The Health Care Summit: A Win for the Country

Just about every politician who was asked who won the recent health care summit, said that it was a win for the American people. As trite and self serving as that may sound I believe that in this case it may be true. Many pundits are saying that it was a failure or useless because no deal was reached. Yet, this was never a gathering that was expected to reach an agreement. We all knew that Republicans would not join with Democrats regardless of what concessions Democrats might make. Republicans believe their political fortunes are tied to saying no. Democrats, on the other hand, can not give up on health care if anything of their campaign agenda is to be salvaged.

I believe the summit did accomplish a number of things that are indeed good for the country. First of all it was a civil debate and a substantive debate. Keep in mind that this summit has followed months of non civil and non substantive debate. The meeting demonstrated that it is still possible for politicians in this country to speak to each other and act like grownups. Certainly there were a few Democrats and Republicans present who chose to continue the same old tired debate and recriminations, but on this day they were actually in the minority. Voters were able to hear cogent discussions of each side's arguments about health care. For many of us, I believe, it was the first time such meaningful arguments were heard.

What this civil debate demonstrated for those listening is that the extreme positions we have been hearing from both sides of the aisle do not represent with any degree of accuracy what the health care debate is really all about. The tea party and the Republican talking points that speak of death panels and government take overs are empty though perhaps dangerous rhetoric. Moderate and conservative Democrats who allow themselves to be talked in to voting no out of fear of losing their jobs are likely underestimating the American people. The summit will hopefully force responsible politicians to move away from rhetoric about socialism and focus on the legitimate differences that are worthy of their consideration.

The real substantive issues boil down to a surprisingly few but important points. There is of course the question of cost and whether in light of current economic circumstances and budget deficits, the country can afford such an expense. In regard to cost I would make a couple of points. First, there is never a good time to undertake such an expansion of health care. Clearly we have waited for decades and forces continue to be arrayed against its enactment. If health care reform is a good thing, then now is the appropriate time to act. Second, it strikes me that when it comes to money there is never enough money to help poor and middle class Americans. If there is a war to be fought there appear to be unlimited funds. If banks or corporations need to be bailed out the government has ample funds. If ordinary Americans are suffering or in need of help, however, we just can't afford to help them. Finally, the fact is that the Congressional Budget Office(CBO) says that this bill will actually reduce the deficit. It is of course possible that eventually the numbers won't add up, but CBO figures have been the neutral standard for both parties, so you can't accept the figures when they support your position, and ridicule them when they are not to your liking.

The second issue concerns the role of government and its appropriate degree of involvement. If, of course, you believe that government should have no role in health care or any other program to help Americans you will not like this or any health care bill. Yet we ought to at least be clear about what is actually involved here. If you want to talk about a government run health care program you might want to talk about Medicare. It is a government run program, yet, it is difficult to find many Americans who oppose it. Seniors in particular are adamant that their benefits in this program be protected. So apparently some government involvement is a good thing. In the case of so called Obama Care, there is no government run program. In fact the limited public option has been excluded from the bill. Government involvement here refers only to the regulation of private insurance policies. I repeat, we are talking about private insurance companies, not government programs. What is at issue is whether government should demand that insurance companies provide at least a minimum level of benefits to consumers. Government regulators inspect the food we eat, the water we drink etc. Do we want no accountablility of insurance companies? Can we really count on these companies to always protect the public interest with no oversight?

What happens now? Both parties will likely go back to their respective corners and resume the useless bickering. Democrats in the Senate will likely proceed to pass a health care bill through reconciliation. This procedure means that the bill can pass with a simple majority rather than a 60 vote threshhold. Won't that destroy everything that was accomplished through the summit? I don't think so. I think the summit because of its level of serious discussion has cleared the air and made forward movement possible. Some won't like it, but differences were aired and now the majority party and administration has a responsiblility to lead and govern. Just because Republicans have chosen to vote as a bloc to kill all administration legislation does not mean that Congress can shut down and cease operating until the next election.

Whatever the process, efforts at bipartisanship need to continue, but the determination of Republicans not to join should not prevent the administration from acting. Republicans not only had an opportunity to be part of the solution, but also had their serious ideas considered and included in the bill. As President Obama said, the voters elected the president and the congress to govern. Elections will take care of themselves. If the American people don't like what this administration does, they can vote them out. But worse than being voted out would be to do nothing.