Showing posts with label Health Care. Show all posts
Showing posts with label Health Care. Show all posts

Tuesday, September 14, 2010

Do You Remember the Moment? No, Really, When Was It?

There are a lot of folks out there who still strongly support President Obama. There are also folks out there who thought him an irredeemable fraud from the moment of his nomination and before.

This article is not for them.

It’s for those who supported him and welcomed the Democratic hegemony that trailed him into office and now don’t like either one. It’s even for folks like me who didn’t vote for him but thought there was a fairish chance he would govern practically, somewhat like Bill Clinton; or folks (also a little like me) who found his stylish sophistication a welcome change that carried with the possibility for an enhanced American profile in the world. That, combined with bulletproof Democratic legislative majorities, guaranteed at a minimum that the era of extremely disappointing Republican rule was over.

My question for that rather large and growing cohort of Obama/Democrat apostates is – when did you know? What event finally convinced you that Obama and the Democrats (who were unanimously following his lead) had clearly broken faith with their promise and were not going to turn back to the center?

Here’s my example from the latest Bush administration. I’ll bet I share it with a lot of people who voted for G.W. a couple of times but gradually grew disgusted with his spending, his inattention to the military situation in the Middle East, and his failure to communicate clearly his . . . well, just about everything.

If there is one presidential gift that keeps on giving, it’s Supreme Court justice appointments. When Sandra Day O’Conner retired, President Bush’s base saw that rarest of opportunities to replace a mostly-unfriendly and at best unreliable vote with a much more solid jurist, an asset that could pay ideological dividends to the Republican core for years to come. There were many distinguished candidates, some of them women. But what did Bush do? He walked out of his office, spotted White House counsel Harriet Miers, said “you’ll do,” and walked right back in.

Harriet Miers and President Bush

It may not have been quite that casual – he might have run it by Karl Rove – but the decision couldn’t have been given much more care than that. It was a terrible pick. Miers and her views were unknown. She had crafted a successful but careful career as a Texas lawyer. Abortion, one of the most important issues to the base – no idea where she stood. No judicial experience. She was a woman for a “woman’s seat,” apparently her sole recommendation. Tokenism plus cronyism, sheesh. It was George W.’s equivalent to George H.W.’s reneging on his “read my lips – no new taxes” pledge. The Miers nomination pretty much proved to anyone still prepared to give Bush the benefit of the doubt that the man simply did not give a damn – or that if he did, he was giving altogether the wrong kind of damn.  The entire right and much of the Cool Hot Center revolted and Bush was humliated into withdrawing her nomination.  A far superior candidate (Samuel Alito) took her place.

Many pundits have speculated on the cause of President Obama’s breathtaking decline. (I hesitate to call it a “fall” – I’m not at all sure the guy won’t make a comeback, and sooner than anyone might think. He’s been formidable and can be again, especially if the Republicans continue their flirtation with Tea Party peckerwoods like Sarah Palin as serious presidential possibilities.) Amazingly, Obama is lazier than either Bush. But if he rallies, look out.) You hear a lot of chatter about the failure of the massive stimulus to create jobs, but I hold with those who believe the discontent runs much deeper – people feel defrauded generally, and they absolutely disbelieve the promises made for the President’s policies.

Yeah, but when did you know that the awfulness of O/Dems’ first year was only going to intensify? When did you know that they simply had to go?

I have a candidate.

I feel for President Obama just a little. (I mean, it’s really a tiny little feeling, itty bitty thing.) He put his legislative agenda in the hands of two of the least appealing political figures of our time: Nancy Pelosi and Harry Reid.  Pelosi is tough but not smart; Reid is – I don’t know, it just seems like the guy needs more sleep or maybe an adjustment to his spectacles prescription.

First Lady Michelle Obama demonstrates appropriate presidential obeisance to Sen. Harry Reid (D-Nev.)

It was Pelosi who gave us that crystallizing moment on March 9, 2010. Heavens, let’s not take it out of context:

"You’ve heard about the controversies within the bill, the process about the bill, one or the other. But I don’t know if you have heard that it is legislation for the future, not just about health care for America, but about a healthier America, where preventive care is not something that you have to pay a deductible for or out of pocket. Prevention, prevention, prevention—it’s about diet, not diabetes. It’s going to be very, very exciting.

"But we have to pass the bill so that you can find out what is in it, away from the fog of the controversy."

There it was, in one sentence, in one phrase. And this was not a casual misstatement or an offhand response to a reporter’s question. This appeared in remarks prepared for delivery to the Legislative Conference for National Association of Counties. Rep. Pelosi is proud of this statement.  She issued a press release and you can still find it on her website.  Now in fairness: If you read the whole statement, you might conclude that her intention here was to say that the blessings of healthcare reform will only be fully appreciated when it is enacted.

But recall that this statement was issued at a time when it had become apparent that legislators themselves in fact did not know what was in the healthcare bill, could not explain its operation, fled from questions about its contents, had to be bribed to vote for it (Nebraska Sen. Ben Nelson's shocking abandonment of princple was only a couple of months old) and had not, in fact, even bothered to dip into its 2,409 pages to discover the monstrous new bureacracy that would have charge of a huge chunk of the U.S. economy.    (Source: Republican Congressman Kevin Brady’s staff. If the accuracy of this chart has been challenged, I haven’t been able to find it. Brady has said that this is only a partial chart containing only about a third of the plan’s Medusan entanglements. (Actually, he didn’t use the phrase “Medusan entanglements.” That was, uh, me.))

So when Rep. Pelosi said that we have to pass it to find out what’s in it – you know, “away from the fog of controversy” caused by people asking to know what’s in it – she broadcast O/Dems’ fundamental contempt for the deliberative process. It showed their arrogance and indeed, the arrogance of contemporary liberalism, which is no more attractive or justifiable than the arrogance of the right personified in the bad old days by the likes of Newt Gingrich and Karl Rove (who have in recent years somewhat repented of that attitude). It was disrespectful. And it was myopic – the O/Dems simply saw things wrong. They misread the results of the election. They misread the interest and attention span of the American public. The congressional Democrats misread the nature of Obama’s appeal (so did Obama). And they misread history and the experience of every country (and state – let’s not forget the failing Romneycare in MA) that has ever nationalized healthcare. And, of course, they didn’t even misread the law they passed – the horrors hidden in its labyrinthine prose (and folks, I know a little something about labyrinthine prose) are still being excavated, because they never read it at all.
Rep. Nancy Pelosi (D-Cal.) (top); Reptilicus (political affiliation unknown)

That was the moment for me. The contempt, the arrogance, the misunderstanding, the regular-style ignorance, and the intentional ignorance – folks, this is how the entrenched political elite thinks. Some Republicans, too. 

Get out the brooms.  And keep them close at hand for 2012.

Nancy Pelosi, President Obama's deluded handmaiden, has done us the favor of explaining the Tea Party in seventeen words.

Wednesday, July 21, 2010

Oh My Lord God Almighty -- It Just Dawned on Me That the BP Blowout Could Save Obama's Bacon -- or, It Takes a Spillage

I woke up one recent morning with a start, possessed of one of those intuitions that you only get when you’re still half-asleep. You know, that brief period in the semidark when you’re beginning to think clearly but all of the assumptions that encrust your daily life haven’t yet reattached themselves to your judgment and your mind works about as freely as it ever does.

And while I lay there, cursing the poodles for whining to be let out for some leakage of their own, I realized that there is at least a fair chance that the BP Blowout could save the Obama Presidency.



There are several preliminary matters to consider:

     • The accident was not his fault, any more than Katrina was Bush’s fault.

     • Like Bush’s response to Katrina, Obama’s response to the Blowout has been diffident and tepid. But rescuing people from catastrophic floods is something that governments have known how to do, and the Bush administration did not distinguish itself. Obama’s dithering does not upset us to the same degree, because governments are not expected to know how to fix blowouts, and nobody at all knows how to solve this problem.

     • The right and the left are taking shots at Obama over the Blowout because they’re mad at him about other things. With good reason, by their lights, but their criticism of him over the Blowout looks like piling on, because of (1) and (2). (But I must say, all the golfing and partying does betray a certain tone-deafness in this guy.)

OK, so preliminarily, we start out with a certain shakiness in the current unhappiness with the Obama administration over the handling of the Blowout. Add to the weakness of the charges against Obama on this score the following:

     • The Blowout has crowded off the front pages – or at least to below the fold – bipartisan and public dismay with the poor policy decisions for which President Obama and the congressional democrats are responsible. When was the last time you heard anything about the health care bill? The latest OMB, CBO, and HHS cost projections? Employers cutting group plans? They’d curl your hair if it ever uncurled after watching children running screaming from tar balls advancing on their favorite vacation beach.

     • Similarly, the public preoccupation with the Blowout disguises the Administration’s continued implementation of its extreme statist agenda through agency regulations, which has only accellerated in recent months.

     • The nomination of liberal Supreme Court Justices was one of conservatives' greatest fears during the presidential campaign, and in recent years nominations have been flash points for highly partisan debate.  But the confirmation process of mediocre ideological-cipher-but-demonstrably-rather-left-of-center Elena Kagan  has excited relatively little media interest.

     • The Republicans are displaying their customary lack of strategic vision in their reaction to the Blowout and the Administration's handling of it.  Their efforts to direct attention to the longer-lasting damage the White House is visiting on the nation through bad policy are lukewarm and diffuse.  Neither the Republicans nor the Tea Party Express have any bright ideas on what to do about the Blowout, and they (and the right in general) are perceived by the public as supportive of Big Oil and, in particular, drilling for crude offshore and in other exotic places.

     • Sooner or later – surely before Election Season 2012 rolls around – the Blowout will have been mostly solved and the cleanup will be well underway. I also suspect we will find, as we did with the Amoco Cadiz and the Exxon Valdez, that, horrendous as the damage was, the sea and shores will heal more quickly than predicted. And just as Obama generated bad feelings with his early failure to do anything about the Blowout, he will get credit for the greatly improving situation. He will have earned neither the obloquy nor the credit, but no matter – the credit will come his way during a time when he will be looking to trade on it for re-election.

So I don’t think the Blowout will be Obama’s Katrina. I think it may well be closer akin to his Operation Desert Storm, a distraction from his failures and weaknesses whose eventual less-fatal-than-imagined resolution will relieve the public to such an extent that it will credit the President simply for standing nearby.

I concede: The foregoing speculation gives President Obama credit for some political foresightedness – he can’t continue to make appalling high-profile policy blunders between White House parties and hope no one will notice.

But as I rest my head on the pillow at the end of a long day, poodles crated for the night after their final wringing-out, the Memsahib switches to the news and I see that Attorney General Holder is suing Arizona for enforcing federal immigration laws, that President Obama has sailed way past President Bush in number of golf rounds played (including almost a dozen since the Blowout), and that they let Joe Biden out to make another speech. The day falls away and slumber's approach is hastened by the sweetdream thought that President Obama’s post-Presidential memoir will be titled My Term.

Monday, March 22, 2010

I'm Sorry . . . I Couldn't Resist: Separated at Birth?

[Photos 100% guaranteed unretouched.]

Speaker of the House of Representatives
Nancy Pelosi (D.Cal.)

Reptilicus

Who is [Responsible/to Blame (Pick One)] for "Health Care Reform"? Republicans.

I heard John Boehner bemoaning the lack of "bipartisanship" and "transparency" as the Democrats marched the health-care bill to victory.   This speaks volumes about how we ended up with the thing.  If the Republicans think those two flaws are going to rally the public to the GOP in November, they will continue to flail and fail.

Why is there a lack of bipartisanship?  One reason:  The Republicans stank in the voters' nostrils after eight years of their inattention to their their common-sense base, with George Bush as their increasingly charmless poster boy.   That base was and is not conservative across the board, but it was certainly concerned over deficits, the expansion of government, and corruption in the financial markets -- none of which the Republicans showed much concern about.  That Republican base was also alarmed over the primitive communications skills of its leader, and his apparent bafflement over justification for the Iraq war and how to run it.  Republicans then chose a weak, old and old-seeming, fake-maverick, Washington-based presidential candidate who in turn chose a lightly-vetted punch line as a running mate.  Those two could not make a principled case for more of the same, there being no discernable consistent Republican princples upon which a persuasive case might have been made.  Bullet-proof Democratic majorities in both houses were almost inevitable, as was the election of a pretty appealing guy no one really even cared to know too much about, voters and pundits having decided that whatever he was offering had to be better than the shock-and-aw-shucks attitude we saw out of the White House -- and the go-along/get-along Republican leadership.

And by the way:  Who expects "bipartisanship" if real honest-to-god principles of American democracy and the nature of "rights" are at issue?  Don't give me "bipartisanship" that results in agreement on bad law.   If this is truly the polity-destroying development you claim it is, Republicans, and not some run-of-the-mill social tinkering where compromise is desirable and expected, then dammit, don't bleat about "bipartisanship" -- show some fight.  Produce some oratory.  Lead those rallies, don't wait for the Tea Party people to grab this issue. 

No transparency?  Yeah, yeah, I know, Obama promised it and it was a fib, and that's not a good thing, but no one much cares about it.  "Transparency" is one of those issues, like whether Supreme Court nominees should be vetted for ideology or only for minimal judicial competence, upon which the parties routinely, and accurately, accuse one another of hypocrisy.  Lack of transparency is not a persuasive criticism of the health-care bill.

If the Republicans are going to make a comeback, attacking a process they will certainly embrace if and when their day ever returns is simply inept.  Any attack on the health-care bill (and immigration reform, and any other hard-left Administration initiatives, of which we can expect to see even more now that this battle is lost), must be based on the merits, for example:  

     whether universal health insurance and health care is a "right";

     the magnitude of the embedded tax incresaes on earners Obama promised would not see one; 

     whether the deficit-reduction math works in the current bill;

     whether health-care rationing and government interference in health-care decisionmaking is inevitable;

and many more.  Do the Republicans have anyone who can do that?  Apparently not -- we heard some scattered voices in princpled opposition, but they never came together.  Where was Mitt Romney?  Fearful of peaking too early?  Compromised by the health-care program he championed in Massachusetts when he was governor which is rapidly failing?  Did Tim Pawlenty grab you?  Has Bobby Jindal hired a necktie consultant?

Love health-care reform or hate it, you may identify among its founders a compromised and sparsely-talented Republican Party.  

Sunday, March 21, 2010

Is It Resignation or Disbelief?

As I write this (7 PM CDT) I have no idea what's going on with the health care vote. But after all the back-and-forth on this thing I sense a certain lack of interest in the population. Part of it is tired-head after having heard that the bill was a certain go, or a certain no-go, and after months of back-and-forth as to whether or not it will be deficit-neutral. (A non-factor, in my opinion, which I will likely report shortly.) Another part is:  I can't do anything to influence the knuckleheads on either side of the issue at this point.  Another part is:  I've heard these life-and-death ideological arguments before and I'm still alive even when the side I favored didn't win.



But some of it is: I just flat don't believe anything this dumb and corrupt (and, to the extent not known to be dumb and corrupt, just plain unknown) will eventually become law in the form advanced by its partisans, and, appalling as our elected leadership on both sides of this issue may be, it will either be repealed or moderated in some way before it ruins me financially or renders laughable the concept of meaningful health care choices for my old age.

So, we wait. And then we will wait again for November 2, 2010.