Useful health care reform activism

I was surprised to see last night that many people interpreted yesterday's post about Organizing for America as a call to "sit out" the battle over health care reform. That wasn't my goal at all. As I've argued many times, we need to push for reform that will solve our problems and not settle for a bipartisan bill with no public health insurance option or a fake public option.

President Obama appears eager to sign any bill that Congress passes, and Organizing for America is setting up rallies for health care reform without regard to what's in the bill. I have no interest in participating in this useless activism.

Instead, I'm reposting part of a diary I wrote a few days ago on five ways to fight for the public option:

  1. Thank the Democrats who have pledged to insist on a public health insurance option.
  1. Give money to Blue America's fundraising drive for Democrats who stand strong for a public option. They've raised more than $400,000 as of Tuesday evening.
  2. Encourage more House Democrats to join them (not just Populist Caucus members, though I think they are mostly good targets).
  3. Keep contacting the Democratic senators who can get us to 50 votes, enough to pass health care reform using the budget reconciliation process. (See also here.)
  4. Get your local Democratic group (county Democrats, Drinking Liberally or Democracy for America chapter) to "adopt the Public Option Resolution demanding inclusion of a strong public health insurance option in any health care bill passed this year."

I'm not naive about the "Progressive Block" strategy for getting a better health care bill. It could fail if we can't find 50 votes in the Senate for passing a good bill through reconciliation, or if House Progressives are bought off to support a bad bill out of conference. However, I don't see any other strategy more likely to get us the change we need.

The White House could improve our prospects if Obama would start twisting arms or offering carrots to senators wavering on a public option.

A few commenters yesterday implied that I am hoping these efforts will fail because I didn't support Obama in the Democratic primaries. On the contrary, I would love to see Obama exceed my expectations. If he got us a groundbreaking health care bill that changed this country forever (the way Social Security and Medicare/Medicaid left a lasting imprint), I'd happily agree that he's one of the top 10 presidents of all time. My problem is, Obama seems content to settle for health care reform that would be no more effective than the 1996 Kennedy-Kassebaum bill and potentially much more unpopular if it included an individual mandate to buy private insurance.

I encourage the president's defenders not to delude themselves into thinking that his critics are just bitter people still living in the primaries. Most of the activists behind the Progressive Block strategy supported Obama over Hillary Clinton. Many early Obama supporters are just as upset as I am about the president's failure to state clearly that he won't sign a bill without a strong public option. Here's icebergslim:

Barack Obama is listening to a Chief of Staff that is on the 90s, Clinton Adminstration mode.  That worked in the 90s, but this is 2009 and not only has this country voted for a black man to be POTUS, but we voted for CHANGE, PROGRESS.  The shit that Emanuel is doing in the White House is disastrous.  You don't have the President of the United States continue to compliment, praise the very Republicans that are tearing him down in the national press and on television, DAILY.  What the fuck kind of shit is this?  Again, this is 2009 not 1993.  For the Chief of Staff to the President of the United States repeatedly having him go out there and praise the very persons who are determined to undermind him at every turn is looney and I am being nice.  [...]

I am one of those on the left that raised over 12K for the Obama Campaign under the grassroots fundraiser, I am one of those who knocked on hundreds of doors for the Obama Campaign, I am one of those who was swinging a big stick over here EARLY at Daily Kos for the Obama Campaign, I am one of those who worked across state lines for the Obama Campaign, and I am one of those who are PISSED at the Obama Administration.

I am one of millions who took a chance on change, not this weak milquetoast performance that I am witnessing out of the White House.

This is 2009, not 1993 and millions voted for change, not this tap dance we are witnessing from the White House.  Change also means bringing forward THINKING along, not this 1990s shit we are witnessing from Rahm and Friends.

Here's an Iowa Democrat:

From the very beginning of the Obama caucus campaign continuing through the general election, I gave more money, more time, and stuck my neck out further than I ever had before for a Presidential candidate, and I've worked hard for quite a few.

I will not invest my energy in a cause that has no bottom line, no goals which the president will not compromise, nor any clear cut progress toward true reform.

I respect Barack Obama for the great things he HAS done, but I refuse to work for his version of health care reform when he has no clear goal other than to pass something - anything - that may get through Congress, regardless of content.

The job of President, when it is applied to the greatest issues before us, is not to explain stuff to us, nor is it to cut backroom deals, all though that's part of it. The job of the leader of the free world is to demand accountability from congress, and to lead the entire country forward. The job isn't a legislative one, it is an executive one, but the President seems to want to serve as the chair of a phantom legislative committee where he observes from above and makes a few suggestions while the members of his own party fall out of line. [...]

I'm ready to fight, to work, to give, to risk failure - but only for something worth winning.  

Don't sit out the health care reform battle. Put your energy toward getting a better bill out of Congress.

UPDATE: Democracy for America is hiring "public option field organizers" in 12 states: Montana, Iowa, Maine, North Dakota, Florida, Oregon, Virginia, Connecticut, Delaware, Indiana, Georgia, and Arkansas. I'm not sure why Georgia is on the list. The other states all have senators who are playing key roles in writing health care bills or may be on the fence regarding a public option.

This is a short-term position but does include health benefits. The full listing and application form are here.

Click here to see the list of 64 House Democrats who have promised to vote against any health care reform bill that does not include a public health insurance option. Click here to donate to Democracy for America.



Display:


Re: Useful health care reform activism (2.00 / 1)

Thank you desmoinesdem. You have been a rock and agitator in all the best ways. Calmly, strongly pointing out where we can do better, where we must not go, and what we can acheive. Knowing the difference is boon enough, but knowing where to put shoulder to the wheel, where to offer strong criticism and how we can all work together, in our different abilities, our different times and even our diverse perspectives is a gift to0 us all.

Criticism is necessary, we are deciding how to steer a ship through rocks and shoals and storms, getting the tiller right, getting the sails right and knowing the wind means course correction saves lives and ensures arrival. I am all for course correction advise, wind advise and shore knowledge. There isn't one person, not one person in any office, that knows the way ahead by themselves alone, we have to work together and listen respectfully. You do that in every post, and I appreciate it. Thanks.
by commentist on Sun Aug 30, 2009 at 12:06:18 PM EST

thanks, and I hope (none / 0)

your optimism about House Democrats getting us a bill with a robust public option proves to be correct.


Join the Iowa progressive community at Bleeding Heartland.
by desmoinesdem on Sun Aug 30, 2009 at 12:30:57 PM EST
[ Parent ]

Re: thanks, and I hope (none / 0)

I replied in a comment just below, but yes me too.
by commentist on Sun Aug 30, 2009 at 01:07:23 PM EST
[ Parent ]

Re: Useful health care reform activism (none / 0)

So do I.

Some very very good news is the NY Times Saturday Editorial says, "sadly" the republicans are not responsible participants, and that Obama must plan and execute a Bill through the Senate that will get no votes from the Republicans. Get the best Bill, dont surrender any part of the reform, just put through the best bill:
If the Democrats want to enact health care reform this year, they appear to have little choice but to adopt a high-risk, go-it-alone, majority-rules strategy.
We say this with considerable regret because a bipartisan compromise would be the surest way to achieve comprehensive reforms with broad public support. But the ideological split between the parties is too wide -- and the animosities too deep -- for that to be possible.

In recent weeks, it has become inescapably clear that Republicans are unlikely to vote for substantial reform this year. Many seem bent on scuttling President Obama's signature domestic issue no matter the cost. As Senator Jim DeMint, Republican of South Carolina, so infamously put it: "If we're able to stop Obama on this, it will be his Waterloo. It will break him."

Clearly the reconciliation approach is a risky and less desirable way to enact comprehensive health care reforms. The only worse approach would be to retreat to modest gestures in an effort to win Republican acquiescence. It is barely possible that the Senate Finance Committee might pull off a miracle and devise a comprehensive solution that could win broad support, or get one or more Republicans to vote to break a filibuster. If not, the Democrats need to push for as much reform as possible through majority vote.


Obama is essentially given credit for reaching out, reaching out and reaching out, only to bring back a bloody stump. And so, to this part of the main stream media anyway, he has done enough, and may now ignore the Party of NO.

very good news indeed. (If I didnt know any better, I'd credit the eleven level chess player for this)
by commentist on Sun Aug 30, 2009 at 01:05:43 PM EST

It's electoral suicide for ANY republican (none / 0)

to vote for ANY health care reform bill this year.

They have made this issue the RE-voting of the Election, and any Republican Senator voting FOR it can expect a nationally funded bloody primary from the right.

That train has left the station.

There is only ONE issue on the table.

What can be done to have Baucus, Bayh, Conrad, etc vote for the public option.

My take is, very little.

Their states are older, whiter, already have a very large consituant of "Screw this socialism as long as you don't touch my medicare" angry vocal voters.

And, I am talking Democrats who put them in office.

They also are in the top ten of money coming from PACS, so this idea floated the the Democratic Party can leverage them by witholding campign funds is off the table.

The ONLY leverage that could have been used is pulling their committee chairmanships, and Reid will not go there.....

So, as I have always stated, the odds on a Health Care package with a strong public option is very low.

So, I would actually prefer Obama to veto any watered down POS bill. but I doubt he will.

What should actually happen next is a full out push to repeal the Health Care industries monopoly status, repeal McCarran-Ferguson.

http://en.wikipedia.org/wiki/McCarran-Fe rguson_Act

The Act also provides that federal anti-trust laws will not apply to the "business of insurance" as long as the state regulates in that area, but federal anti-trust laws will apply in cases of boycott, coercion, and intimidation.

The Right cries "Don't interfere with the Free Market!"

Ok, then lets see what they say when the repeal of the mononpoly status is suggested?

Anyone doubt that the DOJ could come up with hundreds of cases of the Insurance industry colluding, acting a monoloply, using its monopoly power?

Without a Public Option, there is no possible way to control the Health Care Industrial Complex without legal action.


Support the separation of Church and State: Vote YES on WA R-71!
by WashStateBlue on Sun Aug 30, 2009 at 02:32:40 PM EST
[ Parent ]

Re: It's electoral suicide for ANY republican (none / 0)

You are wrong, no matter how often you say it. The chances of a robust Public Option are strong.
by commentist on Sun Aug 30, 2009 at 03:22:15 PM EST
[ Parent ]

Re: It's electoral suicide for ANY republican (none / 0)

And your error, now that I re- read your post, is that you think there is some need to connect a final Bill to any bill that comes out of committee.

It doesn't. The Senate, in its most formal form, is not beholden to any committee. They will vote and amend and alter and replace any Bill they see fit.

You do not, I repeat, DO NOT have to worry about any pile of scum that comes from Baucus' CTTE. for example. ALL we need from that ctte. is the passing of any bill, any bill at all. It could be "water the plants" and that would be fine so long as it's passed.

The final Bill will the best Bill, that 51% of the senate can be organized to vote for. And that is a better Bill than a bipolar (I mean bicoastal, no no bipartisan!) Bill would ever be. Work harder, phone a Rep and demand real Public Option. Go to a demo, donate to the pledge block.
by commentist on Sun Aug 30, 2009 at 03:33:08 PM EST
[ Parent ]

We don't even need a Finance Bill (none / 0)

Senate Rule 14 allows any Senator to put a bill directly on the Calender, even one identical to one that was formally sent to Committee. Reid doesn't have to pull Baucus's Chair, he can if he chooses walk around him.

It is important to recognize that the Gang of Six was never formally recognized by anyone and three of its members are not even in the Finance Sub-Committee on Health.
http://finance.senate.gov/sitepages/subc ommittees.htm

While it would make sense to have the overall Committee Chairman and Ranking Member (i.e. Baucus and Grassley) be on such a working group there is no reason in the world to slot Conrad in and leave the Finance Health Subcommittee Chair, that is Rockefeller out.

The press and too much of the blogosphere are just treating this as a typical example of normal committee order. It isn't. Baucus simply decided to exclude anyone who might argue for retention of the HELP Bill rather than Baucus's choice of scrapping it outright and writing a bill favorable to the insurance companies.  The whole thing was nothing short of a coup against leadership and normal order.

Excluding Rockefeller from discussion and dropping the HELP Bill combined to say a big "Fuck You" to Kennedy and none of the current attempts by Hatch and McCain to back track from that central fact should be allowed to disguise the reality here.

Reid could take the tax and Medicare provisions from the House Tri-Committee Bill graft them to the Health Exchange and Public Option provisions from Senate HELP , put that combined bill on the Calender and move to bring it to the floor. By long standing tradition the decision to move legislation from the Calender to the Floor is an admitted prerogative of the Majority Leader. While such a motion is technically subject to filibuster a move to do so by Baucus would be the equivalent of a declaration of war on leadership.

Reid doesn't even need a "Water the Plants" bill, he just needs to decide who ultimately controls the Senate, him or a rogue Committee Chairman.


by Bruce Webb on Mon Aug 31, 2009 at 03:25:05 PM EST
[ Parent ]

An inexperienced president (none / 0)

The problem with electing a president with four years of experience on the national stage is that he has to rely on others with more knowledge of the game and he doesn't know many from which to choose.  Obama chose Rahm, Joe Biden and Tom Daschle.  "Safe" choices for someone who didn't have enough insider experience, but man, they were disastrous choices.   And just when he most needed Ted Kennedy to balance that out, Ted was unavailable.

Obama needs QUICKLY to learn from Dems in Congress who are able to tell him to stop kissing up to Republicans who want him to fail.  Spine transplants.  Any suggestions?


by Thaddeus on Mon Aug 31, 2009 at 09:52:13 AM EST


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