As Bowers notes, it’s funny to watch the punditocracy live through blogger Ground Hog day with Democratic leadership:
You aren’t going to get the leadership to change course by telling them to starting knocking some heads together, ala Bill Press or Michael Tomasky. Virtually the entire progressive blogosphere has spent six years writing those articles, and it hasn’t done a damn thing to change the "coddle the conservatives" strategy that determines virtually everything that all members of the Democratic leadership do.
[]
Long story short: under its current leaders, the Democratic Party leadership is not just going to change course after twenty-five years and start attacking conservative Democrats. They are never going to voluntarily join us. Instead, it is time to force the leadership’s hand with a direct effort to deny them something they want very badly unless they give us something that they want very badly. In the case of health care reform, that means denying them health care legislation unless they give us a public option in that legislation.
Harry Reid is now making noise about standing up to Max Baucus. While it’s certainly more encouraging than his "don’t expect too much" speech, here’s a tip for those thinking that their righteous insistence will move Reid: it’s SOP in his "road to the sellout" tour. Such strong statements preceded the big el-foldo’s on FISA and the supplemental. Remember cots in the Senate? Shutting down Chris Dodd? What he’s really saying is "of course I’ll love you in the morning, baby."
Don’t be chumps.
If Reid is serious, will he block Baucus from being a conferee? Of course not. His trick is to say one thing, then use Senate procedure to do another. As Bowers notes, they will never whip from the inside. The only way move members of Congress is from the outside, to remind them of their campaign promises on healthcare and the 76% of the country who hate insurance companies and favor a public plan.
Members of Congress are first and foremost politicians who play dependable roles within a political machine. If left to their own devices, they’ll default to the influence of that power structure over the interests of their constituents if the two are at odds. If they feel that the actions they are taking as part of that machine jeopardize their standing with their constituents, their sense of self-preservation kicks in and they become candidates for office once again.
The 40 Vote Strategy
The fact is, 40 Democratic votes in the House can stop any health care bill from getting through if the Republicans vote against it in a block. And 76% of the country is in favor of a public plan. So we find ourselves in a situation where progressives, in progressive districts, have influence over progressive members of congress, who have the power to determine what goes into a health care bill — if they will use it.
Harry Reid is just walking back his blunder from a few days ago. He didn’t want to encounter the same speeding truck that flattened Rahm Emanuel yesterday. He’s one of many who read about the collapse of Obama’s numbers among Democrats in Ohio yesterday and figured it was time to start throwing around some political fiery rhetoric.
The trick is to get these health care lions on the record right now, committed by name (and not under the umbrella of a "caucus" they might not even agree with), to a firm definition of what they will vote against. Many think that the HCAN principles we’ve asked people to agree to are too soft, but the big risk right now is that Kent Conrad’s co-op plan is gaining strength in the Senate and in the White House, who will try to sell it as a "public plan."
That definition was drawn up to explicitly to get people to commit to vote against the Conrad plan. Available day one (no triggers), nationwide (no state balkanization), answerable to Congress and the voters (as opposed to answerable to states that lack bargaining power at the federal level).
None of this stops those 40 members from agreeing to commit to vote against anything that isn’t stronger. Part of the problem we’re seeing is that as the target shifts and new ideas develop to screw the public, people are concerned that this definition does not address those things, too. I understand that, and they’re right, but if you’ve got 7 people already committed to definition "x" and suddenly "y" enters the picture, you’ve got to go back and add "y" to "x" and ask the 7 if they’re okay with that before you change the definition for the other 33, and it’s a mess. And then "y" doesn’t even become a factor, and you’ve just been chasing yourself.
The more important thing is to organize the 40 (and hopefully 60 and 80) around the principle that progressives will stand together to oppose the current push to screw us, and that having done so they can use that bargaining power to strengthen the bill as it moves through the committees and markup and onto the floor, and then into conference. With 76% of America at their backs and those in their communities watching, that’s a powerful chip to have.
Harry Reid’s rhetoric on its own is meaningless to anyone who has been watching politics with any diligence for the past few years. It’s going to become invested with meaning by people working on the outside.
John Conyers has been a healthcare hero for his entire career. He has asked NYCEve and me to speak before Democratic House and staff members today at 3pm on the Hill.
I’ll be talking about the whip count project, which they know about because people here got on the phones and let their members of Congress know that health care is something that is important to them, and that fiery rhetoric that ultimately succumbs to the demands of a political machine just won’t cut it this time.
Don’t be bought off with convincing smoke signals. Keep those calls coming, because they’re working.





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Give them hell Jane – I am confident you and Eve will come back from the halls of congress with more names to add to the list.
Thanks for the updates.
Great post, Jane. Thanks.
Keep hammerin’ ‘em.
Never. Give. Up.
The great mystery of the Senate: why is Reid still the majority leader?
Never. Give. Up.
“Lift your head up high and take a walk in the sun with that dignity and stick-to-it-iveness that you’ll show the world, you’ll show them where to get off, you’ll never give up, never give up, never give up that ship!”
/The Old Philosopher
The tide is shifting. We now have Al on our side to throw his weight around.
he is a prefect…..Stan Laurel
It’s not easy to pitch something called “public option” so open to varied interpretation. Adding the qualifier “robust” doesn’t really change the fact. It sounds like a code. How about nonprofit health care?
I am a little confused here. Harry Reid is a sellout to conservative Democrats when he accepts their watered down plan, but we’re not when we sell out to HCAN and its watered down principles. Do I have that right?
The ship of state is slow to turn. It takes time to dust off the effects of two decades of accumulated defeats (many self-imposed, but not all — remember the 1994 debacle). The notion that Dems have to cater to the Thugs is a poison in the blood that has slowly to be drained. We are seeing the first drops seep out. Thanks, Jane, for all your hard work to make this happen.
Harry Reid
http://imagecache2.allposters……R/CB94.jpg
I think what is happening is that the public expect something like a public option, even if they don’t know its contours. That belief is putting lead in the Democrats pencils. The blue dog response is to muddy the waters to make people think they will be getting something they are not going to get. The Progressive duty is to make sure this doesn’t happen. It will take meetings and advertiing to explain to people what a public option single payer system is, and why it saves money by cutting the HMO profit margins.
Because all of the spine-free, balls-less Senate Dems think he’s just fine.
“nonprofit health care” would also include the regional co-ops. There’s no perfect language, which is what the anti-progress folks are counting on to muddy the waters.
This ain’t gonna be easy, but we need to prevail on this one.
What are the chances that, if we get a public option, it’s financed by taxing health benefits? Personally, I wouldn’t like that. Is something like that on the horizon?
So will the Dems and Republicans prove to the American public once again that they do not give a rats ass about what the American public think and needs?
Fuck the American people save the Insurance Companies.
Are there any bumper stickers that say
“Save the Insurance Companies”
I am incorporating last night’s events in to my calls this morning -
If they wish to take credit for ’standing up to Rahm’ then surely they’d have no problem signing on to the Pledge dot dot dot :D
We need a true public option without triggers. Start it now. As the free marketers say, “It takes competition to force prices down.” Let us have true competition, not price fixing.
Maybe that is the best thing to chart at this point. What the public option has to contain to even be a progressive move to protect everyone.
Get them Jane, I am making calls and emails daily. I am not going to die by insurance without a fight.
If they don’t pass the Public Plan, or pass a faux plan with co-ops, then we form one big co-op of 83 million Democrats and their families, with another 60 million independents.
GOP need not apply.
Frustrated rank-and-file Democrats have kicked around that co-op idea for years anyway. It ought to go over on Capitol Hill like a lead zeppelin.
My note to my congresswoman’s Senior Legislative Counsel, whom I’ve been bugging on the whip issue:
This is a Great DAY:)
Let’s give Harry Reid credit: he isn’t stupid. He and his cohort are doing well at passing their agenda. It’s just that their agenda is the Republican corporatist agenda. It is way past time to stop making excuses for these people and call them what they are: traitors to their voters and most of their constituents, then vote them out of office.
In the mean time I’m piling up rotten tomatoes and rocks.
OT, but it is likely FDL will not mention Greenwald’s post today, since he is writing again about how the Obama administration is extending and surpassing the Bush/Cheney administration in asserting the executive power to lock up anyone, forever.
http://www.salon.com/opinion/g…..index.html
whoo! take that site off the Firepup SafeSurfing list! /s
they ought to go over like Lead Zeppelins, but it’s fairly obvious now that the Hagans and other Senatorial Jellyfish see them as the perfect cover replete with bipartisanshit goodness
FiveThirtEight has Roland Burris an African American tainted by Blaggo as more likely to keep his seat than Harry Reid. If Reid blows Healthcare wait even he can’t be this stupid can he?
http://www.fivethirtyeight.com/
in case anyone missed this in another Silo post:
Jane Hamsher:
to the phones ‘Dogs !
Our side has the leverage
Yes, part of the reason that enough people are worried enough about the way we finance health care in this country that reform is on the table this year, is the very real problem that more and more people are going without insurance. This is so partly because they can no longer afford it, and partly because the private insurers have been allowed to become more and more aggressive at rescinding insurance for their customers who are so uncooperative as to actually need medical services. Our side cares about these two groups, and therefore there is pressure on our side to get something, anything, passed that will give at least some relief to people in these groups.
But, frankly, neither of these two factors is really particularly a crisis particularly right now. What is new, and what has the industry frightened enough that they have decided at this juncture that they need perestroika in health care financing, is a third factor. People who could pay are choosing to go naked, without health insurance, because health insurance is no longer a good bet. Indemnity health insurance is at the tipping point where it isn’t worth what they’re selling it for.
The private plans, in competing against each other, have relied so heavily on spending for the huge admin costs of screening out the risky before they sign them on, then trying to deny them benefits if they break bad by actually getting sick, that the industry standard is a plan so expensive, with so many holes in coverage, that anybody but those with serious pre-existing problems (i.e., the people who aren’t allowed into the private plans anyway) is better off self-insuring. You could set aside every month a fraction of what you pay for your private health insurance, and have enough to pay your expected medical expenses, and still accumulate a fairly hefty emergency fund big enough to cover all but the truly catastrophic contingencies. But, guess what? The private insurers have been so successful at building holes into their coverage designed precisely to protect them from taking huge losses on any one customer, that a truly catastrophic medical condition will bankrupt you into Medicaid no matter whether you have insurance or not.
The portent of doom for the mortgage industry is how many people are “underwater” on what they owe on their homes, folks who owe more than their homes are worth. The equivalent for the health insurance industry is how many people are underwater on their premiums, how many people would clearly do better by relying on a combination of out-of-pocket payment and Medicaid, how many people pay more in premiums than their plans are worth. This tipping point is not as simple to understand as being underwater on your mortgage, both because the insurers do their best to gloss over the holes in their coverage, and because it requires the individual to think like an actuary, but the disparity is so huge for the best risks the industry has, the 20-somethings with no existing conditions, that you don’t need to calcualte with any exactness — they would clearly be better off jumping ship on the industry.
But if ordinary people don’t think like an actuary, the actuaries who work for the industry sure think like actuaries, and they know that rational actors would no longer purchase their products. The industry knows that it is doomed unless it can close this hole, unless it can rewrite the ground rules so that purchasing or foregoing its products is no longer a matter of choice based on rational calculation.
Health care reform is usually viewed as something that our side wants and the other side can take or leave, and would prefer to leave because the status quo is good for them. This is absolutely not the case. Health care reform, as long as that includes mandatory universal coverage on their terms, is the only way that the industry will survive. And the industry needs this to happen this year, before the death spiral they are in now — more good risks defecting means higher premiums means more good risks defect, and so on until no one can afford their premiums — makes it clear that almost all of us are already “underwater”, already pay more in premiums than what our plans are worth. Once that truth is widely acknowledged, the industry is dead, and the only two reform options that we will be arguing over will be National Health Insurance vs National Health System.
Good Plan now if only we could get invites to Washington Posts dinners and plead our case to reporters to lazy to research anything that isn’t spoon fed to them.
Funny how only Corporate Lobbyists get that invite no Unions, consumer advocates or bloggers Funny how readership at the Washington Post and Newspapers nationwide are declining.
Cause and effect?
Thanks cb12 I’ll check it out.
!!!
absolutely – its like gambling: “I bet $190 I will get so sick or injured this month that I will need my insurance to pay more than that for me . . . oh well no broken leg this month, I lose.”
its truly a bet that the young and healthy are increasingly declining to take, because everyone is hearing about what scammers the insurance companies are, they are the punch line to many jokes.
slight question as to whether the industry is aware of this – the record industry and the car industry were not very alert to the changes that ended up doing them in.
Everywhere for Everyone Now!
I see no way to wiggle out of this pledge. Very good, no very damn good!
what are you talking about?
are you saying fdl is giving obama a pass on “preventive detention”?
if so, i don’t think that’s true.
I just got off the phone with Maurice Hinchey’s office: they are aware of the progressive whip idea, no commitment on that, but they are sending a representative to the meeting this afternoon to hear more.!! I thanked them profusely…………..
demonstrably untrue.
Think like an actuary
Both the record and car industries (well, the US car industry, anyway) sell a product that is inherently, up front, not subject to modeling on the assumption that purchasers are rational actors. People buy these things for reasons other than objectively measurable necessity, or with any way to balance costs against services. These industries do perform marketing research, but because imponderables weigh so heavily, they can get into a lot of trouble projecting their models beyond curretn conditions. Detroit, for example, not once, but twice, was lured into ignoring how the market for fuel-efficient cars would take off given high enough and sustained enough rises in gas process, by research that projected from consumer behavior during milder and less sustained such increaes in gas prices.
But with the decision between buying health insurance and paying out of pocket, with Medicaid as your catastrophic coverage, you’re comparing apples to apples, money costs to money costs, not money costs to some nebulous benefit conferred by owning a car with more horses under the hood than you’ll ever need, or 4WD that you’ll never use, or a haul space that will never see a single load of the hay or manure it was intended for. Toting up the costs of the two strategies exactly is not simple for the consumer, but, unlike the consumer, this is exactly the way the insurance industry has to think on an ongoing basis, and it does have the figures at hand that need to go into the calculation.
Jane, you’re terrific. It’s amazing how much you’ve accomplished in the last several years on top of fighting for your own survival. I’m starting to believe that we’re actually going to get this done.
Back in the 1980s, an insurance company successfully avoided paying for my brother’s medical care; he died at age 18 of a heart defect (my father changed jobs, the insurance company managed to avoid paying by claiming an improperly reported pre-existing condition). All the college savings for the younger kids gone, my proud father having to turn to Medicaid … he sunk into a depression that lasted the rest of his life.
Public option or no bill.