Dialing It Down On Health Care
Charles Krauthammer nails it today in an editorial in the Washington Post (and not just because he and I agree that something called “health care reform” is going to pass):
Yes, Obama’s aura has diminished, in part because of overweening overexposure. But by year’s end he will emerge with something he can call health-care reform. The Democrats in Congress will pass it because they must. Otherwise, they’ll have slain their own savior in his first year in office.
That’s party politics (which we’ve come to learn from both parties, usually means putting the party first and the country second). They are not going to be responsible for killing the presidency of a Democrat. But they’re also not going to pass anything like what they started out to pass.
So what will it be?
But that bill will look nothing like the massive reform Obama originally intended. The beginning of the retreat was signaled by Obama’s curious reference — made five times — to “health-insurance reform” during his July 22 news conference.
Thus the beginning of the campaign to demonize the insurance companies as “the villains”. And it is going to be a long and loud campaign until the “something” is passed.
Reforming the health-care system is dead. Cause of death? Blunt trauma administered not by Republicans, not even by Blue Dog Democrats, but by the green eyeshades at the Congressional Budget Office.
Krauthammer have a slight disagreement on this. Not that the CBO is the primary entity that put a lance through the heart of “health-care system” reform – and that is what Obama referenced repeatedly and, when you talk about type of care and changing the behavior of doctors, is obviously more than “insurance reform”.
Our disagreement stems from my belief that health-care system reformation isn’t at all dead, it’s just delayed. One things the Democrats are adept at is incrementalism. They’ve worked diligently for decades to expand relatively modest programs into huge, wasteful bureaucratic monstrosities that hand out money – at least that which finally works its way through the bureaucracy – like a political party handing out “walking around money”.
This, unfortunately will be no different. And even more unfortunately something on which the Democrats can begin their incremental construction will be law by this fall.