Every day that goes by without a vote in the House or Senate on universal health care makes it less likely that major reform will occur, because (1) opponents have more time to stir up public anxieties about it; (2) Democrats up for reelection next year come ever closer to the gravitational pull of the midterms, and grow increasingly worried about voting for a bill that could be a political liability in a year when unemployment may well reach double digits and the electorate is restless and unhappy; and (3), as a result of the first two, proponents increasingly have to rely for support and cover on industries like Big Pharma and insurance, as well as physician specialists and equipment suppliers, none of whom have any interest in fundamental reform but all of whom see possibilities for making more money out of whatever bill emerges.
In other words, next fall we get something called "universal health insurance" that still leaves millions of Americans uninsured and doesn't substantially slow the meteoric rise of health-care costs. That would be a tragedy.
What should be done now to avoid this?
Finally, you, dear reader, must contact your senators and representatives and explain why you want genuine reform -- incorporating the four elements listed above. Mobilize and energize others to do the same, especially residents of Blue Dog states, including Montana where Senate Finance Chief Max Baucus resides. And if you're able and willing I'd urge you to descend on Washington the moment Congress returns from recess. There is nothing quite as persuasive to a member of Congress as real live constituent demanding real reform.
Monday, July 27, 2009
"The Future of Universal Health Care, as of Now"