Now it is Clear Who is in Charge
“Senator Olympia Snowe, a member of the Senate Finance Committee, where the most-watched version of the health care bill is being written, said on CBS’s “Face the Nation” that the so-called public option is “universally opposed by all Republicans in the Senate” and “therefore, there’s no way to pass a plan that includes the public option.”” The New York Times article went on to say, “A new government insurance has been roundly opposed by the health care and insurance industries, and Republicans have argued that it would create an alternative to employer-sponsored private plans that will lure millions of insured workers away and lead to a dysfunctional single-payer plan.”
If the Republicans and the health care and insurance industries don’t like it, it must be a good idea. So it is clear who is in charge of health care reform, and it is not the Democrats. Senator Snowe is, of course, referring to the filibuster requirement of 60 votes. But one has to remind the Democrats that our democracy as defined in our Constitution does not require 60 votes for a health care bill. The Constitution is clear about what actions require a super majority, but lets each house set its own rules, thus the filibuster in the Senate. The Democrats have tied their own hands because they have failed to call the Republican’s bluff and stand firm for what they believe will work. They seem to work under the impression that half a loaf is good enough when in fact it may just worsen the situation. I wonder how the Republican Party would fare if the Democrats stood firm on a Public Option and forced the Republicans to actually conduct a filibuster, exposing their nihilist approach to our problems for all to see.
Senator Snowe went on to say scuttling the public option for good “could give real momentum to building a consensus on other issues.” Read the words “real momentum to building a consensus on other issues” as meaning do it the Republican and health industry way so that the bill enrolls lots more people, but does nothing to really correct the massive cost growth problem. Building consensus with Republicans has really worked well for the Democrats in the past, hasn’t it? If they are stupid enough to go down this road again they deserve to be out of power.
Republicans mean only one thing when they say bipartisan, and that is do it our way. Real negotiations would have been insisting on a single payer system and then compromising to a public option. As it is, President Obama and his band of weak-kneed advisors gave up the single payer system before the game began, have not stood firm for the public option, and then made side deals with the health care industry to try to defuse opposition. It was a stupid play when they could have used the opposition to their advantage. It is unlikely now that we will get any real health care reform that makes a difference or put in place the incentives to control costs, unless the Democrats decide to fight the filibuster. Will they? I don’t think they have the guts. It has always been their fatal flaw that Republicans have turned to their advantage.
What we need is a strong public option and a real look at how unlimited health care incentivizes unlimited spending. Probably a mix of public and private insurance such as France has is the optimum approach (See Roger Cohen op-ed, Get Real on Health Care), with a look at how to make consumers more discerning about how they spend their health care dollars (How American Health Care Killed My Father). If Congress brings anything forward without a public option, it should be killed because it doesn’t address the underlying problem of mushrooming costs and has no mechanism to control the private industry by competition. We need to stand firm for what is right and will work, not half measures that may cover a few more but bankrupts all of us in the end.