Tag: health care reform

The circular firing squad over the defeat of Martha Coakley and what this means for the Democratic Party and Health Care Reform got underway a couple days ago.  I’ve said my bit, and have nothing further to add, but I’d rather address the potential challenges facing reform aside from the loss of a seemingly filibuster-proof majority.  It is now absolutely imperative we push forward and bring a bill to President Obama’s desk.  Our backs may be against the wall, but perhaps it will take abject panic and fear to rouse our complacent, weak-kneed Democratic legislators towards the goal.  If it takes the shock and dismay of a humiliating defeat to break the logjam, then so be it.  I’m not concerned with speculating as to how we got here; I am instead consumed with what we learned from it and how we will use this tough lesson to think of others and their needs rather than ourselves.  

What I have noticed in my own struggles to obtain low-income health insurance is how class and race ensure that government subsidized plans are underfunded and often dysfunctional, but money (or the lack of it) seems to be the most powerful determinant of all.  What many have noted is that basic selfishness is what threatens to derail any efforts towards changing the existing system—namely that people who have always had sufficient coverage do not understand the limitations faced by those who do not.  We can call that privilege if we wish, but that term has always seemed accusatory to no good end to me, and my intent is not to chastise anyone but to make many aware of the challenges in front of us that never get much in the way of attention.  In my own life, I can say that I have now seen how the other half lives for the first time ever, and I noted that they live lives severely impeded by the tremendous limitations and senseless complications of the existing system.

I have been unemployed or at least severely underemployed for several months.  As a result, I had no choice but to file for government assistance.  When I was finally granted food stamps I signed up as well for a local DC funded health insurance plan.  What I have discovered in the process is that since the Recession hit, social service agencies in DC have been swamped by new applications for every existing option currently offered.  According to one worker with whom I spoke, claims have tripled since the bottom began to fall out of the economy.  The system was barely able to manage the number of filings in more stable times, and now it has in large part ground to a halt if not slowed to a trickle.  New claims are supposed to be processed in no more then 30 days from approval, and I was forced to make several time-consuming, additional calls to the proper department to even get the coverage activated.  Those without the time or without the persistence likely will be granted nothing at all and this simply should not happen.  

My great point is that without the infrastructure in place, it doesn’t matter how many people to whom we grant coverage.  Ensuring that everyone can get their teeth cleaned, fillings filled, broken bones set, flu-like symptoms properly treated, diabetes regulated, or depression adequately under control is the ultimate goal, but we must also be sure to build a sufficient number of clinics, medical centers, doctor’s offices, dental hygiene practices, well-stocked pharmacies and all the rest.  They must be built in proper proportion to need and since humankind has never been able to curtail its zeal for making money at the expense of the health of the financial system, we need to devise strategies to build these things for both good times and bad.

In DC, the low-income, government-funded system forces the poor and/or disabled to a handful of centers scattered across the District itself.  Visiting a private doctor or specialist is not an option, since coverage is only granted to those who use these designated centers.  Likewise, pharmacies and medication dispensation function under the same parameters.  Using Walgreens, CVS, Rite Aid, or other commercial medication fillers is not allowed under the plan.  Though there are a score of specific pharmacies which take the DC plan, in my case, there is only one pharmacy in the entire District that fills psychiatric medication, and for me it is a 35 minute trip, one-way via public transportation and then by foot.  The pharmacy itself is attached to a Mental Health services clinic which is the sole site whereby psychiatric care is provided for a city of roughly 600,000 people.

Without enough workers to process claims, grant coverage, manage medical records, or attend to even the most basic of needs the system is essentially worthless or at least incredibly inefficient.  Without enough revenue allocated by governments from taxation or other means, it doesn’t matter how snazzy or up-to-date is any system designed to speed up or modernize the system.  Window dressing is window dressing.  Without the money to properly stock a pharmacy, medications will be obtained on a priority system and as such, meds that are rarely prescribed or are very expensive will rarely be on hand when needed.  For example, one of my medications, Parnate, is an MAOI inhibitor.  Parnate is a very powerful anti-depressant that is infrequently prescribed because with it comes potentially dangerous, even deadly side effects if I do not take care to abstain from eating certain foods.  As you might expect, it is not one of the more common prescriptions, but it is essential to my lasting health and quality of life.  A commercial pharmacy usually has it in stock, or if it does not, it can be quickly ordered or is certainly in stock at some other store in the immediate area.  With the government-subsidized pharmacy I must use, if that particular drug is available at all it is due purely to chance and luck, and if it needs to be ordered, it may be a week or more before they have it in stock.      

Regarding visits with a GP, specialist, or other specific health practitioner, some clinics and centers accept walk-ins or schedule appointments within a reasonable time frame.  Some do not.  For those who need surgical procedures or more invasive treatment, one might be expected to wait months.  When I still lived in Alabama, there was approximately one Medicaid-accepting clinic for the entire state that performed the procedure, and as such when it came time for me to have a very routine, non-invasive treatment, I was booked four whole months in advance.  In more affluent, usually blue cities and states, the wait time is often less, but it can still be a bit on the lengthy side.  As for me, I found to my utter dismay that my coverage was terminated before the procedure could be even performed after the clinic filed and billed Medicaid for the cost of the preliminary screening.  Someone must have realized that to save cost I was not what they deemed a “high-priority” need and thus I could be safely removed from the rolls to save money in what was a system already in danger of being completely depleted of funds.    

An important distinction needs to be drawn here.  The DC-based coverage I have been talking about is different from Medicaid or, for that matter, Medicare.  This coverage augments or seeks to provide coverage to those who either have Medicaid/Medicare or cannot get approved for it.  This is why the rules, parameters, and hoops to jump through are more severe.  Medicaid usually allows a person to pursue more orthodox means of seeking treatment.  Though some medical practitioners do not accept it because it usually pays out less than a gold standard coverage plan through a private insurer, many do.  Again, money is a big factor at play.  If Medicaid were capable of paying out at a sufficient rate, everyone would take it.  If it wasn’t at times forced to pay out much later than a private carrier or even being forced to issue IOU’s when monetary shortfalls and partisan bickering delayed enactment of a satisfactory state budget, then it certainly would be on par with usually employer-based coverage.

Yet, it is very disingenuous at best for those who oppose health care reform to stubbornly dig in their heels and express haughty indignation that they are NOT going to have “the government” take away their right to choose their doctor.  The only way this would ever happen for most is if they lost their insurance altogether, lost all their personal savings, and lost the ability to come up with the money to see a well-compensated physician and/or specialist.  Their worst-case-scenarios and numerous reservations are true only for those living in abject poverty, or at or below the poverty line.  The wealthier among us have any number of lifelines, be they family, co-workers, friends, fellow members of a particular group or club, or other sufficient means.  Those at the bottom have none of this upon which to rely.  Friends, family, and others are just as impoverished and less fortunate as they are, and they have no choice but to take and use what they can get.  And taking what they can get means dealing with a system that is convoluted, needlessly complex, inconvenient at best, and regimented to such an authoritarian degree that even obtaining the minimum often is an exercise in debasement.

If ever we had a need for revolutionary reform and change, now would be it.  Decades after a declared War on Poverty, we still have many battles ahead of us.  We haven’t really given this matter anything more than perfunctory attention, and we haven’t really allocated resources of any significant means to this very pertinent cause.  Doing so would require us to understand exactly how fortunate we are to have been granted, by complete luck and chance, the socio-economic status of which we were born.  For some quirk of God, fate, or nature we do not get the right to choose our parents or to choose our upbringing.  But we do have the obligation to see to it that those for whom daily adversity is not an abstraction have the same rights that we frequently take for granted.  I am not seeking to lecture, nor to hector anyone, but rather to strongly emphasize that our continued success as a people, a party, and a movement demands that we seek to assist the poor and the less fortunate.  Our wallets, billfolds, and bank accounts couldn’t open fast enough to provide aid to suffering Haitians.  If only this were possible for our own poverty-stricken citizens, many of whom struggle through conditions not that dissimilar to those we now view through heart-wrenching news reports and graphic photographs.  After all, it might be you someday who faces the disquieting realization that our health care system is designed for the wealthy, by the wealthy, and in so doing realizes just how much you took it for granted.

I know now that it is foolishness personified to believe that the Democratic Party, nor any of the existing spheres of influence currently established will provide the strong leadership we need.  Back in 2006, I was, of course, certainly elated that we had won back control of the House and the Senate, but my reservations then were that the core of the majority body were the same bumblers and bloodless supposed “leaders” whose inaction led to a loss of control in the first place, back in 1994.  Unfortunately, these fears seem to have been confirmed.  Some have proposed term limits to counter-balance this tendency and while I have my own reservations regarding that solution, I know that surely there must be a better way than what we have now.  Long ago, my home state, Alabama, knew that its concerns were likely subordinate to that of wealthier, more well-connected states, so it consistently has elected the same weasels to office, knowing that with seniority comes power and with power comes the ability to set legislative priority.

Even dating back a hundred years ago or more, the state continued to elect the same decrepit, graying elder statesmen for this very reason.  The most notable example of this was when, out of fear that these men would die in office, a special election was held, whereby voters could select not only these long-standing candidates for perhaps the last time, but also those who would immediately take power the instant they passed away.  “They will be our pallbearers”, one of the ancients was reported to have said at the time.  This unique balloting situation was partially due to the fact that Alabama was a poor state and couldn’t afford the additional expense of printing out a second round of ballots if one of its aging representatives died, but it was also due to the fact that the state wasn’t willing to give up its share of influence in the Congress until it absolutely had to, either.  If Robert Byrd runs again, one wonders if the voters of West Virginia would be similarly inclined to pursue this strategy.  One also wonders if this unique course of action had been employed in Massachusetts had Ted Kennedy’s illness come to light back in 2006 how different the situation facing us today would have been.  

I think part of what we are struggling with is an ability to adjust to uncertainty.  I have recently noticed that workers in their forties and fifties, those who have paid into the system for years, are now beginning to get laid off in scores.  First came the low-wage earners, then came the young, now a group previously insulated from layoffs.  This makes for an angry, confused electorate, one which might finds itself unable to construct much in the way of a unified front from within, but still votes to throw the bums out when it comes time to cast a ballot.  What I do know, based on observing larger trends over time, is that the economy will come back eventually.  This is, of course, not exactly comfort food to those drawing unemployment and subsisting on a fraction of their previous income.  And, we must admit, nor is it a good sign for the party in power.  

We can tout a stimulus as a job saver, but the true measure of its impact might potentially not be measured for years.  The same goes for health care reform.  What leaves a bad taste in the mouths of many about the program is that it begins collecting the necessary tax revenue to properly fund it almost the instant it is enacted, yet is not fully implemented until 2014.  Not only that, some parts of it will not be in full force until a few years after that.  While this implementation stage might be the only way the system can go into effect without toxic shock, that very fact has and will prove to be a powerful talking point for Republicans and disaffected Independents already skeptical of increased taxation, for whatever means.    

In situations like these, the natural inclination is to look for a historical antecedent, and some point back to the 1982 Mid-Congressional elections as well as the 1966 cycle.  Neither of these fit the profile neatly.  The Democratic majorities in the House, for example, were far greater than they are now.  In 1966, the Democratic party shed 47 seats but still had a majority cushion of more then 50 seats.  In 1982, Republicans picked up 26 seats, but the majority Democrats still had over 100 more than the GOP.  No one knows the number of seats that will be lost this coming November, but I still am unconvinced that control will change hands in either chamber.  What is more likely is severely reduced numbers which will likely require more conciliatory and concessionary measures with minority Republicans.  And, to be blunt, perhaps that isn’t all bad since resounding majorities in both the House and Senate have not prevented legislation from proceeding forward at anything more than a snail’s pace.  The Republicans may have put all of their winnings on obstructionism, but inter-party fighting has proved itself a far more effective opponent than anything the GOP has flung at it.  

What concerns me more is the completely justified anger at Wall Street and big business, who have methodically bought up every seat at the bargaining table if not other seats in other contexts.  This sort of conduct is indefensible from whichever context it is examined, and President Obama and the Democrats in power could launch attacks against this base inequality that would prove to be very popular with voters.  Though a few Republican voices might sound the alarm, it is a position that rarely goes sour and can always tap into an endless source of anger, frustration, and bile.  Populist anger at the wealthy is an ancient tactic and one that even the most fervent second-guesser can do little more than scream about, since few actually will listen, or have much in the way of general sympathy.    

As for more contentious matters, Democrats must avoid letting their opponents frame the issue for them.  To some extent, I understand anyone’s fear of big government, if only from the context of reduced efficiency of work and decreased quality of service.  Since the Recession began, I have noticed that in many government agencies, budget shortfalls and layoffs have gummed up or slowed to a trickle what would seem to be rudimentary, straightforward processes.  In so doing, this has given government employees no incentive to do an efficient job.  If you will please pardon, I will again refer to a personal example from my own life.  When I filed for food stamps two and a half months ago, the framework existed to allow and encourage claimants to send out applications online.  But, as I found when it took twice as long as it ever should have to receive my benefits, budget deficits prevented the agency from being able to hire and train the necessary people to process these online claims.  Thus, my file sat on a desk for a month and if I had not contacted an advocacy agency, it would probably still be there.                

In Progressive circles we talk frequently about Good Government™ and its enormous potential to do a massive amount of laudable things.  I, of course, believe in it as well, though I recognize that up to now it is still a dream kicked further and further down the road.  President Obama was swept into power talking about the merits of smart government and, lamentably, up to this point, I’m afraid I don’t see it.  Yet, neither am I willing to sagely propose, as some do, that there is some purity in the private sector.  Different name, same trough.  I suppose it depends on that which you fear the least.  It is the formation and perpetuation of systems which have shortchanged all of us that leads people to make conclusions as to the ultimate success or failure of any new enterprise, government or otherwise.  Our pessimism might not be justified, but our skepticism is not.

Though I too have engaged in finger-pointing as to why we’ve reached this climacteric a mere year after it seemed like we were on top of the world, I recognize that it is ultimately a self-defeating activity.  In the end, it doesn’t matter whose fault it was, unless that entity or collective body is willing to reform itself.  Barack Obama was a rock star once, not a vacuous celebrity as some tried to paint him.  Having released a critical disappointment that didn’t sell nearly as well as advertised, he is now facing the first openly hostile reviews of his career.  Yet, have no fear, fans.  Americans love a comeback, particularly with an extensive tour attached to it.  Someone as talented and as capable easily has the dexterity and strength to exceed our wildest expectations again, but only if he has the help he needs and he presses an agenda with a reasonable chance of succeeding.      

No person is an island.  We have wept and prayed and fasted and purged and been delayed by the same impasse.  My own contribution to a growing canon of proposed solutions is that we take a more active stance within government itself.  Anyone can lock arms, hold hands, and sing stirring songs.  Anyone can find themselves beholden to Protest Culture™, whereby one assumes that rallies, marches, and symbolic posturing are sufficient in and of themselves.  Anyone can oppose and find with opposition a million followers, a million voices of affirmation, and a million friends and supporters validating each and every sentient point.  We can hold the feet of our elected Representatives to the fire, but I believe in the value of electing new feet that won’t need to be forced towards the fireplace on a maddeningly consistent basis.  This is within our power.  

I am reminded of how much talk yesterday revolved around a plea for us to not sanitize the legacy of Dr. King and to keep his memory alive as a revolutionary who made many in positions of power very uncomfortable.  Indeed, if all we remember him today was as a purveyor of sentimental, feel-good platitudes, then we forget that he was more than that.  Far more.  Had he been merely Santa Claus, he would not have been assassinated.  At times, traditional liberalism has been reduced all too often to a never-ending Pete Seeger concert, with the sting removed and without any obligation whatsoever to be self-reflective.  When I left a more conservative, more Christ-centered faith of my own accord and moved towards unashamedly activist liberal faith, I always found it curious how easily the John Lennon song “Imagine” was adopted as a kind of mission statement of sorts.  If one examines the lyrics literally, its lyrics advocate an atheistic, anti-consumerist, anti-capitalist Utopia—a fact that gets overlooked due to the attractiveness of the melody that obscures what even a cursory examination of the words implies.

It is time for Democrats to be bold and edgy again.  I see this all the time in the blogosphere, but I rarely see it among elected representatives.  And even when a Representative or Senator does stick his or her neck out, it is usually to make a splash by forcefully uttering some patently inflammatory or controversial statement, knowing full well it will be media catnip.  The immediate impact is usually positive, but few know how to push their agenda beyond immediate shock value and dramatic statements that sound compelling at first hearing, but often are a bit on the childish end of the spectrum by the end.  And, it hardly needs adding, even these sorts of attitudes are in short supply, all told.  No one ever confused the base as being anything less than fired up and ready to go.  If those elected to serve us are not willing to listen to us, we have an obligation to replace them with those who will, and in so doing, being willing to drafting candidates from within our ranks to fill the slots.  Those willing to complain are legion, but those willing to serve are often not.  Participatory Democracy does not depend on a particular Patrician class we deem the experts and the only sorts that can get the job done.  The skill set needed now and forever is only the willingness to run and the ability to learn the game.

Now crossposted at Progressive Democrats of America

In another arrogant collusion to once again deny us any possibility of what we want — real health care reform, single payer, public option — those who do what they want, but not what we want, have decided to scrap the conference committee to reconcile the Senate and House versions.  Instead, they have decided to have a secret meeting of the 3 major players, Pelosi, Reid, Obama, behind closed doors without reporters or C-Span.

This is a call to action.  We need to call congress and tell them we are furious.  Like modern day Paul Reveres, we need to ride through the countryside on our internet horses and yell from the rooftops, “The fascists are coming.  The fascists are coming.”   And we aren’t gonna take it any more.  No we aren’t.

It’s time for the Second American Revolution.  We need to let Congress know we aren’t going to take this any more.  No taxation without representation.  No mandates to force us to buy junk health insurance when we don’t have a democratic say in what is being put into law.

To the rooftops, to the tubes, to Congress, say NO!  We won’t take it any more.  The Second American Revolution is coming.  The Second American Revolution is Coming.

Follow below for more to do and a very cogent letter from PDA.

A few years back my depression flared up again, and it became necessary for me to make the long-practiced, but always demoralizing trip to the hospital to regulate my medications and in so doing stabilize my illness. The hospital close to my apartment had no beds available, but the law indicates that those who require hospitalization for any reason must be taken somewhere, no matter how far away that may be. After waiting for several hours, an ambulance arrived for me and I ended at a psychiatric hospital that I eventually came to discover was very badly managed and severely understaffed. Daily existence was trying enough, particularly when in such an emotionally vulnerable state, but I reached my breaking point when it came down to separate into groups for discussion. Substance abusers headed in one direction, and psychiatric patients went in another.

Before that instant, I had no idea I was about to have a spiritual awakening. This setting would seem the least likely of all regarding spiritual insight. To be taught a lesson with application well beyond the immediate was something I recognize now I needed desperately. The most potent image that stuck with me most was that of sitting in a room with ailing people, many of whom were clothed in the barest of scrubs, some of whom did not have their own clothes to wear. The nominal leader began a rambling devotional which then moved unskillfully to a denunciation of the sins of humankind. It was not until well after it concluded that I realized the leader was not a staff member, but was a fellow patient. As this delusional prophet spread a message of hellfire and brimstone, I saw heads droop lower and lower to the ground, believing that God must be punishing them for having mental illness. There was a time, and not that long ago that those with psychiatric disorders were seen as being either possessed by demons or being cursed by the Devil.

It took an experience that viscerally jarring for me to get the point. At that precise moment I vowed that I would never stand for such a thing ever again. The God I believed in then and believe in now was a God of love and a cool healing touch. I regret to mention how uncomfortable I had been in the presence of so many souls whose poverty and crippling condition rendered them a truly pathetic sight. Now, my heart was filled with pity and concern, as well as anger at the man who had encouraged them to curse themselves for a condition which they did nothing to create themselves. The world is full of much ignorance and much misguided advice, but since that day I have vowed that those who attack the most vulnerable among us for whatever reason must be challenged and ultimately defeated. That I had allowed my own prejudice to judge unfairly and harshly these people who had taken me outside of my comfort zone I regret to this very day. They lacked the intellect and the privilege I took for granted regarding how to advocate for themselves and how to even form the words needed to aid the doctors assigned to treat their case.

The story also highlights the shortcomings of our supposedly world-class health care system. The hospital upon which I was a patient had clearly seen better days and much of its dysfunction was due to the fact that it had close to twice as many beds as it did staff to manage the load. I saw a psychiatrist for no more than five minutes per day, at which point I had barely enough time to describe my symptoms and have my medication regimen modified. Those who could afford to leave did so, and those whose insurance or lack thereof would not pay for something better were stuck there. As for me, I claimed a miraculous recovery to escape after having been there a mere three days. For many, however, three days was but a drop in the bucket. Psychiatric hospitals are often merely a way station for the severely ill to remain until the court rules whether they should be committed to a state-run institution. Once there, a patient lingers for several months, upon which he or she is turned back out into society. Yet, few only manage one tour of duty in this whole sordid process. The homeless or the desperately poor spend years in and out of hospitals with such a variance in quality of care that it is no wonder this revolving door is the rule, not the exception.

I recognize how lucky I have been, but I know also that my role is to stand up for those who cannot stand up for themselves. Though whatever means I can manage, the indelible impression left on me by this story and others I have experienced in the course of several hospitalizations have allowed me to recognize that I have an obligation to serve those with limitations that would otherwise leave them worse for wear.

Some are fond of stating that we are our brother’s keeper and our sister’s keeper, but what often gets obscured is the original context in which this quotation is found. It is in Genesis, shortly after the the world’s first homicide. Cain intends the phrase as a childish retort full of scorn, but the phrase has often been taken literally.

Then the LORD said to Cain, “Where is your brother Abel?” “I don’t know,” he replied. “Am I my brother’s keeper?” The LORD said, “What have you done? Listen! Your brother’s blood cries out to me from the ground.

It would be just as easy then as now to refuse to look out for the vulnerable ones among us. Christmas, promising goodwill to humankind just passed us, a New Year yet to come, it is easy to forget high-minded ideals once the halls are un-decked and the time comes to roll up sleeves again and dive into work. If we are really to do the season justice, it would be for us to recommit ourselves to the process of reaching beyond our own selfish preoccupations. That it took my own direct observation to take into account the completely needless shame and fear felt by fellow patients only renders me exactly like the throngs of Doubting Thomases with whom I associate regularly. It is this gift I wish I could impart to those who have opposed reforming our broken health care system. It is this experience, horrible though it is, that opened my eyes and I feel certain it would do the same for many others.

Blessed are the poor in spirit,

   for theirs is the kingdom of heaven.

   Blessed are those who mourn,

   for they will be comforted.

   Blessed are the meek,

   for they will inherit the earth.

   Blessed are those who hunger and thirst for righteousness,

   for they will be filled.

   Blessed are the merciful,

   for they will be shown mercy.

Uh-Oh!  Did someone just let the cat out of bag?

Democrats See GOP Hypocrisy in Health Care Debate

Citing 2003 Medicare vote, Democrats see GOP hypocrites in debate over health care spending

Charles Babington, AP Writer

Dec 25, 2009

[…] when Republicans controlled the House, Senate and White House in 2003, they overcame Democratic opposition to add a deficit-financed prescription drug benefit to Medicare. The program will cost a half-trillion dollars over 10 years, or more by some estimates.

With no new taxes or spending offsets accompanying the Medicare drug program, the cost has been added to the federal debt.

[…]

Six years ago, “it was standard practice not to pay for things,” said Sen. Orrin Hatch, R-Utah.

http://abcnews.go.com/Business…

Watch out Orrin, speaking the blunt truth, is NOT a GOP strong suit,

best to stick to the Lock-step GOP Talking points, you guys NO best!

Leave the blunt talking to those with real guts, those like Alan Grayson & Co.

Having passed a long-overdue Health Care Reform Act, expect the media to dust off long-composed narratives it kept in cold storage until this point.  The instant President Obama signs the bill into law in a massive ceremony full of important people, flashbulbs, and saturation coverage, there will be many who will seek to make the gravity of the event better understood by means of analysis and interpretation.  Contrary to what some may write, I am not entirely convinced that Health Care saved Obama’s Presidency, though it would certainly have removed the last of the luster around him had it failed.  There will be many contentious fights to come, but the passage of the bill will likely limit GOP gains in next year’s Mid-Congressional election.  It will provide momentum to force through other reform measures and will be a face saving device to aid vulnerable incumbents.  But like much of politics, the ultimate impact of it all is indebted to future understanding and events yet to come, of which none of us is privy.  

Also to be found in copious quantity are the requisite gross of stories lamenting the end of good cheer among legislators of different parties.  One would think that this health care bill has ushered in a golden age of distressing polarity, but it has not.  Most people are terrified of change.  Many will sign on to change in the abstract, but once the concrete is poured, their opposition hardens.  Trusting in the known is much like betting on the favored horse, but trusting in the unknown possibility comes with it 50-1 odds.  Most people are not riverboat gamblers, but if they were, they’d often reap the rewards of taking a chance for the sake of positive gain.  This truism has no allegiance to party or ideological affinity.  Nor is it an American institution.

While the Senate has always been structured to foster some degree of collegiality by its very makeup and its relatively small size, one mustn’t let the myth obscure the facts.  The Senate may be a family, but it is a strangely dysfunctional one, and the House equally so.  This is, we needn’t forget, the same collective body where Representative Preston Brooks savagely bludgeoned Senator Charles Sumner with a cane on the latter chamber’s floor.  At other crucial points in our nation’s history, decorum has been replaced by nastiness and I think perhaps our latest group of elected representatives do not remember or have not studied precisely what happens when measures this large and all encompassing are further hyper-charged by massive displays of public sentiment and outcry.  Regarding this subject, Senator Orrin Hatch strikes back at us in the blogosphere for daring to hold his feet to the fire as well as the feet of other legislators.  We ought to take this as proof of a job well done and aim to keep it going.  

I am also not particularly sympathetic to Representatives and Senators who have complained about the extended hours needed to pass this bill.  If they had resolved it in a more timely fashion, then this matter would have been dealt with long ago.  Republicans have used stalling tactics and obstructionist procedural measures, but as we all knew, the Democratic party itself was the real enemy at work.  Attempting to pacify various factions within itself to hold together a fragile coalition is what took so long to reach resolution.  Moreover, if this is what it takes to achieve true fairness and equality, I wish they’d be in session every year and even up until Christmas Eve, if needed.  It is, of course, true that Senators need to spend a certain amount of time campaigning, raising funds, and observing for themselves the nuts-and-bolts of the policy issues upon which they will propose and vote.  However, too often these are excuses cited for not being in session at all, especially when needed legislation is allowed to die a needless death or is tabled in committee with no re-introduction ever intended.

It is true that,

[f]or more than 30 years, the major parties – Democrats and Republicans – worked every angle to transform politics into a zero-sum numbers game. State legislatures redrew Congressional districts to take advantage of party affiliation in the local population. The two-year campaign cycle became a never-ending one.

Politics, however, has always been a game of knees to the groin and leaps to the jugular.  When contentious matters and contentious times existed, collegiality was the first thing to be discarded and shed.  In times of plenty with few especially pressing matters, then party lines could sometimes seem obscured or unimportant.  The so-called “Culture Wars” are a partial explanation for that which we have been facing.  In truth, the Republican party began to take a sharp right turn beginning with the Contract with America in 1994 and then culminating in the election of George W. Bush.  When Bush played directly to the Republican base at the expense of the middle, this caused a correspondingly swift and sharp reaction in the left wing of the Democratic party, which the Progressive blogosphere correctly considers a call to arms.  Returning to the idea of truth versus saccharine sugarcoating, yet again, it is tempting for all of us to invent our own mythology, particularly when it suits our cause, but this is a compulsion we must never adopt for whatever reason may be.  The truth will set us free, but freedom is often pricey, especially when we remove it from circulation.      

David Swanson, Washington Director of Democrats.com, talks with Paul Jay of The Real News, dissecting the politics of health care reform and the roadblocks in the way of getting to a real reform that serves peoples needs rather than politicians needs and the fact that politicians, even democrats and so-called “progressive” politicians and not just republicans, are the major roadblocks.

David Swanson is the creator of ImpeachCheney.org, co-founder of AfterDowningStreet.org and Washington Director of Democrats.com A writer and organizer, Swanson has worked for ACORN, the International Labor Communications Association, Dennis Kucinich’s 2004 presidential campaign and many others. Swanson is the author of the new book “Daybreak: Undoing the Imperial Presidency and Forming a More Perfect Union” by Seven Stories Press. You can order it and find out when his tour will be in your town: http://davidswanson.org/book.

I know, this Chris Hedges piece came out nearly two weeks ago.  This is a further exploration of the “liberals are useless” meme in political conversation.  Here I will suggest that liberals, progressives, etc. may be useless, but they can’t be dismissed outright.  Thus we need the building blocks of a more proactive stance.

(Crossposted at Orange)

6 Months Gains in Stock prices — 3 Health Insurance Giants

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6 Months Gains in Stock prices — 3 more Health Insurance Giants

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Notice the recent spike in price, in the last few weeks, when they knew “Santa got their wish list, and was making a special trip, just for them!”

Crossposted at Daily Kos

   Pre- existing conditions? They are still in there, only now, instead of getting denied they get to jack the price up 3X and you’ll be FORCED to buy something, and without competition who are you gonna choose? THEY WILL ALL CHARGE THE SAME CLIMBING PRICE!

    Yearly caps? They are STILL IN THERE!

    Death Panels? For Profit death panels, you betcha.

    And loopholes, loopholes, loopholes!

    I’m sorry, but Obama is NOT FDR. This is NOT the same political climate as when Social Security was passed or when Medicare was passed. Hell, this isn’t even the same century!

    So get over the fact that you have been TOTALLY SCREWED at this point and do something about it. This bill, as it stands, is so poisoned it should be killed and began again from the start, no matter how long and painful it might be. This CAN be dealt with in a year or two when the Conservative Wing of the Democratic part loses in droves, because that is coming one way or another.

    I am PISSED, and you should be pissed too, cause we’re getting SCREWED on this deal. The ONLY winners are the political class and the special interests. Consumers are getting sold down the river.