Editore"s Note
Tilting at Windmills

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June 22, 2009

LIMITED PARALLELS.... The Atlantic's Derek Thompson has an item today comparing ongoing health care reform efforts to one of George W. Bush's more ambitious domestic policy initiatives.

The prevailing concern among liberals is that health care reform in 2008 will follow in the footsteps of the 1993 debacle. This is a legitimate concern, and health care reformists would be wise to draw lessons from the Clintons' failure, but we don't need to reach back the 1990s for allusions to failed entitlement reform. Beleaguered Republicans could always sink health reform the way beleaguered 2005 Democrats torpedoed Social Security privatization: Paint the other side as radical conspirators against America.

As Thompson sees it, Bush's detractors criticized Social Security "reform" by explaining that it was really just privatization by a different name. The plan, in other words, was more nefarious than officials were willing to admit. Likewise, Obama's detractors now insist that overhauling the health care system is really just a secret effort to impose a single-payer system.

In 2005, it was progressive voices like Paul Krugman who tried to expose Bush's Social Security scheme for what it was really was. In 2009, it's conservative voices like George Will who insist the health care system is fine and does not need to be reformed.

Krugman then (like Will now) railed against a radical plan to give an entitlement system a facelift and beat the conspiracy drum to alert readers that the government was't [sic] being honest about their plans. In both cases, dramatic entitlement reform wasn't necessary, but it was a microcosm of the perverse ideology that ruled the White House and sought to change the face of America forever.

There's a lot wrong with this comparison.

First, the Krugman and Will arguments may feature similarities in style, but that doesn't mean they're of equal validity. If we look at the substance, instead of the rhetorical commonalities, Krugman was right about Social Security and the effects of privatization. Will's health care pitch (tax credits for everyone) quickly falls apart.

Second, the underlying needs are polar opposites. Social Security, as was noted at the time, was not facing a crisis. The status quo on heath care is completely untenable and serves as a brutal drag on the national economy. It costs too much, covers too few, and keeps getting worse.

Third, while Bush went out of his way to avoid letting voters know the details of his Social Security ideas while running for national office, Obama made health care one of the centerpieces of his national campaign. What's more, while the public was deeply skeptical of privatization, there's strong national support for reforming health care in general, and including a public option, in specific.

Granted, we dealing with presidents, fresh off a campaign victory, working with a Congress led by their party, on an ambitious domestic policy matter. But I'm afraid the similarities pretty much end there.

Steve Benen 3:05 PM Permalink | Trackbacks | Comments (18)

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Comments

Another major difference--by 2005 an increasing number of Americans had figured out that Bush had lied them into a catastrophic war, and then had topped it off with Terri Schiavo--his credibility was dropping like a rock at that point, just months after his re-election. Who was going to believe anything he said at that point? Obama has yet to have his own big lie, and if we're lucky, there won't be one.

Posted by: wufnik on June 22, 2009 at 3:15 PM | PERMALINK

No legitimate parallel exists - Bush's effort was to benefit the private sector at the expense of old age care, while Obama's effort is to help 40 million Americans who are not afforded reliable health care. The only possible parallel would have to do with the two different sides of the two issues Thompson entertains - on one side are the proponents of profit over people and on the other proponents of human dignity, no matter how flawed the delivery of such dignity may be! -Kevo

Posted by: kevo on June 22, 2009 at 3:17 PM | PERMALINK

They could try to make yet another false comparison, but it would fail. Most people were uncomfortable with SS privatization, while a vast majority of Americans are this close to demanding healthcare reform or their Senator's cojones if they don't get it!

Posted by: Blue Girl on June 22, 2009 at 3:18 PM | PERMALINK

It seems like it has been quite some time since Satan took over The Atlantic monthly.

Has it been more than a decade?

I gave up on it so long ago I've forgotten...

Posted by: neill on June 22, 2009 at 3:19 PM | PERMALINK

In both cases, dramatic entitlement reform wasn't necessary - Thompson

I don't think anyone is making the argument that "entitlement reform" isn't necessary vis a vis medicare/health care.

Posted by: Danp on June 22, 2009 at 3:19 PM | PERMALINK

Any bill that does not include a public option plan is likely to do more harm than good. Churchill once noted that the US always does the right thing-- after it has tried everything else first. We have tried everything else on health care. Now it's time to do the right thing. About 20 other first-world countries with heath care plans with universal coverage and/or single payer systems have better overall health care statistics and costs of 8-12% of GNP compared to our 16-17% of GNP. Pick one of the others you like the best(Germany, Japan,.Canada, France, Norway, Sweeden, Denmark, Netherlands, England, Switzerland, Austria, Australia, New Zealand, whatever) and increase the costs by 20% to cover what you don't like about that particular system and you've got a much better system than ours at 20-40% less cost. If you don't like any of them, quite frankly you're a deluded idealogue that no amount of real-world data will change.

Posted by: george bittner on June 22, 2009 at 3:29 PM | PERMALINK

Mr. Will -- Assume you have a pre-existing condition. Then try to buy health insurance on the open market. Good luck.

Posted by: Obama / Steelers / etc on June 22, 2009 at 3:35 PM | PERMALINK

[...] vast majority of Americans are this close to demanding healthcare reform or their Senator's cojones if they don't get it! --Blue Girl, @15:18

Funny you should mention it... I just finished venting to my Sen. Mark Warner (on top of letting MoveOn send faxes, on my behalf, to *both* Warner and Webb. Can't hurt to harry both of them a tad). The xyz sent me a chirpy little note, about how all of us Virginians are now united behind Creigh Deeds and would I please look at his (Warner's) photo album, showing how supportive he is.

Well, I blew a gasket. Didn't offer to chew off his testicles, but sent him a little reminder of my priorities:

Mark Warner,

Never mind showing me some smarmy photos; tell me what your stand is on the public option health insurance.

Yes, we're energized and united behind Creigh but most of us can walk and chew gum at the same time. It's nice of you to be supportive of Creigh, but I would have never expected anything less; I never took you for a Traitor Joe (Lieberman). Now go back to the Senate and make sure I get a *strong* public option, and not some piddling co-op version. I'll be watching your position and your votes.

PS. How come Senator Webb can send me updates about bills he's proposing and co-sponsoring, while all I ever hear from you are photo ops and all I ever hear about you is that you're in cahoots with the "Dem centrists" - people who are mired, up to their waists, in corporate money? I may not have a whole lot of discretionary cash to dispense, but I still have my vote. And so do many friends of mine.

Best reg@rds,
T

Posted by: exlibra on June 22, 2009 at 3:55 PM | PERMALINK

Obama's detractors now insist that overhauling the health care system is really just a secret effort to impose a single-payer system.

If only his detractors were actually right about that.

Posted by: qwerty on June 22, 2009 at 4:02 PM | PERMALINK

Also it's the old addage: "who you gonna believe? Me or your lyin' eyes." When one of the concern trolls informs me that I have the 'best healthcare in the world', and insists that I do not want a guvmint bureaucrat between me and my doctor; I know this is BS, because I know my insurance sucks and is too expensive and that I have to get approval (or denial of benefits)from the insurer for every effing thing my doctor orders for me.

When Bush was running around the country demonzing his opponents, I knew that the stockmarket and bond market are not a sure thing. And come to find out, my FICA could have been invested in Triple A rated SubPrime Mortgage backed Securities.

Of course I want to work at a W-2 job until I'm 110; don't you?

Posted by: bcinaz on June 22, 2009 at 4:09 PM | PERMALINK

Beleaguered Republicans could always sink health reform the way beleaguered 2005 Democrats torpedoed Social Security privatization: Paint the other side as radical conspirators against America.

Funny. That's not the way I remember it. I remember it as "Bush and the Republicans have already wrecked almost everything that's good about America and now they want to finish the job, while lining the pockets of their rich cronies and at the expense of regular folks."

Health care reform is totally like that, though. The parallels are, like, right there, side by side.

(Add The Atlantic to the list of publications apparently willfully committing hari-kari.)

Posted by: zhak on June 22, 2009 at 4:46 PM | PERMALINK

Were I to make a comparison, I would compare efforts to enact health care reform to the Israeli-Palestinian peace talks - they've been taking place on and off for decades, everybody says they want a solution, but nobody involved really seems to want a solution.

Posted by: dr sardonicus on June 22, 2009 at 5:30 PM | PERMALINK

yes, if only we were allowed to throw our social security money into the stock market.

I would add to this that the proposed social security 'reform' in 2005 was advertised by its own proponents as revenue neutral, meaning the underlying long-term solvency issues wouldn't even have changed.

Posted by: Todd on June 22, 2009 at 5:36 PM | PERMALINK


Instead, it would have blown a TWO TRILLION dollar hole in the Social Security Trust Fund.

Posted by: Joe Friday on June 22, 2009 at 7:19 PM | PERMALINK

I think you're engaging in willful thinking, Steve. The comparisons are quite apt. The most important point you miss is that the administration is not really being totally honest about their health care plan. They say you'll be able to keep your current plan. But a public option, according to the CBO, will by its very existence cause 10 million people to lose their existing insurance. They also talk about cost control without really specifying what treatments they will deny. Obama's mom with the hip replacement is pretty obvious, but will we go as far as Canada and make people wait 16 months for hip replacements? Will all non-emergency health care feature long wait times?

The cost is where the real dishonesty is coming in. Saying that health insurance for all will pay for itself, even in the longterm, is just dishonest. If that was possible, it would have been done the last few times the government tinkered with Medicare and Medicaid. IF they don't have the political will to cut health care for seniors and the poor, they'll never have the will to cut it for the general citizenry.

To summarize, the public plan is a trojan horse just like Bush's privatization scheme was. It's just not necessary, and trying to paint it as an essential part of reform is dishonest,and will be exposed as such with only one 30-second attack ad from the AMA.

Posted by: Adam Herman on June 23, 2009 at 3:21 AM | PERMALINK

These right wing operatives, whether they work directly for the republican party, (can't) think tanks or pose as journalists, can not possibly be stupid enough to believe their propaganda, they do it for the money that wealthy people pay, directly or through their corporations, pay to spread the talking points that are designed to increase the wealth of moneyed class.

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