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Fear, Anger, Hope and Inspiration will Decide Health Care Battle
The details of policy will not decide the outcome of the health care
reform battle. In fact, the policy outcome itself will be decided largely by
the interplay of four emotions that will drive the outcome of this
essentially political battle: fear, anger, hope and inspiration.
The principal weapon of those who want to maintain the status quo is, as
always, fear. The Republicans and their allies in the private health
insurance industry are cranking up the fear machine like the producers of a good
horror movie. They warn of a “government takeover of health care,” “
socialized medicine,” “rationing” and the ever-frightening prospect that a “
government bureaucrat” might stand between someone and her doctor – or a
needed medical treatment.
Of course fear need not be rational. I talked to a Blue Dog Democrat the
other day – one who favors a strong public option – who told of scores of
calls his office has received from older voters on Medicare, the government
run health care program for the elderly and disabled. The callers were
frightened of a “government takeover” of medicine. Former Senator John Breaux
once told a story about a woman who rushed up to him in the airport to
plead with him to “keep government out of her Medicare.”
Fear immobilizes. And fear of the unknown crushes the desire for change,
even in the midst of conditions that cry out for change. It has been used
throughout history by those who profit from the status quo, and it becomes
especially important when – as is the case with health care today – most
people believe that the current system should in fact be changed.
Of course the insurance companies and the Right are not just using fear to
move public opinion. Just as importantly, they are using it to frighten
key Members of Congress into believing that an angry mobilized part of their
constituency – and donors – will exact political retribution. For some
Blue Dog Democrats that fear is being used to mask the fact the President
Obama’s health care proposals will produce some of their most profound
benefits precisely within the districts they represent. In one notable case, the
district has 150,000 uninsured citizens and only 900 families who would
pay a surtax used to pay the costs of the House Democratic Health Care bill.
Anger, on the other hand, does not immobilize like fear. It energizes
action. In politics, anger is almost always a necessary precursor to change
and hope. American voters would not have been willing to take a chance on
the change and hope offered by the Obama campaign in 2008 if they were not
already furious with the administration of George W. Bush and its failed
stewardship of our economy and foreign policy. That anger stemmed from the
sense that everyday people could no longer look forward to better lives in the
future. Obama resolved that anger into the hope that change could bring
them a better life.
The powerful elements that dominate the Republican Party and the
Conservative Movement also focus the anger of people who feel they are losing
control or have been passed by, but instead of resolving anger into hope, they
resolve anger into fear of change – and fear of people who “aren’t like them.
”
To win the battle over health care – and all of the other major battles
required to fulfill the promise of change – Progressives must engage the anger
of most Americans and do a better job mobilizing that anger than our
right-wing opponents.
That means a populist message. It means focusing in on the insurance
executives who are perfectly willing to deny health care to sick people so
that they can make millions and millions of dollars and retire with massive
golden parachutes. It means we need to frame the debate as a struggle
between those with power -- and the majority of Americans.
And it means that, for Members of Congress, we have to channel that anger
to induce fear—the fear that failure to accomplish change will be more
politically costly that voting for reform. In the end, the winning message to
most Members of Congress is that health insurance reform IS the high
political ground. That is the message we must deliver to every Member over the
August recess in no uncertain terms.
Hope and change will not win out if we don’t engage populist anger. But
success also requires that we paint a clear, positive picture of a future
where ordinary Americans no longer have to worry that they may not have
access to health care.
People aren’t engaged and motivated by statistics or “policies.” The
prospect of an “insurance exchange” will not inspire people to take a risk on
change. To win this battle we need to get people to imagine what it would
be like if they no longer had to worry that if they got sick and then lost
their job, they might also lose their health care. We have to remind them
that 14,000 people are losing their health insurance every day– and they
could be next. They have to visualize the insurance company CEO who gets the
$73 million golden parachute and received a salary of $5,585 an hour ($12.2.
million per year).
In fact, to win this – or any other major political battle – we need to
remember that changing people’s opinions and motivating them into action is
mainly about engaging their emotions – hope, fear, anger, inspiration. That
means we need to make the issues at stake palpable. People need to
experienced them in the concrete, not as abstract concepts. They need to be
turned into images, stories and symbols that can make people see, feel, hear and
taste the issues, not just think about them.
That brings us to inspiration. President Obama’s ability to inspire is
an enormous political asset. Being inspired is basically the feeling of
empowerment – empowerment to overcome odds – to overcome fear. In the same way
a blast furnace turns iron ore and coke into steel, inspiration transforms
fear and anger into hope.
We need to inspire the country that change is possible and will bring
about a better health care system. We need to inspire Members of Congress that
they can overcome their fear of insurance companies and special interests,
and make history. We need to keep our own base inspired in order to keep
them mobilized.
In fact, our ability to compete with the insurance companies and the
merchants of fear is entirely contingent on our ability to keep our base engaged
and energized. That is one of the critical reasons why, in order to be
successful, a health insurance reform plan must include a strong public
health insurance option.
A strong public option is critically necessary to accomplish the
Administration’s goals of controlling health care costs by competing with private
insurance companies, driving down rates and keeping them honest. That is why
the insurance industry hates the proposal.
But a public option is also critical because it inspires our base. Like it
or not, most Progressives in America have lost faith in the private health
insurance industry and its ability to provide health care at reasonable
prices for all Americans. Many Americans joined the Obama campaign because
they believed he – and they together -- could make change in general, and
change in the health care system in particular.
The public option has become a symbol for most of these activists – the
symbol of what defines real change. If the small band of insurance
company-friendly Democrats forces the entire Party and the Administration to
abandon this critical element of the Obama plan, the campaign for health care
reform will lose much of its ability to inspire activists to action. That
would leave the playing field to Rush Limbaugh and his insurance industry
friends who use fear to mobilize the right-wing base.
Progressives cannot afford to fail in our battle for health insurance
reform. It is a critical building block for the long-term economic success of
our country. It will also define for millions of Americans whether they can
make change – whether they can take the future into their own hands and
make their own history. Our success in the health care battle will in great
measure determine our ability to continue to generate the kind of
inspiration that is so critical to our ability to win all of the battles that lie
ahead.
Robert Creamer is a long-time political organizer and strategist, and
author of the recent book: “Stand Up Straight: How Progressives Can Win,”
available on _amazon.com_
(http://www.amazon.com/Listen-Your-Mother-Straight-Progressives/dp/0979585295/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1206567141&sr=8-1
) .
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