This weekend, as we know, was a mess for health care reform. The reproductive rights restrictions are pretty terrible (not as bad as the restrictions passed in the House, but still not good). The fact that the public option was scrapped is incredibly disappointing. I can understand why liberals are upset (I’m upset!).
But I still support passing the bill, mostly for the reasons that Alex Pareene lays out. It would be great to scrap this bill and start over and get a better bill out there, but that isn’t a realistic possibility. That is just not going to happen. So we’re stuck with an unfortunate choice between this bill and the status quo. I think this bill is better.
This bill also isn’t the end-all be-all of health care reform. It can be tinkered with and adjusted and improved in the coming years — and liberals should certainly focus our efforts on that.
But our current heath care situation is just too dire to “kill the bill.” If you believe that this bill will make things worse, then by all means oppose it. But it seems to me that the bill is a net gain. It contains some really less-than-ideal provisions, and it’s not nearly as good as the bill that progressives envisioned. It’s a teeny tiny step forward. But it’s a step.
None of that is to say that liberals shouldn’t criticize the bill or hate on Joe Lieberman (seriously, fuck Joe Lieberman) or raise a big stinking fuss about the bad aspects of this legislation. We should! We absolutely should point out how Democrats are the worst negotiators on the planet, and they’re going to keep getting their asses handed to them if they continue to play their cards this way. And if you really believe that this bill will make things worse for Americans, then oppose away. But we should probably knock off the comments about how Obama is “Bush lite” (or “Bush same” or “Bush worse”). Because, well, that’s just not true, and it makes us sound totally divorced from reality and perspective when we say it.
The phrase “We can’t let the perfect become the enemy of the good” has been tossed around a lot lately. It’s not entirely appropriate, because I don’t think that most progressive opponents of the bill are demanding perfection — they’re just demanding that basic promises made by a Democratic president and Democratic leaders in Congress be met. There are legitimate concerns about cost and coverage. There are legitimate concerns (that I share) about restrictions on abortion access.
If we could all go back a few months and school the Dems in Negotiation 101, and figure out a way to counter a Republican noise machine that just flat-out lies and has effectively built intense opposition to any health care bill at all, that would be great. But we’re stuck here, now, with this bill and not many other viable options going forward. And this bill does extend health care coverage to tens of millions of people. Health care will actually be more affordable, especially for low-income people. This bill would significantly reduce the risk of lost income, again especially for low-income people.*
I would love to see a comprehensive health care bill as much as anyone. I love socialized medicine! And I am sadly aware that this bill is not at all what we wanted. But it helps more than it hurts. And I hope it passes.
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Yeah, I know I just linked to The New Republic. Believe me, it hurts me more than it hurts you.