corporatism

“Aspirin for cancer.” That’s the way a doctor in my neck of the woods characterized the health reform bill passed this weekend, to the wailing and gnashing of teeth (and worse) from some quarters, and to some nearly as deluded self-congratulatory partisan nonsense from others.

I’m still waiting for those public forums on C-SPAN that Obama promised when campaigning. You know, where all parties come to the table, instead of legislation based on a series of shady back-room deals with insurance and pharmaceutical execs and lobbyists.

Those deals were again confirmed recently by New York Times reporter David Kirkpatrick on the Ed Show.

[Y]eah, I think the hospital industry’s got a deal here. There really were only two deals, meaning quid pro quo handshake deals on both sides, one with the hospitals and the other with the drug industry. And I think what you’re interested in is that in the background of these deals was the presumption, shared on behalf of the lobbyists on the one side and the White House on the other, that the public option was not going to be in the final product.

And last week I wrote that the basic outlines of this bill owe a lot to that great progressive Bob Dole. Now, I am reminded, via Taylor Marsh, that an even more ironic architect stands cackling offstage, none other than the mighty Milhouse himself:

It was back in 1971 and President Nixon was concerned that he would once again have to face a Kennedy in the next year’s election — in this case a Kennedy with a proposal to extend health care to all Americans. Feeling the need to offer an alternative, Nixon asked Congress to require for the first time that all companies provide a health plan for their employees, with federal subsidies for low-income workers. Nixon was particularly intrigued by a new idea called health maintenance organizations, which held the promise of providing high-quality care at lower prices by relying on salaried physicians to manage and coordinate patient care.

At first, Kennedy rejected Nixon’s proposal as nothing more than a bonanza for the insurance industry that would create a two-class system of health care in America. But after Nixon won reelection, Kennedy began a series of secret negotiations with the White House that almost led to a public agreement. In the end, Nixon backed out after receiving pressure from small-business owners and the American Medical Association. And Kennedy himself decided to back off after receiving heavy pressure from labor leaders, who urged him to hold out for a single-payer system once Democrats recaptured the White House in the wake of the Watergate scandal.

But it should tell you how far the country has moved to the right that the various proposals put forward by a Democratic president and Congress bear an eerie resemblance to the deal cooked up between Kennedy and Nixon, while Nixon’s political heirs vilify it as nothing less than a socialist plot.

Yes, we’ve come a long way, in an icky direction. But the Republicans’ appalling behavior is really the sputtering of the powerless. The GOP and its elected functionaries are simply obstructing a deal they wish they had struck. As for their shock troops, the dissonance is simply too much and they are bellying up to the table and scarfing down vast quantities of their peculiar comfort food: paranoid ideas of a super-powerful government and, that old standby, race-based vilification. They are burrowing deeper into their crazy places than I had thought possible.

But the lunacy of certain powerless factions, while capable of generating horrific acts, is a sideshow.

The main event is this: the party in power made a bargain with industries with a proven record of doing actual harm to the health and well-being of the electorate. The president spoke in favor of a public option while in private reassuring insurance and pharma that it ain’t gonna happen on his watch. Really. He did. There is no electoral justification for this strategy, as the Republicans were going to oppose anything he put forward anyway.

Obama is indeed a walking Rorschach test, but I would humbly submit that he is not the Hitler/Stalin/Chavez/Satan composite of the teabaggers’ fevered imaginings. Just as important, some of his partisans need to get a clue. He falls waaaaaaayyy short of being a heroic champion of progressive values.

This bill, if it ever gets enacted, four years down the line, might be a step in the right direction. Or, even its supporters must accept, it might not. It’s a mess. As Michael Moore points out, some will benefit hugely, but, as Donna Smith, a blogger on his site, also notes, in the near term, people will keep dying by the thousands for the crime of not being able to pay for health care. “The dead SiCKOs would still die; the bankrupt and broken would still break; and the ill would still suffer.” In large part this is because the President and Congress suddenly value thrift with the national budget (except, uh, it need hardly be said, here) and the patronage of cronies over their voters’ lives.

The Democrats can count their blessings that they exist at the same time as the current version of the Republican party, which has pretty much gone completely crazy. In the presence of such batshit opposition, they get a pass for being merely appalling.

With the groundswell of support and good will they had in the 2008 elections, the sky was the limit, but they took single payer off the table immediately, and cut a deal eliminating any kind of public option (while singing its praises, and fretting that they didn’t have the votes). We’re still going to have a single payer system in this country. We could have done it this year, but it will have to wait until millions more are overwhelmed by the costs of health care, which this legislation does nothing to contain.