The PBS NewsHour program tonight ran two segments on health care.
The first focused on the behind the scenes politics over the "public option" issue. The second dealt with diseases that afflict the working poor and racial minorities (open link below). The common denominator of both is that as long as the US health care system denies coverage to 50 million people the most vulnerable among us will not only have no health insurance coverage but they will die prematurely and often from undiagnosed illnesses.
http://pbs.vo.llnwd.net/kip0/_pxn=2+_pxI0=A3347+_pxL0=begin+_pxM0=+_pxR0=10799+_pxI1=A3337+_pxL1=begin+_pxM1=+_pxR1=10800+_pxK=17082/newshour/rss/media/2009/10/27/20091027_parasites.mp3
If the USA was a Third World nation, we might say that's just the way things are. But the USA is the richest and most powerful nation in the world - so why don’t we unlike our closest allies Canada, Japan and most European nations have national health care? The answer is quite simple. The medical industrial complex (MIC) of this nation from the Great Depression on has been able to use its political clout to stop anything close to universal coverage.
That political clout is very evident in corridors of power in DC today. But most of us don't see it because the lobby power of this MIC isn't a daily reality to us. But when you see Republican Senator Olympia Snow from Maine and her country cousin Susan Collins also from Main say they will not vote for "any" public option plan in a health reform package - you know the lobbyists from big Pharma, big Insurance and the American Hospital Association are lurking in the shadows.
I pinpoint Senators Snow and Collins for two simple reasons - they are women and they are Republicans. They are not alone in the GOP ranks for opposing the "public option" which creates a government run health insurance plan to compete with private plans. But being women legislators and more liberal Republicans than the norm, one would think their consciences would rise above ego, partisanship to do the right thing. So much for gender and being “liberal” making a difference!
I'm not going to get into the minute nuances of dissecting the public option concept. Let's just say it's the closest thing we'll ever get to something like single-payer. Public opinion polls now show that a majority of Americans favor some type of public option plan being included in health reform. It may be an opt in, opt out or trigger public option plan. This is still to be determined as the legislative process takes its convoluted path to resolution.
But having watched the debate in Oregon over health care reform this past two sessions the one thing I know from experience is that the medical industrial complex will have its lobbying lackeys ready to pounce to sow seeds of confusion and disarray among the ranks of those who need health care reform - 600,000 Oregonians and 50 million Americans left out in the cold without health insurance. And these lobbyists are so smart they will convince the victims that a public policy option will be "bad" for you.
I vividly remember being in Salem last session on a late Friday afternoon when most legislators are gone - headed home to their districts to rest and visit their constituents for the weekend. But low and behold I found at 3 p.m. in the afternoon a House committee work session on health care reform being chaired by Representative Mitch Greenlick (D, Beaverton). The room was packed with over 40 lobbyists. They were not testifying - that's not allowed in a work session. They were taking notes!
From off the record conversations following this meeting I gathered many of those lobbyists were not exactly fans of Representative Greenlick. I have my own reservations about the bill too. It didn't go far enough because it gave us a shell of reform - the Oregon Health Authority - without the regulatory or funding mechanism to make it real. It's still a work in progress. But sometimes a half a loaf is the best you can do.
What was stunning is that the certifiably smart lobbyists who represent the health care industry in Oregon were opposed to health care reform if it cut into their client's profits. These are people one admires for their understanding of politics. However, in retrospect I now realize that like their brethren in DC - they are "hired guns" and in this case their clients in Oregon and beyond had bought their services to "stop" reform not to make it happen.
If President Obama and the Democratic leadership in Congress keep their eyes on the prize we will get meaningful health care reform by the end of this year - reform that prevents insurance companies from denying you coverage based on pre-existing conditions, coverage that is portable and hopefully puts the private sector's feet to the fire by creating some competition from a "public option" plan. How this all sorts out is too high for my pay grade to fathom. But President Obama, Speaker Pelosi and Majority Leader Reid can do it.
But don't expect the GOP, the K-Street lobby or the fanatics of right wing talk radio/TV to help. As I learned from my brief encounter with the medical industrial complex in Salem - they might be just taking notes but those notes are translated into TV ads, PAC money and client counseling designed to prevent change from happening. And the easiest thing in our checks and balances system is to “stop” change.
To steal a phrase from Bill Safire don't let "nattering nabobs of negativism" sow the seeds of fear this time as they did under FDR, Truman, LBJ and Clinton. Advocates of health care reform are in the "red zone" but victory is not assured. Don't let the naysayers put up a successful goal line stand. Run it up their gut, pass it or do an end sweep - whatever it takes. Win one for us, not for the damn Gipper! It’s time for YES WE CAN…
PS: Check these links out, especially the first one a UTube video from economist Robert Reich. Then write, e-mail, phone President Obama and your Congressperson, US Senators and friends... The time is now...
http://www.youtube.com/watch?v=dBi8A_HutII
http://www.washingtonpost.com/wp-dyn/content/article/2009/10/19/AR2009101902451.html
http://www.connectforkids.org