Health Reform Summit Illustrates Differences Between Obama, Republicans

February 26, 2010 RSS Feed Print
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By Linda Killian, Thomas Jefferson Street blog

There were no surprises at the Blair House health summit Thursday which served primarily to highlight the real differences between Republicans and Democrats--not just on healthcare but on their general political philosophy.

It's pretty simple--Democrats believe government is the answer to big problems and should take care of people, and Republicans believe the private sector is always the best way to go and people should take care of themselves.

This is a political chasm too big to bridge no matter how hard President Barack Obama tries or how reasonable he sounds.

For those who attempted to watch the whole thing--and why would you unless it was your job--it was not either as theatrical or as productive as one might have hoped.

In Hill-speak the session was less like a mark-up and more like a committee hearing with no witnesses. Every member wanted their chance at the microphone--even if they didn't really have anything very interesting to say. For the most part the session was plodding and grim with little real give and take and almost no humor.

As Alessandra Stanley wrote in the New York Times, the whole thing "made an ad hoc working group of the United Nations General Assembly seem festive."

Try as he might, Obama had almost no success in getting the Republicans to offer specific changes or suggestions to the Democratic approach to healthcare reform. He was looking for amendments and instead he got talking points.

The Republicans had obviously decided ahead of time what their strategy would be, that the Democratic approach was no good and had to be thrown out. In other words, health reform the way the Democrats want to do it has to be killed.

Jon Stewart on The Daily Show had a hilarious montage of one Republican after another saying--scrap it and start over.

When it comes to staying on message nobody does it better than the Republicans. That's another difference between the two parties--Republicans are disciplined and Democrats are chaotic and unruly.

Obama started out the meeting by saying he hoped to focus not just on where the two sides differed "but where we agree." The Republicans, however, were not having any of that kind of talk.

His plea for a real discussion and not just the trading of talking points fell on deaf ears.

"If we're listening to each other… we might be able to make some progress," Obama told the Republicans. Fat chance.

Republican Sen. Lamar Alexander of Tennessee was the first to present the Republican position--the Democrats are attempting to affect a government takeover of healthcare and that is fundamentally unacceptable so there's no point tinkering at the margins. He also called for the Democrats to "renounce" the idea of using reconciliation in the Senate to pass health reform which would require a simple majority vote, rather than the 60 votes needed to prevent a filibuster.

Obama in his closing remarks correctly pointed out that he has included some Republican ideas and is willing to consider even more including using a market based approach to create insurance exchanges, allowing health insurance to be purchased across state lines, trying to address waste and fraud in the system and looking at medical malpractice reform.

But he also said at the end of the session that the fundamental difference between the two parties is that the Democrats want to find a way to provide coverage for the Americans who don't have health insurance and Republicans don't see that as one of their fundamental goals.

"I don't know whether we can close that gap," Obama said.

Obama also addressed the problem directly in his concluding remarks--the GOP base isn't interested in the approach the Democrats are taking, so politically speaking, there isn't really a reason for the Republicans to support the measure.

"I thought it was worthwhile to make this effort," he said with resignation.

Obama left the door open to the Republicans to offer some additions and changes but made it clear the Democrats will go forward with or without them.

"And that's what elections are for," he said.

That's what the Republicans are counting on--that the Democratic approach to health reform, if they are able to pass it, will be unpopular enough with voters to give back control of Congress to the GOP in November.

But moderate Democrats in tough races, especially in the House, are looking ahead to the November election too. And they, not the Republicans, hold the key to passing any kind of reform. So far, there's not been too much attention focused on winning their votes but there should be.

More on that in my next post.

Tags:
Republican Party,
healthcare,
healthcare reform,
Barack Obama

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Not only is the entire healthcare reform debate theatrical, indeed, but it is both comedy and tragedy rolled into one.

Seriously, but the Bard (William Shakespeare) would have loved watching.

The tragedy clearly lies in the promotion (by Democrats, in this case) of an absolutely unprecedented attempt to coerce otherwise free beings into contracting with private insurers (the individual mandate).

The comedy, of course, lies in what everyone knows about basic contract law, which is that contracts entered into while under duress (wouldn't coercion be considered duress?) are not exactly valid.

If this isn't theater, what else would one call it?

Angie Koutrotsios of IL 8:26PM March 02, 2010

“Here's the key fact: The bill will be (allegedly) deficit neutral because of hundreds of billions of dollars in Medicare cuts. If it passes, these will be the largest cuts in Medicare ever. Is the Democratic Party as a whole willing to go into the 2010 election as the party that slashed Medicare? Are individual Democratic members?"

http://www.weeklystandard.com/weblogs/TWSFP/2009/10/kristol_breaking_news_pelosi_t_1.asp

Add the fact people will be paying for health care immediately but not getting coverage for years. After next Presidential election.

Republians are following the polls against obamacare.

“Obama Received $20 Million from Healthcare Industry in 2008 Campaign”

“Almost three times the amount given to McCain”

http://www.commondreams.org/headline/2010/01/12-9

Bill Hedges of MO 8:39PM March 01, 2010

teri of WA wrote: "The President's bill is Deficit Neutral! In fact, the bill will foster competition which in turn will bring down costs. Overall, the bill Will save money and thwart skyrocketing health care costs!" RIGHT and I have bridge to sell you in Brooklyn.

How exactly does he want to foster competition if it doesn't allow competition. Why can't someone in Idaho get insurance from a company from Arkansas? How is that fostering competition? Besides, the government will be the 900 lb gorilla in the ring. I think you mean to say, squash competition.

When government is the only player, then government owns a monopoly interest and thereby controlling interest and will arbitrarily set prices. That's called price fixing, gouging, death through taxes, etc. That's nice coming from the big brother who can't get his financial house in order. That's reassuring.

How will it save money? Is there any talk about tort reform? So, mom died because the insurance company denied one more MRI and the insurance company is sued. The insurance company goes to court and a liberal judge and jury fix a punative penalty of several million dollars. Who does someone sue . . . the government? That's going to save money? Lawyers are salivating at the thought of getting in uncle sam's deep pockets. No wonder there's no discussion of tort reform.

david of ID 7:26PM March 01, 2010

Linda Killian

Linda Killian

Linda Killian is a Washington journalist and a senior scholar at the Woodrow Wilson International Center for Scholars. She is currently working on a book called Swing about Independent/Centrist voters for St. Martin’s Press. Her previous book was The Freshmen: What Happened to the Republican Revolution?

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