"Why, oh why can’t we have a better press corps?" — Brad DeLong et al
The New York Times informs us that President Obama is launching a major effort to generate support for health care reform, taking personal responsibility for promoting a central piece of his domestic agenda.
After months of insisting he would leave the details to Congress, President Obama has concluded that he must exert greater control over the health care debate and is preparing an intense push for legislation that will include speeches, town-hall-style meetings and much deeper engagement with lawmakers, senior White House officials say.
But according to Times reporter Sheryl Gay Stolberg, the battle may already be lost because of bipartisan opposition to, among other things, a public health insurance option:
If he embraces a tax on employee benefits, an idea he attacked when he was running for president, he may infuriate labor and the middle class. If he insists on a big-government plan in the image of Medicare, he could lose any hope of Republican support and ignite an insurance industry backlash. If he does not come up with credible ways to pay for his plan, which by some estimates could cost more than $1 trillion over 10 years, moderate Democrats could balk.
So where is this ominous rejection of a public plan option coming from? Why it’s all the Republicans who just got thrashed in the last two elections and a few "moderate" Democrats who just don’t get it. Never mind that the Senate has already voted to allow health reform to be adopted with 51 votes.
Thus, Stolberg tracks down Sens. Mitch McConnell and Chuck Grassley to complain about how a public plan would doom any chance of reform. And of course Stolberg doesn’t get any push back from Grassley’s pal, Max Baucus, nor from Sen. Wyden, also quoted, who’s pushing a rival plan without a public option. Finally, to confirm the imminent death of the public plan, we read about Kent Conrad’s wish to get Republican support.
So nobody wants a public plan, right? Wrong.
Let’s see:
1. The New York Times just published a story about Senator Kennedy’s draft of a reform bill that prominently features a public plan in direct competition with private insurance.
2. The Congressional Progressive Caucus with 77 members just issued a strong statement supporting a public plan option, while noting the "overwhelming majority" of them prefer an even stronger "single payer" version of the public plan concept.
3. Despite his opposition, Max Baucus has been forced repeatedly to say that a public plan is "still on the table," and at recent home-state meetings, his constituents pounded him for excluding single payer and selling out to the insurance industry.
4. Despite being unable to express any coherent position on health care reform, even Sen. Nelson (D-Neb.) had to deal with hometown anger over his earlier opposition; he later "clarified" his views to say he hasn’t ruled out a public plan.
5. As reported by the Times, Obama just strongly endorsed the need for a public plan to "give [consumers] a better range of choices, make the health care market more competitive, and keep insurance companies honest." Sounds like this is an essential feature that Obama will fight for.
6. Polls repeatedly show broad public support for a stonger government role in guaranteed health coverage and for a public health insurance option. This might have some connection to the fact that another "large government health program," Medicare, enjoys overwhelming public support.
7. The concept also has the support of major newspaper editorial boards and respected op-ed columnists. Part of the reason is that the current failed insurance system is driving Americans into bankruptcy, as the Times reported. (h/t Dru)
8. And the NYT just reported that the private insurance industry has utterly failed to provide affordable health insurance to small businesses, which could be solved if their employees had open access to an affordable public plan.
9. And there are lots of other supporters — e.g., these, or these, or these, or these, or this guy, or . . . — the Times might have asked.
So whom does the Times seek out for quotes to express support for a public plan option or give us a more favorable view of its importance?
[crickets]
Update: Not to be outdone by the New York Times, the LA Times’ Lisa Girlon has an equally one-sided article focused on the insurance industry’s point of view, though at least Ms. Girlon found one supporter of a public plan to quote. But she doesn’t tell her readers that an individual, universal mandate to purchase insurance, which the insurance companies naturally want because it’s a guaranteed market, would be unacceptable unless coupled with giving consumers a choice of an affordable, quality care public option.
More: Just to be clear, I think getting a decent public plan created as an alternative to private plans is an uphill climb. Robert Reich reported about the forces rallying behind the deceptive trigger proposal I described here. Folks will need to let their Congresspersons know this coming week they’re not willing to settle for that.





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Ugh – right hand, meet left hand.
Rec’d, and thanks Scare
Thanks so much for laying it all out to show us reality vs NYT’s fantasy world.
Thanks for sticking with this broad urgent issue,
Blessings to all,
And I’m sure all the folks with insurance who have gone bankrupt anyway would never consider single payer. s/
http://well.blogs.nytimes.com/…..038;st=cse
Thanks Scarecrow.
Ah, good NYT link, Dru. Thanks.
speaking of fantasy worlds, darcy burner said recently (on grittv, my bold)
no, the problem is where versailles is at.
here’s david sirota’s analysis from 3 years ago:
p.s. the grit tv episode is worth listening to because rick macarthur is great (even if darcy burner is a massive disappointment)
I’ve added this update.
More: Just to be clear, I think getting a decent public plan created as an alternative to private plans is an uphill climb. Robert Reich reported about the forces rallying behind the deceptive trigger proposal I described here. Folks will need to let their Congresspersons know this coming week they’re not willing to settle for that.
“If he insists on a big-government plan in the image of Medicare, he could lose any hope of Republican support and ignite an insurance industry backlash.” ; well, Republican support is not needed and the ‘insurance company backlash’ will affect both parties.
What the mainstream media won’t consider or comment upon is how voting for a ‘public plan option’ WILL assist the incumbents in re-election campaigning. the U.S. citizens are solidly behind a ‘big government plan’ and small biz would have many benefits occur because of such. Just like they won’t discuss ’single payer’ because they are told it’s not an option.
As Scarecrow says “Folks will need to let their Congresspersons know this coming week they’re not willing to settle for that.”
Recommended
I’m sick of establishment media lies and distortions. Thanks for pointing out another one and for holding them accountable.
I don’t understand why we keep going over the same point again & again. The NYT lost ALL creditability years ago. Apart from Krugman’s op-ed posts on Monday & Friday and the occasional column by Frank Rich, it’s all bulls**t. People, remember the flaccid excuses about the wild imaginings of Jayson Blair. Who can forget the acerbic Judy Miller’s endless regurgitation of neo-con propaganda in the run up to the Iraq invasion. Then, how about Bill Keller’s total inability to accept any editorial responsibility for all the paper’s mistakes.
The recent BS from the ‘paper of record’ are made of the same whole cloth. Using Fixed News acid test of ‘fair & balanced’ by hiring the likes of Bill Krystol was a disgrace and an insult to anyone with a brain and the ability to add 2 + 2 and get 4. Right-wings toadies like David Brooks are still attached like leeches to what used to be a respectable paper.
The NYT is a symbol of what the MainStream Media has become over the past 25 years: so useless that it has given birth to the blogosphere. Anyone who gets ‘news’ from sources like this can hardly be surprised at the built-in bias, distortions, inaccuracies, propaganda & outright lies that the MSM continues to perpetrate. It’s hardly ‘news’ that – at best – the NYT simply got it wrong; more likely, it’s simply spinning Repub. talking points. Instead why don’t we spend our time more profitably by talking about the weather?
OMFG! Lisa Girion is the person who interviewed me for the LA times article last week.
For an insight into what we are up against regardinging healthcare reform,read the comments on this story.
Mary, — do you have a different perspective on her reporting?
oh my .. a backlash from the health insurance industry ..
what .. the blood suckers are going to complain because someone is interfering with their ability to make a profit off someone elses’ health ??
it’s an ability .. not a right ..
imo .. for-profit-health-insurance is immoral in the first place ..
Scarecrow, Do you think the best we can do now is support Kennedy’s plan?
the most important thing is that congress pass no plan that prohibits the states from enacting their own single payer systems.
This month’s AARP Bulletin contained a very weak story on possible changes in health care policy. A vague opinion piece by Baucus was included in the same issue.
Keep in mind that AARP receives kickbacks from insurance companies whose products AARP promotes heavily – everything from health ins to life, auto, homeowners, etc.
Their argument is that universal, single payer will be too expensive for the taxpayers.
The Bulletin also included a negative(planted)letter from a former UK citizen who said “I will be most interested to see whether Americans are willing to trade their freedom of choice for affordable health care.”
The Kennedy plan does not look very good. The public option looks like it would just cover minimum standards which would send those who could afford it into more expensive private plans.
I belong to AARP but throw the magazine away. Too conservative for me.
Sure love for someone to ask the pols, if big gumint can’t find its’ ass with both hands, why are insurance companies scared to compete with it?
And apologies for going OT, but 60 Minutes had Bernanke up this evening. Two takeaways:
60 Minutes went to pains to paint Bernanke as a regular guy (small town boy made good). Scott Pelley asked Bernanke to respond to specific instances of people suffering from the economy, including the fact the current occupants of his boyhood home are going into foreclosure, and Bernanke mouthed the right platitudes. But when you watch it muted, his body language reads “I don’t give a shit.”
And when Pelley pressed him on the big bank bailouts, Bernanke asserted he would not let them fail, and would not let them go thru a “…messy bankruptcy…”
Sadly, Pelly did not ask him why it was ok for GM to get messy. I’m guessing labor contracts.
Asshat.
No. There are two other factions that still haven’t weighed in. First, we don’t have anything from Baucus’ Finance Committee, and Baucus wanted to be left alone to cut a deal with Republican to maintain some “bipartisan” front. That package will probably not include a public plan, may or may not include a public plan “trigger,” but will likely include an individual mandate with waivers for low-income and small businesses, possibly an “exchange” for shopping (but no public plan to choose, so who cares?).
Baucus wanted Obama and Kennedy not to get out in front, so that he could keep the Republicans in the conversation. But Obama has NOW gotten in front, personally, and Kennedy seems to have rushed his “draft of a draft” out there to put more pressure on Baucus. This is a big strategic move. So it’s not clear what Baucus and his buddy Grassley will do, but I think it’s a good thing that Kennedy put his marker out there and Obama is putting his influence on the line for a public plan. Now whatever Baucus does will be seen as backtracking just to get votes from a just say “no” crazy party that has not helped the Administration (or the country) on anything important. Baucus can use this leverage against the Republicans — the train is leaving — or he can lead the moderate assault against any health reform this year. It was encouraging to seem him hammered in home-state meetings.
On the other hand, we haven’t heard from the House, but you can probably bet that their bill — from Pelosi’s gang and Waxman — will go at least as far as Kennedy and even more towards a stronger public plan that really starts to look like a stalking horse for single payer. By that I mean that there will be fewer limits on who can get access to the public plan, and few limits on the public plan’s ability to use its advantages to displace private insurance. Schumer’s notion of hobbling the public plan to guarantee “fair competition” for the private plans is less likely to be included on the House side.
Only when we see the three contending pieces, and see what Obama does with that, will we have a better view of the dynamics.
Just wild assed guesses, but that’s how I see it.
The most interesting dynamic is the one reported and referred to in this post: the core story is that Obama decided to come out with features of his plan on Friday (which I noted in the earlier posts), and put his name behind those features, rather than letting Baucus do what he could with Republicans. Obama is not just taking charge more than before; he’s telling Baucus that his time is up and telling the Republicans that if they want to be part of health reform, they have to run to catch up; otherwise, all we need is 51 votes. These are good signs, although the Times story spins this as Obama worrying about losing, because his ideas are so contentious. True, but I think it’s also panic time for the insurers, so expect to see some rather vicious ads from them on a television near you.
that is my current view as well, but i’m still trying to learn more.
p.s. although for small states, i’d expect that there may need to be a regional approach — at least that is what i understand from BargainCountertenor and is the approach in hr 676.
I blog on my own site http://www.politicalpragmatist.com and for the Las Vegas Review-Journal. I have been on top of the debate so far and recently predicted we would have a public option because Obama has put his administration’s power and future behind it with the letter to Baucus. If he now backs off, he is going to lose an enormous amount of popular support.
The New Yorker has a superb article on the high costs of medicine in McAllen, TX and an explanation of the Mayo system. Ezra Klein also has a blog piece on where our pay raises have gone.
My post tomorrow addresses the obv reasons why the Medical Industrial Complex is fighting the public option. Passenger train service is subsidized by the govt. All of the corporations which once hauled passengers by rail are in the dustbin of history. Where someday the medical insurance companies will be.
Wayne
America already has the General Motors of health care systems, so why change? What could possibly be better than a huge mess that delivers crappy outcomes and ruins your finances even if you are insured? I say “pshaw” to that Frances Perkins lady, who, as Labor Secretary under Roosevelt thought there was some kind of connection between universal health care and economic security. Crazy bitch, huh? She even made it part of the New Deal legislation. Fortunately, the brave and patriotic guys at the AMA shot her down. That’s what is so great about America, our arrogance, especially our male arrogance. European health care is for pussies, probably a consequence of too many female MPs in their parliaments. And it’s way too cheap! Did you know that every single health care system in the Nordic countries costs about 30-40% per capita less than the US system to operate. How the fuck is a doctor supposed to pay cash for his new Beemer? Thank God, and thank Jesus, for the lack of curiosity on the part of our members of congress. And thank God especially for Max Baucus and his brave efforts to keep that socialist-communist-nut-job notion of universal health care off the table. Chevy, please
Wayne — thanks for commenting, and thanks for the link to the Klein piece showing the two curves. I’d mentioned that in an earlier comment, but forgot where I’d seen it. And I agree the New Yorker article is a must read. I think that concept is what’s reflected in Obama’s references to mimicking the most efficient hospitals.
Also, take a look at Matt Bai’s NYT Magazine article on the WH and how it sees the Congressional politics of health care. The irony is that Rahm Emanuel’s strategy on how to deal with Baucus has already been overtaken, last Wednesday, when Obama went public with his plan, which tells me Bai had his piece written before then.
Link to Matt Bai article.
http://www.nytimes.com/2009/06…..ess-t.html
A federal gov’t single-payer system would prohibit that. A ‘public option’ probably wouldn’t.
The papers are getting their feedback from Congress, not the people. That’s what stands for ‘reporting’ in this country. And that’s why Obama is going to get on the stump, and set a fire under our representatives’ rumps.
I don’t know Bernanke personally, but the body language doesn’t surprise me one bit. Economists (Ecahn can confirm this) go through a kind of two-year boot camp before their coomporehensive examinations learning how not to think about ordinary people. You have to have extraordinary empathy to survive it. Bernanke probably just has ordinary empathy, enough to cover his family and close friends, but no more. It’s a matter of allocating a scarce resource, as we say in the trade
No one who has lived in Canada, Britain, Australia or other semi-socialized countries would accept the rationing that government controlled health care causes. If you think the Post Office is wisely run, or the VA is the model everyone with a decent health care should accept, then run for your lives. Most of us who work for employers and covered can gripe about various arbitrary provisions of insurance contracts but they pale in comparison to the arbitrary and capricious nature of government control. Picture GM and Chrysler and steroids. Not good.
There is so much get-over manipulation and pragmatic extortion re healthcare in this country on the part of insurance companies (big time) and then on the part of doctors and citizens (smaller time but it accumulates), as well. Thanks for helping me begin to fathom the issues.