What Makes a Hero

I am getting tired of hearing John McCain hailed as a hero. Let me hasten to add that I am not casting aspersions on his military service. McCain spent a long period as a prisoner of war, and that could have broken a lesser man, Instead, McCain returned to civilian life and devoted himself to continuing to serve his country, and in a very public way. Even given my frequent disagreements with him on policy, I salute him for that. But his recent no votes on Republican healthcare bills do not make him a hero in my eyes. He has said of the current threat, the Graham Cassidy bill, that he would vote for a similar bill if it had been developed as part of the proper process. At least he is willing to stand up against the shadow law making of Mitch McConnell. But the true heroes here have been Susan Collins and Lisa Murkowski, who have been willing to oppose the bill because it would hurt their constituents and the nation. Even so, none of them to my knowledge has taken the next step of speaking out forcefully against these bills and the manner of their crafting on the floor of the Senate, and shaming their fellow Republicans. Keep in mind that Mitch McConnell has insisted on completely shutting the Democrats out of the process of crafting these bills. Here is what such a speech might sound like:

“My fellow Republicans,

“Let me remind you that Donald Trump lost the popular vote last year. We also lost seats in both this house and the House of Representatives. Further, as we have shown the American people bill after bill to repeal the Affordable Care Act, their support for the ACA has grown to the point where poll after poll shows majority support for it. So let us disabuse ourselves of the notion that we must repeal ‘Obamacare’. We have no such mandate, and in fact the American people have now instructed us to do the opposite. Faced with the repeated threats of the bills Senator McConnell has presented us with, the American people have come to understand that they care how we improve or replace ‘Obamacare’. They do not want us to remove it, unless we can give them something better, and the current Graham Cassidy bill dismally fails that test. We can expect the American people to tell us as much in next year’s election if we pass this bill. We can also expect, after three years of living under Graham Cassidy, that the American people would remove our control of both the White House and both houses of Congress, and that they would do so forcefully. And we would deserve it.

“Senator Cassidy, you especially should be ashamed of putting your name to this bill. As a physician, you know better than any of us the great harm it would do to the people of your state and our country. You have allowed your devotion to the President’s campaign promise of ‘repeal and replace’ to blind you to the medical needs of your constituents. You have forgotten your professional oath to ‘First do no harm.’

“Senator McConnell, we followed your lead from the beginning of the Obama administration to refuse to govern responsibly, and that has brought us here. To our shame, we have failed to prevent you from having these healthcare bills developed in the shadows, without any input even from us. We have failed to insist that open hearings be conducted, and that we be open even to the input of the Democrats, so that we can truly develop a responsible healthcare bill that serves the people who put us here. We have allowed you to place the needs of a few wealthy donors to our party above the needs of the people we truly work for. That must now change. We have what we wanted. Our party controls the White House and both houses of Congress. You have led us in trying to use the power of that, but now it is time for us to accept the awesome responsibility that comes with it.

“That responsibility begins now. We must begin by rejecting the bill before us. Then, we must move to immediately begin open hearings to improve the healthcare system in this country. We must invite the Democrats to participate, to give their imput, and we must listen and truly consider it when they do. We must ignore our president, who has not cared enough to try to understand the bills we have proposed up to now, and solicit the testimony of experts in medical care and policy.

“Let us truly make America great again. Let us start to learn to govern again, and let it begin now. Let us commit ourselves to winning back the trust the American people once placed in their members of Congress. My fellow Republicans, my fellow Senators, thank you for your time and attention today. Let us now go and do the right thing.”

Such a speech would be very risky within the Party for the Republican who delivered it. They would risk the complete withdrawal of Party support for any future campaign, as well as the ire of the right wing media machine. But that is what heroes do. They take risks in the name of doing what is right. John McCain has annoyed the Republican establishment, but he has not shown this kind of courage. Perhaps it is too much to ask of him right now especially. But I will not hail him as a hero for making sure he is the last Republican to announce opposition to a terrible bill. I will thank him for his help, but I will not forget that the united opposition of the Democrats and the actions of other Republicans were needed to make it meaningful.

There can really only be one song with this post:

“Learn, Damnit!”

I am reminded this week of the movie War Games. That in itself is not a bad thing. The movie is a favorite of mine. In the film, Matthew Broderick’s character hacks into what he thinks is a soon to be released commercial computer game, and, in playing it, he sets off a military simulation program that comes close to causing a real world nuclear war. In the climactic scene, Broderick’s character yells, “learn, damnit!” at a computer that can not hear him, as he tries to teach it the futility of “global thermonuclear war”.

Healthcare is no game, but the Republicans have not learned yet that the only way to reform it is not to play. They remain focused on how to enact the largest transfer of wealth possible from healthcare programs to the very wealthy, with no thought of the real life consequences for the health and even the very lives of the Americans they supposedly serve. Because they have not made this intellectual leap, any celebration of the demise of the Senate healthcare bill is premature. Continuing the metaphor of War Games, no one has yet taught the Republicans tic tac toe. In this case, that would mean showing them and the American people what a healthcare plan would look like if the goal truly was to provide a better and more affordable system for everyone.

To be sure, something has been gained. What was defeated was Mitch McConnell’s cynical effort to ram a reform bill down America’s throat without hearings, debate, or even allowing his supposed Republican allies the time to read and try to understand the actual bill. It was this process, not the actual bill, that John McCain voted against. Where Lisa Murkowski and Susan Collins actually voted against what the bill would do, McCain was more offended by how this result was arrived at. He deserves some credit for that, but it does not make him worthy of the adulation he has received in the press this past week. McCain’s vote also means that the Republicans can no longer pass healthcare “reform” with a simple majority in the Senate. By voting to open the bill to debate and only then insuring its defeat, McCain made sure that no healthcare bill can be passed using the budget reconciliation process this year; instead, Democratic votes will now be needed to avoid a filibuster and pass anything. That in itself means that the Republicans must actually learn to govern. They must hold hearings, have a floor debate, and find at least six Democrats to support any bill they come up with.

The problem is, any bill that passes the Senate must still be reconciled with the version that actually passed the House. That gives the Republicans the chance to restore much of the harm they still seek to do. The job now, in the Senate, is to bring enough Democrats on board to get the bill to conference committee. Once any Democrats sign on to this, it will be hard for them to back out of passing the final version. The real hero to this point then is not John McCain but Chuck Schumer. He is the one who has kept the Democrats united as the opposition Party, making sure that no one strays across the aisle to abet the Republicans.

How then can we end the threat of “Repeal and Replace”? As activists, we must push the Democrats to do what they have not been interested in doing up to now. They must develop a healthcare plan of their own to hold up against the Republican efforts. They must demonstrate with their plan that they hear the concerns of the American people, that simply preserving the Affordable Care Act is not enough. Any new Democratic plan must address the problem of skyrocketing deductibles and copays. It must have a mechanism to assure that coverage is available in all markets, that insurers can not simply bow out. It must mandate negotiated drug prices to insure that premiums can actually go down.

Universal healthcare would seem to be the obvious solution. But keep in mind, the ideal plan is one that Chuck Schumer can secure 48 Democratic votes for. Even so, we can not expect any Republicans to support such a measure, so it has no chance now of becoming law. Even a bill that passed the Senate would be shot down in the more rabid House. Passing the bill is not the point now. The point now is to extend the debate into the 2018 campaign season. We need to present the American people with a clear choice on healthcare as they choose the next Congress, and we need to make sure that what the Republicans just tried to do to them is still fresh in their minds as they go to the polls. More, we need to get the Democrats in Congress to give unambiguous proof that, on this vital issue, the two parties are not the same. Donald Trump is the master of distraction. His outrageous antics can easily get the American people to forget the healthcare issue in next year’s elections. We must push the Democrats to make sure that does not happen.

War Games came out in 1983. There were no songs on the soundtrack album, just the orchestral score. Perhaps that is why this one, from 1980, was not used:

We Need to Talk

Mitch McConnell finally confessed to his sins this week in going public with the Senate version of Republican health care. Of course, the bill is a travesty. It does not really have anything to do with healthcare at all, except as an obstacle to its true goal of massive tax cuts for the rich. Amazingly, the bill is not only more dishonest than its House counterpart, but it may actually be worse in the severity of its outcomes. So much for the Senate as the more reasonable body,

But here is truly scary part. In discussing the possibility of this atrocity becoming law, the press talks about a handful of Republican Senators. There is, rightly, no mention of what the Democrats might do. Sure, this partly reflects the fact that no Democrat is expected to vote for the bill. But it also reflects the fact that the Democrats have done nothing to make this bill harder to support. In part, this is because they refuse to acknowledge one truth that Donald Trump has accidentally told: we the people are now worse off with respect to healthcare than we were when the Affordable Care Act first went into effect. This is not for any of the reasons the Republicans or Trump name, but it is true all the same. The Affordable Care Act was not the success that it should have been, but Democrats need to explain that its failure was that it its design was vulnerable both to the trickery of the insurance industry and to outright sabotage by the Republicans. To explain, let me talk about my own situation.

I am the sole breadwinner for a family of four. My job is good enough that I do not qualify for the subsidies provided under the ACA, but I have my company health plan. My family and I have a host of pre-existing conditions, so we are heavy users of healthcare and we need a large menu of medicines each month. Over the past seven years, I have seen a steady increase in the dollar amount that comes out of my check for health care, and my out of pocket expenses have shot up as the insurance companies have gotten better at imposing copays and deductibles. So I am grateful for the fact that I can get insurance at all, given the pre-existing conditions. I am glad that my daughter, who is turning 22, can still be on my plan. And I understand that my health care expenses are still much less than they would be without the ACA. But my family and I are hurting, and Hillary Clinton is not our president in part because she did not sufficiently acknowledge and address this hurt. The situation is worse for my brother-in-law and his family. They do not have jobs that provide them benefits like mine, and they live in a state where a Republican governor and legislature blocked the Medicaid expansion that would have meant so much to them. For the first few years of the ACA, they had to choose whether to use the healthcare they could afford for themselves or their children, and of course they chose their children. Thankfully, they have now reached the point where they no longer have to make that devil’s bargain, but we were really worried about them for quite some time. Again, the provision regarding pre-existing conditions in the ACA meant that they could get healthcare for themselves once their job situations improved enough that they could afford it.

I am sure this country is full of families like mine, and like my brother-in-law’s. The Democrats are simply not talking to us. They are not acknowledging our hurt. Instead, they are reacting to what the Republicans are doing, and thereby letting Donald Trump and his allies control the conversation. Hillary Clinton spoke vaguely on the campaign trail of improving the ACA, but I regard myself is more politically aware than most Americans, and I don’t know what improvements she thought were needed. Only Bernie Sanders offered a solution, but he got bogged down in the question of how to pay for it in a way that suggested he was unable to master the details needed to make universal healthcare the law of the land. His approach also would have failed to persuade most Americans to support him in the face of Republican fearmongering. I have explained before how universal healthcare can be sold to the American people, but I have yet to hear any Democrat make this pitch. Barring that, the Democrats must explain all of the ways the ACA has made lives better, and all the ways it could be made to do so much more. They must help the American people to see how much better the ACA could be if the Republicans were not so intent on its destruction. One way or another, they must take back the conversation, and make the Republicans react to them for a change. The results of the midterm elections next year will depend on whether or not they can get it done.

I believe Americans are ready to hear the truth. Here is Sheryl Crow with the alternative we have now: