Showing posts with label Universal Healthcare. Show all posts
Showing posts with label Universal Healthcare. Show all posts

Monday, June 19, 2017

The Best Defense

The Washington Post has a slogan on their website that is very apt right now: “Democracy dies in darkness”. From the struggles in the House of Representatives to get the atrocity known as the American Health Care Act (AHCA) passed, Mitch McConnell might have taken the lesson that this was a terrible bill for the American people. Instead, he decided the real lesson was that the Senate version must be kept secret as long as possible in order to get it passed. Even his fellow Republicans in the Senate must not have the time to read the full bill before having to vote on it, and under no circumstances should the public have a chance to react until the bill was law. This is darkness at its finest, and democracy stolen again by the Party of voter suppression. It has meant that, in the face of severely limited news of how the new law was being shaped, press coverage has been overshadowed by other issues and developments. Democrats have decided to hope that it will be enough that the public prefers keeping Obamacare to the public efforts so far by the Republicans to repeal and replace it. It will not be enough, but there is still time to do something about it. If preserving the status quo was the best defense against Republican aggression, I would be writing now about how the presidency of Hillary Clinton looks as we approached the six month mark.

What we need instead is a way to put the subject of health care back in the forefront of public discussion. To begin with, let’s take the wind out of one of the Republicans’ favorite arguments by admitting that Obamacare has not delivered on all of its promises. But Democrats need to reframe that argument. They need to say that the Affordable Care Act was not crafted well enough to withstand Republican sabotage, and certainly not to withstand the onslaught of a united Republican government. They also need to say that prices were not controlled as well as they should have been, because Obamacare still makes the American people pay for items that have no bearing on health care outcomes: marketing costs, obscenely high CEO paychecks, and stock dividends for health insurers and big pharmaceutical companies. Democrats furthermore must coopt one of Donald Trump’s favorite promises, to deliver better healthcare that costs every American less. To make all of this news worthy, the Democrats in the Senate must introduce their own healthcare plan in the Senate, and force a very public debate on it. Let it become the standard that any Republican bill will be measured against. During the Obama presidency, it was common for Democrats to point out that the Republicans never presented an alternative plan. If only for that reason, it is essential that there be a Democratic alternate plan now.

I am talking, of course, about universal healthcare, and I have previously laid out the pitch for it here. Bernie Sanders lost the primaries to Hillary Clinton while advocating universal health care, so why should the Democrats play this risky card? First, Sanders never made the capitalist case for it, as I have done. But Sanders also fell into a trap that Hillary Clinton laid for him during the campaign. He got bogged down in the numbers, and wound up proposing large tax increases for everybody to pay for his plan. In doing so, Sanders failed to make the point that universal healthcare will be paid for in large part with moneys that are now being spent on other health care programs, including Obamacare. So the actual funds needed to get from here to there are lot less than the total price tag for universal health care as a stand alone item. It is also not enough to say that it would be less than the average American spends now on health care. The Democrats and the press must explicitly state where those savings will come from. The public resents having to pay for corporate profits out of public funds, but that resentment needs to be harnessed.

Clearly, there isn’t much time, and the Democrats will not do this on their own. Activists must coalesce around this strategy, and start pushing for it immediately. We need to find a Democratic Senator who can be persuaded to introduce a new Democratic health alternative to the Republican plan. So much the better if this starts with someone other than Bernie Sanders, because that would be more newsworthy. The goal here is to control not only the discussion in the Senate, but also the news cycle. Imagine the reaction in the media if someone like Cory Booker were to introduce this with an impassioned speech on the floor of the Senate. That’s what needs ideally to happen, in order to steal this issue from Mitch McConnell’s darkness, and bring it back into the light where it belongs.

This week’s song has everything to do with the news cycle:

Monday, December 19, 2016

“He Doesn’t Know the Territory”

Not to dismiss Russian hacking, voter suppression in key states, and other outside factors, but Donald Trump won the election as well because he is a much better salesman than Hillary Clinton. Actually, Hillary Clinton probably had the least sales skills of any major party general election candidate in my lifetime. This is not a compliment to Trump. I speak as someone who worked as a telemarketer for ten years, and received additional sales training during a year I spent trying to be a stock broker. This is soul-destroying work that requires you to put your conscience on the shelf, hopefully to be used later. Sales is an acting job, and a key talent of a successful politician. That’s why Ronald Reagan was so good at it. You must persuade people with values that are alien to you that your way deserves their support. It is not either enough or even necessary to have the moral high ground. Sales is how Republicans get working class voters to vote against their best economic interests. You must believe your arguments while you are presenting them, even if you know they are nonsense, or if they don’t really reflect your reasoning.

To see how this works, consider the issue of universal healthcare. Hillary Clinton tried to get universal healthcare back in 1993, but she thought selling it meant listening to arguments from all sides, and then crafting a program that helps everyone. It’s impossible, because you can not avoid harming insurance companies when you take them out of the healthcare game. Bernie Sanders tried to sell universal healthcare as a moral imperative, but we have just had conclusive proof that, for enough voters in key states, elections are not about morality. Elections are about “What’s in it for me?”, and too many voters vote defensively to avoid helping someone who might be in competition with them for services and benefits.

Despite this, I am not saying that we should give up hope of ever seeing universal healthcare in the United States. I am saying that we need a better way of selling it to voters. We should be making the capitalist argument for it. There really is one. Universal healthcare is a major job creator, and it can help to prevent jobs from being outsourced to other countries. Under our present, broken system, we have given twenty million new people health insurance they can not afford to use. Getting sick means spending money you needed for other things on getting treatment instead. That means getting sick is a major drain on consumer spending, Universal healthcare would mean you never have to divert funds for getting better, so it all goes to consumer spending. That increases demand, and that is where jobs really come from. Universal healthcare also means keeping jobs here in America. Under our current system, American companies operate at a major competitive disadvantage. Having an American workforce means you are penalized with huge health benefit expenses. Yes, you can pay much lower wages to workers in China and Mexico, but the healthcare costs really seal the deal and make it worth the expense of moving jobs to other countries.

That’s the pitch, but we also need someone with the right personality to make it. Hillary Clinton proved that the right contacts and the best fundraising machine is not enough to get it done. We need someone who thrives on working large crowds, but can also score points in a televised debate. We need a bulldog who will not leave any criticisms unanswered, but will rapidly respond without seeming mean. Clinton’s basket of deplorables remark was terrible from the point of view of making the sale, as was Mitt Romney’s 47%, because you must never insult a potential customer. It doesn’t matter if you think you are at a private function, because everything you do when you run for president is public. I don’t know who the right person is for this, but we have four years to find them. In 2020, this person will have the facts on their side, but the facts will never be as important as the pitch.

In closing, I don’t usually include music with my posts, but this really needs to be here: