tackle Its Most Vexing, Long-Term, Systematic Problems

[reddit-me]Jonathan Cohn’s piece in The New Republic on how health care reform was passed is an excellent read. One of the most telling anecdotes was the story of how internally divided the administration was regarding pursuing health care reform at the start. The political advisers — Rahm Emanuel and David Axelrod most prominently — favored avoiding the issue. And once significant push back was encountered, they favored abandoning comprehensive reform in favor of just tackling the problem of children without insurance. Of the prominent names in the White House who favored going forward through all these obstacles, the most famous and influential all opposed it. Save one — the one whose opinion mattered most. This particular passage probably best sums up the reason I saw health care reform as so essential:

Obama had come to view this debate as a proxy for the deepest, most systemic crises facing the country. It was a test, really: Could the country still solve its most vexing problems? If he abandoned comprehensive reform, he would be conceding that the United States was, on some level, ungovernable. Besides, several aides recall him saying, “I feel lucky.”

It’s only available in pieces currently to non-subscribers. But they’re releasing it in dribs and drabs to the rest: here’s Part One, Part Two, and Part Three. (Parts Four and Five have not yet been released.)

I have a feeling that when the retrospective histories of the Obama administration are written, the August-to-September 2009 period will be considered the turning point whereby Obama finally became comfortable in the office — and the moment the Obama administration began to gain some traction in making progress in this poisonous political environment — even against long-term systematic problems.

It was in this period that Obama made the Afghanistan policy his own — pushing back against the military forcefully even as he sided largely with their suggestions; and it was when Obama decided to go for health care reform even against a unified Republican opposition — and not just an easy bill, but one that went after the wrought issue of increasing health care spending.

This August-September period was when health care reform became about more than insuring millions of people — and instead became a test of whether or not Obama could break the hold of the idiocrats on our public conversation and make some small dent in tackling our systematic, long-term issues. It was tough; it was close; but the bill got done.

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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.]

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Barack Obama Health care Politics The Opinionsphere

Buck Up, Democrats!

Andrew Sullivan, who was largely responsible for derailing Bill Clinton’s 1994 health care reform, likewise urges Obama and the Democrats to seize the moment:

[Obama should] tell the American people that he understands their anger and frustration (hence the big swipe at the banks last week), but that he refuses to stand by and do nothing. If the American people want nothing, they should support the opposition. If the American people want something, they should back the president they just elected in implementing a health reform plan he campaigned on.

Jonathan Bernstein explains why the “safe” choice of trying to appease your partisan opponents has little effect:

Democrats can be assured that Republicans will attack them, regardless of what they do.  Democrats could eliminate the estate tax permanently, slash the capital gains tax, repeal the Clean Air and Clean Water Acts, invade Iran, and pass a Constitutional Amendment outlawing abortion, and Republicans would still attack them — with exactly the same vehemence and vigor that Republicans have now.  That’s politics.  It’s how partisan politics is played.  It is absolutely impossible to avoid attacks from one’s opponents; nothing you do gives them license to attack, because they will attack whatever you do.  Oh, and this isn’t partisan; Democrats are going to attack Republicans, whatever the Republicans do.

Don’t believe me?  Republicans are attacking Democrats for taking away people’s guns, even though the Democrats basically surrendered on that issue fifteen years ago.  They are attacking Democrats for cutting Medicare and for allowing Medicare to grow so fast that it’ll bankrupt the nation — sometimes in the very same speech (I’ve seen it in the same paragraph)…

My advice to Democrats unsure about what to do is this: think about the actual bill, and what its effects would be if it became law.  If in your judgment those effects would be bad for your constituents, then odds are they will dislike it, blame you for it, and you’ll be in trouble.  If those effects would be good for your constituents, then vote for it.  Then figure out how you’re going to sell the thing and yourself, based on that vote.  But don’t back off of it because you think it will open you up to attacks; you’re wide open right now, and you’ll remain wide open regardless of what you do.

Jonathan Cohn writes a letter to the House Democrats who are considering not voting on the Senate bill:

I don’t want to mislead you: You could pass the Senate bill, which you may really not like, and still lose reelection. But passing health care reform would seem, if anything, to improve your odds of political survival. And if it doesn’t–if you’re doomed to lose anyway–enacting health care reform would give you a meaningful accomplishment in your record.

Think of everything you could do while serving in Congress. Would any single act be bigger than this? However imperfect, it will make a huge difference in people’s lives–and, quite likely, the evolution of the American social welfare state. You’ll be sparing financial or physical hardship for thousands of Americans every year, while delivering peace of mind–and safer, higher quality medicine–to literally millions of others. You’ll be saving the American economy and, along the way, helping people to stay healthy.

You can be a part of this moment in history–and, if you play your cards right, stick around in Congress long enough to enjoy it. It just takes some common sense–and maybe a little mettle.

In other words: Vote for the Damn Bill!

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Health care Politics The Opinionsphere

The Smearing of Ezekiel Emanuel

One of the more extraordinary things in the current distraction that is the right-wing response to health insurance reform is the smearing of Ezekial Emanuel. He’s quite an interesting figure – and the views being attributed to him are actually exactly the opposite of the ones he has consisently held for many years…

Jonathan Cohn in The New Republic:

In the course of his writings, which span academia and popular publications, he has argued forcefully and clearly against physician-assisted suicide. Yet somehow Emanuel finds himself accused of–wait for it–advocating physician assisted suicide.

Michael Scherer in Time:

“I couldn’t believe this was happening to me,” says Emanuel, who [spent] his career opposing euthanasia and working to increase the quality of care for dying patients…

In her Post article, McCaughey paints the worst possible image of Emanuel, quoting him, for instance, endorsing age discrimination for health-care distribution, without mentioning that he was only addressing extreme cases like organ donation, where there is an absolute scarcity of resources. She quotes him discussing the denial of care for people with dementia without revealing that Emanuel only mentioned dementia in a discussion of theoretical approaches, not an endorsement of a particular policy. She notes that he has criticized medical culture for trying to do everything for a patient, “regardless of the cost or effects on others,” without making clear that he was not speaking of lifesaving care but of treatments with little demonstrated value. “No one who has read what I have done for 25 years would come to the conclusions that have been put out there,” says Emanuel. “My quotes were just being taken out of context.”

Alex Koppelman in Salon also took on the smears.