I have written about this issue before, but I think it is important for people, Democratic Congressional members, consultants, and political pundits to realize just how completely and totally Democrats failed with their health care messaging, especially when it comes to the issue of the deficit. Democrats easily wasted more than two months waiting around and making minor changes to the bills so they could get good CBO scores showing the bill would be projected to reduce the deficit. They risked huge internal fights over the excise tax used to make the bill a deficit reducer. Looking at the polls, this effort was a massive waste from a political perspective.
A new Kaiser Family Foundation poll shows that 45% of people think the Congressional Budget Office (CBO) determined the new health care law would increase the budget deficit over the next ten years. Only 25% actually correctly knew that the CBO in fact projected the new law would reduce the deficit (with 13% don’t know/refuse to answer and 16% who believe the CBO said it would not impact the deficit either way).
Unlike previous polls, this one does not ask people if they think the bill would increase the deficit, which you can believe even if you know that CBO reports said otherwise because you disagree with their conclusions. What is important is that this poll shows a plurality of people believe something completely incorrect about the CBO’s findings.
This is just amazing. Democrats treated the CBO like God and acted in, frankly, a misguided and often self-destructive manner, worrying way too much about achieving a good CBO score. Not only do the American people not know or care about this work, but a plurality in fact believe the exact opposite.
Clearly, the Republicans did a great job of winning the messaging war and getting most people to believe something that is not true, but I think a huge amount of blame rests with the Democrats. They allowed themselves to become completely obsessed with the total revenue number, the magical $900 billion number. They even moved the start date back by a year, forcing millions to needlessly go without insurance, just to make the CBO score look prettier.
Democrats should have stated clearly, early, and never wavered, that they only cared about the net deficit number and would talk about nothing else. Saying it does not matter if we spend $600 billion but save $625 billion, all that matters is that we net $25 billion in total debt reductions. Businesses and investors don’t really care as much about total revenue as they do about net profit or net losses. Democrats allowed themselves to become obsessed with the total revenue number and that made it easy for Republicans to feed into the meme that the total revenue number was actually important and confuse people into thinking that was a huge deficit spending number.
What you watched with health care is the Democrats completely failing at messaging. Making sure the CBO said their new health care law was fully paid for and would reduce the deficit was a top goal and talking point for Democrats, but only 25% of American’s got the message. To put this messaging failure in perspective, that is fewer than the number of people who self-identify as Democrats. Clearly, Democrats need to examine what they did from the messaging perspective to try to learn something from this complete failure.




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The entire idea about scoring and deficits is nothing but nonsense people need to read this.
Alternately, they could have tried not to sound like amoral number crunchers. They should have pitched healthcare reform on morality grounds. If they wanted to throw some numbers in the story, that’s easy too:
When the EPA is doing cost-benefit analyses for new environmental regulations, it puts an economic value of $6.9 million on each life saved, and that sum was knocked down from their original figure of $7.8 million by the OMB. As. This means that for want of government protection of our most valuable resource, our economy pays out $310.5 to $351 billion a year in real “death taxes”. And if we do nothing, over the next decade, the economy will bleed out another $3.5 trillion in human capital, benefitting no one but funeral homes.
http://www.naturalnews.com/023734_EPA_the_legislation.html
http://www.cnn.com/2009/HEALTH/09/18/deaths.health.insurance/
Did the Dems fail at messaging? Or did they just not care?
But, now, there’s someone in charge of messaging, Stephanie Cutter!
So things will get better, right?
Or not suck so bad?
Finally!
I can promise you politicians always care about messaging. Substance not so much but always messaging.
So, Hannity, Limbaugh and Beck had no effect on what the public thought?
Democrats Fail At Health Care
Messaging– that’s the problem! The Democrats wasted a once in a generation opportunity and all the spin in the world isn’t going to change that.Remember the Public Option which was massively popular? And the bounce in the polls because of the popularity of the Health Insurance Reform Bill?
Can you spell FAIL?
Clearly I think that is a big problem but what you have here is that there was a fact A and Democrats wanted people to know it. Yet most people think the opposite of fact A.
Jon:
What other points besides some measurable degree of net cost reduction do you think the Democrats had in the legislation that they were producing to base messaging on? Given that what they were producing was, largely, an institutionalizing of the health insurance and pharmaceutical cartels, on terms largely favorable to them?
You can’t exactly base a messaging campaign on: “You won’t be put in prison if you refuse to buy the mandated insurance, merely civilly fined!” or “If you hated health insurance companies before, you have no choice but to buy one of their products now!” or “They can’t refuse to sell you a policy at all now, they can just charge you whatever they want!”
It’s not clear how this bummer of a law can be sold to the public, even retro-actively. It was never about the public interest.
How bad is it going to get before Obama gets a clue? Oh, yeah, I know, he is doing just what he planned to do. And it makes me sick.
OT, however: Alittle good news out of TX. The Gov. race is looking very close/competitive with Good Hair only 4 points ahead…Hair Cut, Anyone?
That’s enough to get me active.
Jon, NO ONE Knows better than you, I, along with Spanishinquisition & MANY other visiters to this site benefited from your work. This was not just another opportunity lost, this was THE opportunity traded away for trinkets! It’s unfair to appeal to readers you worked so hard to convinced by reducing the import of your argument to soundbytes.
HCR was never about Repubs. and the ONLY thing they deserve credit for is voting NO on the travesty the Dems rammed down our throats. I don’t care why they voted no, only that they did. Good for them! As for the Dems, let me say it clearly one more time. The HCR Bill passed is my litmus test for contributing, campaigning and voting this Nov. I WILL do my darnedest to send home EVERY Dem. up for reelection this fall.
P.S. ANY argument about the economic side of HCR went out the window when the Dems killed the P.O. & denied a vote on “Dorgan”. Shame on them, every corrupt one of them.
Get the policy right and the “messaging” will take care of itself. After all, who doesn’t understand, “Medicare For All?”
This is meant to be mainly a point separate from HCR. They worked hard to get the CBO to say A. Yet even after all that work most of the people think the CBO said B.
The thing is that there has been many CBO scores on HCR, which have provided different results. People are inevitably muddle all the different CBO scores from the various committees as each time there was a CBO HCR score in Congress it made major news so it would just become a blur over the course of year. It’s not like like there was just one CBO score. I expect if you poll people on other parts of the final HCR bill as well that a number of people would get it wrong because they’ve heard things for the past year that didn’t end up in the final bill but consumed the headlines (which the Democrats wanted the headlines). HCR was a huge thing with lots of moving parts that took a year to get finalized – the Democrats should expect that because of this there message got muddled because the Democrats themselves muddled the message with all the headlines on the non-final bills.
You’d think, considering Obama’s national security policy, that he would listen to Dick Cheney. What did he say?
“Deficits don’t matter.”
And Obama is the one who gave them that hard, under a trillion number. Just like the stimulus had to be under a trillion as well.
By the way, is the Chamber of Commerce going to score the stimulus vote? They supported it. And since AHIP and Phrma and the AMA supported it, can we get some nice MD’s to appear in some commercials for Dem candidates.
Yeah, the really dumb thing about the trillion dollar threshold is… you can shift the years! The stimulus was a trillion dollars over 2 years, so do a one year stimulus plan (knowing you’ll come back the following year too) and you have twice as much room to play with.
Ditto with $1 trillion over 10 years, call it a $1 trillion over 5 year plan (which it almost is, the HCR law waits for four years to start spending serious money, there’s only 6 years of “affordability credits” so as to keep the law under the $1 trillion in 10 cap).
As passed, HC”R” was a dog turd, and no amount of spin is going to change that.
“….but only 25% of American’s got the message.”
I wonder how many of that 25% even care about the CBO score? I am one who paid attention, got the message but never really cared about that part of the deal. The complete and total sellout to the insurance companies is what got my attention.
So who cares? This is only important if you are still buying into the ol’ black-white, good vs evil, Dems vs Repubs paradigm. The only GOOD thing to emerge from the entire health care farce is that a LOT more people now see that there is no substantial difference between these 2 parties and supporting either one is an idiotic waste of time.
I wish you would use your considerable talents to pointing this out and developing alernatives to the one party hegemony that is killing this country. Getting lost in the weeds about “messaging” and CBO scores is a waste of your abilities.
Jon, with all due respect.
I have lost all interest in the game. Further, what I am interested in is seeing incumbents, all of them defeated for the next couple of election cycles.
It’s not a strategy, not anything. Just want all of them out of influence and power.
All donations to political action committees and political campaigns and political candidates need to be capped annually. Possibly as low as $100 per entity per year. (notice the term entity, all voting and non-voting, human and non-human entities)
And lobbyists like you’re a Dik Dick, blow me Gebhardt need to be sent packing.
and to think, this SOB’s name was in the hat for Veep by the RamaBama team.
Folks, this game needs to be called. Due to weather, due to participants ties to gambling, due to homicide. Don’t care why, the game needs to be called.
and to all those still supporting the Home Team …
yeah – vote Dem
it all makes sense if you think that the messaging was aimed at various members of congress, rather than being aimed at the public. much of what politicians say in public venues is either floating trial balloons or talking to each other in code, a code that goes right over our heads [and is meant to].