On Healthcare, Old-School Pelosi Gave Obama a Lesson in Politics

March 26, 2010 RSS Feed Print
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By Jamie Stiehm, Thomas Jefferson Street blog

The president was saved by the belle.

Congress is a lot like high school--and the endgame of the House healthcare insurance reform vote unfolded true to form. My colleague and editor Robert Schlesinger gives the credit for the breakthrough Democratic victory to President Barack Obama, and I am not here to take that away. For the record, however, the savvy, well-spoken and, yes, elegant Speaker Nancy Pelosi navigated the political waves better than anyone else on the high, rough seas and brought her party and president home.

For a long stretch this bitter winter, many a Democratic senator and congressman (and I say man deliberately) walking the marble halls was willing to let up or call it a day for healthcare. Especially with a new kid in school named Scott Brown, whom many saw as a deal-breaker. Not so Pelosi.

Understandably annoyed with the Senate for being so slow in the summer and feeble of heart in the winter--not to mention shying away from the public option because of one Joe Lieberman--the speaker girded her people of the House for old-school politics. Not by new math, not by poll, not by online chats, but the old way of counting noses and votes, shaking hands, listening to each wavering member's stories, one by one. She showed the president how it's done, taking him through her side of the U.S. Capitol, pointing out members who still needed persuasion.

Obama, who has a soft spot in his heart for strong women, listened and heeded her advice as the smartest boy in class. It took a year, but the president has clearly shifted his reliance from Senate Majority Leader Harry Reid to Pelosi when it comes to his main man--or woman--on congressional strategy. Since he knows the Senate better from his four years as a freshman from Illinois, Obama at first looked to Reid for advice. The workaday world Reid didn't do anything special; nor did he save any days or ace any tests. Now Pelosi has earned her place as the president's first counselor on Congress after delivering a historic win for Democrats. Legislative branch power has shifted over to the more fractious, but more true-blue, House Democrats, in a real sea change.

Credit is also due to Baltimore back in its heyday in 1950, when its population peaked at 900,000. The speaker is seen as a liberal, glam grandmother from San Francisco, but she grew up in Little Italy of Baltimore, where her father was the well-known mayor. Baltimore was a big city of ethnic enclaves, a busy port and an industrial powerhouse--ever hear of Bethlehem Steel? It was--and is--a place where Irish Catholic, Jewish, African-American, Greek, and Appalachian communities thrive, second only to New York as a destination of immigrants from the Old World at the turn of the 20th century.

I still love Baltimore as a former reporter for The Sun. It's the kind of place where you can go looking through the parlor, garden, halls of Notre Dame, a Catholic girls school and find an ancient nun in the kitchen, making lunch for the schoolgirls. Sister Hilda, sure enough, remembers, "Little Nancy" when the speaker was young in the 1940s. While she was growing up as a girl in the flourishing downtown, Pelosi was cherished as the city's daughter and watched how her father walked the precincts, collecting friends and trading favors in the Democratic stronghold.

Sister Hilda told me Nancy learned her lessons in school very well. Sister Hilda was right. The speaker is now running a school of her own.

Tags:
Joe Lieberman,
Congress,
Nancy Pelosi,
healthcare,
Harry Reid,
healthcare reform

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You wrote:

"While she was growing up as a girl in the flourishing downtown, Pelosi was cherished as the city's daughter and watched how her father walked the precincts, collecting friends and trading favors in the Democratic stronghold."

In the above quote, you are referring to the way D'Alessandro ran things in Baltimore of the late 40's and 50's. Perhaps you meant to say "collecting favors and trading friends". This is hardly the type of democracy and ethics we should aspire to in Congress. I remind you of an article in 4/09 in the Baltimore Sun, (quite a liberal paper and your former employer), where Justin Fenton asks whether Baltimore is the most corrupt city in the US.

As Speaker of the House, Pelosi needs to transcend the political bickering, listen to the American people and do the right thing for the Country - not for the Democratic Caucus or her own District. The tricks of the trade in Baltimore city politics are hardly what we should aspire to on the national arena.

P.A. Weiner of NY 10:55AM May 25, 2010

tiger lily of DC, just another reason we need healthcare reform. IOW Take the big bucks out of doctor specialization. If a doctor in just in it for the money, its one less doctor we need.

We need to expand medical schools here to turn out more doctors, instead of importing doctors from other countries. Note the Student loan reforms in the healthcare law will help pay for new American doctors.

suzyQ of LA 6:14PM March 31, 2010

"We hear there is a doctor shortage

I think you will find that when more people seek to access doctors (because with insurance reform they will be financially able to do so), there will be more people seeking to become doctors in order to serve them. It's our next job to see to it that existing doctors and their licensing boards do not try to freeze out the new cheaper ones that will be trying to come on board as a direct result of the reform bill."

^^^^^

news flash: the upcoming doctor SHORTAGE OF PRIMARY CAREGIVERS IS ALREADY HERE!!

what is your reasoning as to "new CHEAPER ones that will be trying to come on board"?!

NEW doctors coming into the system will STILL be OVER $200,000 IN COLLEGE DEBT -- what incentive would they have to offer CHEAPER care -- especially in light of further REDUCED payments for many Medicare/Medicaid visits??

the current shortage of GENERAL PRACTIONIERS is due to young doctors opting to go into SPECIALIZED MEDICINE {where the money is - to be able to pay off their college loans}

many of our local clinics are staffed with {a rotating door of} foreign doctors - mostly coming in from former Soviet bloc countries. yet as soon as they get their foot in the door - they leave for better {paying} positions in their SPECIALTIES!

we have heard that the government was considering "forgiving medical loans" IF a new doctor agreed to practice in a rural community for 5 years? {or maybe we've just been watching too many really old reruns of Northern Exposure?!}

ANOTHER OPTION {which we haven't seen discussed} IS NURSE PRACTIONIERS -- which can do everything a doctor can except operate {yet it doesn't seem that the doctor's offices charge you any less for seeing them?!}

whatever they come up with needs to be started NOW . . . the average wait to see a doctor in Massachusetts is 44 days - it will only get longer in the rest of the country if the shortage of PRIMARY CARE DOCTORS is not addressed asap

still the only CHEAPER care appears to be if you pay CASH upfront {with NO health insurance billing costs!}

tiger lily of DC 3:46AM March 30, 2010

Jamie Stiehm

Jamie Stiehm

Jamie Stiehm is a weekly Creators Syndicate columnist. Her op-eds on politics, culture, and history have appeared in newspapers across the nation, including The New York Times and The Washington Post. She previously worked as a reporter at the Baltimore Sun and The Hill. Jamie's first journalism job was as an assignment editor at the CBS News bureau in London.

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