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[big campaign] Huff Post from Creamer- It’s in the Interest of Democrats to Finish Health Care
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Why It’s in the Political Interest of Democrats to Finish Comprehensive
Health Care Reform
The frustration and disappointment is palpable among Democratic Members of
Congress and staff. After nine months of difficult political labor, they
were days from passing legislation that Presidents have unsuccessfully
sought for half a century.
Then came the political disaster in Massachusetts. For many Democrats,
last week was like living through The Empire Strikes Back. Of course we must
all remember how that trilogy ultimately turned out.
Regardless, there are those who don’t want to sit through a whole new
episode, who simply want the health care debate to go away, to move on to
something else and forget they even tried. That would be a terrible political
mistake for swing district Democrats. Here’s why:
1). Millions of dollars of advertising from the insurance industry and
Chamber of Commerce have convinced large numbers of voters that the general
concept of health care reform is a bad idea. But it has done nothing to turn
them against the underlying elements of the bill. Americans still
strongly support ending the insurance industry’s ability to deny claims because of
pre-existing conditions; forcing insurance companies to use most of their
revenue for health care instead of profits or CEO pay; providing affordable
coverage for all Americans; ending the “donut hole” in pharmaceutical
coverage for seniors; and reining in the power of the insurance industry.
If Democrats stop now, swing voters will continue to believe that the
Democratic health care initiative was a bad idea. The only way they will
change their minds is if health insurance reform passes, and they begin to see
some of the benefits for themselves – and, just as important – see that the
sky doesn’t fall.
History shows that every major piece of social or economic legislation has
increased in popularity once it is passed.
If comprehensive health care reform is passed this spring, it will rapidly
increase in popularity between passage and next fall’s elections. That is
particularly important for all the House and Senate Members in swing
districts, since it will improve the general political environment and improve
the popular perception of the votes many swing Members have already taken on
health care reform.
2). The fact is that if Democrats don’t pass a bill, swing members will be
stuck with all of the negatives of voting for the bill – and none of the
benefits of passing it. Republicans will advertise ad nauseum about how
Congressman X voted for “Obamacare” but they won’t get the credit from those
who favored the bill, since it never passed into law.
When I was 16 years old, it snowed in my hometown of Shreveport, Louisiana.
When it snows in Shreveport, everything stops and the schools let out.
Well, this snowstorm happened right in the middle of Mardi Gras, so a friend
and I set off on the train to stay with his brother in New Orleans and
partake in the Mardi Gras fun.
In the course of that trip, we were naïvely – and with wide eyes –
walking down Bourbon Street, when a big hawker at a strip joint said something
that taught me an important lesson in life and politics. He said: “Come on
in, sonny, they’re going to say you did anyway.”
Two hundred and nineteen House Members and Sixty Democratic Senators all
voted for health care reform. No matter what happens Republicans will try
to attack them for their vote. Might as well have a major political
accomplishment to show for it.
3). Voters like winners – not losers. They don’t want to hang out with
losers, and they don’t want to support them. If the Democrats – after
working for months on health insurance reform – can’t get it over the finish
line, the voters will write them off as losers and be less prone to give
them their vote.
Being a winner is an independent variable in politics. Once Massachusetts
voters heard that Martha Coakley was a likely loser they began to desert
her in droves. And the same thing works in reverse. Barack Obama got a huge
boost when he won the Iowa caucuses. Part of that was simply because he
was viewed as a winner.
4). Voters don’t like cowards. Nobody likes the guy who blows the World
Series taking a strike instead of swinging at the ball. It would be one thing
if Democrats fight tooth and nail to pass a final bill, and go down
swinging. It’s another thing if they don’t even try.
5). Americans are welling over with frustration that government can’t get
anything done to benefit their lives. As far as most Americans are
concerned, Democrats are in charge of Government. That means Democrats have to
deliver real progress.
If Democrats don’t pass comprehensive health insurance reform, we will
look like more than just losers and cowards – we will look incompetent. Now
that would not be a fair characterization. Reforming one-sixth of the
economy is a huge undertaking. That President Obama and the Democrats have made
it this far is an enormous accomplishment. But that won’t count for
anything among the voters. They want us to deliver.
6). Passing comprehensive health care reform would be a big accomplishment
not only for Congress, but for the Obama Administration. History shows
clearly that the popularity of the President is the major factor affecting
the number of Members of Congress from a sitting President’s party that lose
in mid-term elections.
The failure of the health care reform effort in 1993 led directly to the
Democratic loss of the House the following year.
If you are a Democratic Member of Congress facing a tough race, there are
very few things you can do that are more important to your re-election than
voting to make sure that Congress finishes health care reform.
And there is a clear route to accomplish that goal. Two days before the
disaster in Massachusetts, the House and Senate leadership had come to a
virtual agreement on the final shape of health care reform.
Members of both chambers should pass that agreement. The only issue should
be the procedure used. Basically, it will likely involve the House
simultaneously passing the Senate bill and a “patch bill” that will incorporate
the changes made during the negotiations. That “patch bill” will have to
be passed in the Senate (before or after the House acts) through the “
budget reconciliation” process that is not subject to filibuster.
Members do not need to worry that this will be viewed as “jamming” the
bill through. Any bill that is passed by a majority of both houses is not “
jammed” through. It is passed through a democratic process. What is
undemocratic is the 60-vote filibuster rule that allows a minority to thwart the
will of the majority.
And from a political point of view, no one ever remembers the “procedures”
that were used to pass a major piece of legislation anyway. It will
ultimately be evaluated based only on the impact it has on real people’s lives
in the real world.
While we’re at it, let’s forget all the talk about a “scaled-back” bill
of “market reforms.” If you ban the use of pre-existing conditions to
deny care – which is the main market reform – without requiring everyone to
have insurance, you encourage people to wait until they are sick to get
health insurance. If that were to happen, the price of insurance would
skyrocket, and even fewer people yet would buy insurance until they needed it.
The effect would be a vicious cycle of rising premiums, and fewer and fewer
people with coverage.
To have insurance “market reforms” everyone must be covered. To assure
that, we have to provide subsidies and regulate insurance companies to make
sure that insurance is affordable. That means you need comprehensive
reform.
The leadership of the House and Senate – and the President – are all
committed to finishing health care reform. Now, each and every Member needs to
look carefully at his or her own political self-interest and figure out a
way to get it done. And while they’re thinking, they need to think about
how their grandchildren will feel one day, if they are on the wrong side of
history.
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=1213241439&sr=8-
1)
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