Free Markets, Free People
Along with his credibility. When the House bill on health care (H 3200) came out, anyone who read the bill, to include Republicans, noted that it planned to pay for much of what was offered through Medicare cuts. And, in speeches and talks following that, President Obama said that he wanted to “end subsidies” to Medicare Advantage, a Medicare supplemental program very popular with those using Medicare (because it covers what Medicare doesn’t).
Even the CBO has come out, as noted yesterday, and said what President Obama is talking about when it comes to Medicare will cut the level of benefits for Medicare users.
Be that as it may, and as he has in many things, he claims everyone else is wrong, he’s right and those disagreeing with him are simply doing it for political purposes. In talking points distributed by the White House today, they say:
Talking Points: Republicans’ Disingenuous Scare Tactics on Medicare
• Recently, as part of an ongoing effort to revive their political fortunes by killing health insurance reform, many Republicans have been attempting to scare America’s seniors with false myths about what reform would mean for Medicare.
• These distortions and outright falsehoods would be offensive under any circumstances, but they’re especially disingenuous coming from a group who has a long history of opposing Medicare and who very recently tried to kill the program as we know it.
• Just this past April, nearly four-fifths of Republican House members voted to end Medicare as we know it by turning it into a voucher program that provides a fixed sum of money to buy private insurance.
• And this most recent assault on Medicare is just the latest in a war Republicans have been waging on the program for decades.
They also attempt to spin away the CBO finding that benefits will indeed be cut and they further attempt to justify the Medicare Advantage cuts.
But this just isn’t selling to those at whom it’s aimed.
Gallup reports that seniors 65 and older are the demographic with the largest percentage against the reform being offered. By a margin of 10% (42% to 32%) they oppose it.
I think it is pretty safe to say that seniors, at this point, don’t trust the Democrats and certainly aren’t now going to buy into the old “Republicans are using scare tactics” canard. Nor are seniors going to be mollified by claims that Medicare Advantage “overcharges” and therefore should be eliminated.
I’ve talked about the erosion of independent support for the administration and Democrats in general. If the Democrats want to ensure a minority in the Congress in 2010, continue to alienate the seniors as they are presently doing and they’ll get their desire. And that might also mean 2012 won’t be looking so hot for them either.
This is a demographic which knows their issues (especially health care) and votes them. Screw with this program (and yeah it’s ironic that we’re talking about leaving a government program alone, but again, since they don’t have a choice, that says nothing about its quality or efficiency) and you can almost bet the house (pun intended) that 2010 will find a new majority in one of the chambers of Congress.
While the rest of the nation ponders whether Kanye West is a “jackass” and President Obama was correct in calling him that, I’ve been thinking about why the Democrats and Obama are having such a tough time selling their health care proposals.
Obviously part of the push back by the people has been because of the recession. Common sense says you don’t exacerbate a bad financial situation by adding debt. Nothing anyone has claimed about the “health care savings” reform would bring has resonated with the public. That’s because people don’t believe or trust the rosy estimates that Democrats have used. And of course it hasn’t helped that the CBO has shot down just about every one of their claims as well.
In fact it looks a lot like 1993 all over again according to an ABC/Washington Post poll released today:
Sixteen percent of the respondents to the most recent poll say their health care would improve if the proposed changes are enacted, and 32 percent say their health care will be worse if that happens.
By comparison, the same poll in late September of 1993 found 19 percent saying their health care would improve and 31 percent saying it would get worse.
Even deploying Obama to use his vaunted oratorical skills to turn the tide hasn’t worked according to another poll:
A USA TODAY/Gallup Poll taken after the president’s dramatic address to a joint session of Congress last week shows Americans almost evenly divided over passing a health care bill and inclined to think it would make some of the system’s vexing problems worse, not better.
Six in 10 say Obama’s proposal, if enacted, would not achieve his goals of expanding coverage to nearly all Americans without raising taxes on the middle class or lowering the quality of health care. For the first time, a majority disapprove of the way he’s handling health care policy.
So what’s the problem? Why does public opinion seem so dead set against what Democrats feel is beneficial legislation for all?
Well, what Obama and the Democrats are running up against is the same problem Bill Clinton et. al experienced. People, for the most part, are quite satisfied with the insurance they have and don’t want to chance government messing that up. And they understand that the chance of government messing it up, given how government does most things, is very high.
Although polls have consistently shown that just over half of Americans think the health-care system is in need of reform, a substantial majority say they are satisfied with their own insurance and care. Any hope of change will require their support, according to experts and advocates across the ideological spectrum.
“They are critical,” said Drew E. Altman, president and chief executive of the Kaiser Family Foundation, a nonpartisan health research organization. “This debate will turn on people like this trying to answer the question ‘Will this benefit my family?’ “
Most are concluding it won’t benefit their family and, in fact, may end up being detrimental to them.
Democrats seem to be missing the point that while health care reform is popular, their version of health care reform isn’t. I guess health care reform somewhat resembles porn – the people will know it when they see it. But they’re not seeing it in the proposals the Democrats are offering right now – and that is why there’s this massive push back.
The majority of those opposed do not believe the claims that nothing will change pertaining to their health care. It simply doesn’t makes sense to them that the scope and goals of the change being discussed won’t effect their coverage.
One of President Obama’s biggest challenges this fall will be persuading seniors to accept his healthcare proposals. Many elderly voters are deeply worried about “Obama-care” because they fear that his plans will reduce their coverage and increase their costs. Seniors, in fact, are more opposed to Obama’s healthcare ideas than any other age group.
Of course the irony, as pointed out any number of times, is that most seniors are on a government program. Rarely pointed out is the fact that they have no choice in the matter. Consequently those who love to point this out and crow about how seniors “like” their government insurance never follow that up with the fact that seniors are forced into a system which may or may not have been their first choice.
But that aside, seniors don’t like change. And, they’re smart people who understand that they are the demographic that spends the most on health care. Given that understanding, when the goal of “cutting costs” is put forward as a primary goal of the reform being discussed, they know where those cuts are most likely to be made.
But they have developed a deep skepticism toward Obama’s agenda of expanding the reach and power of Washington. They basically agree with the conservative attack that he is a liberal zealot who wants to inject the government into every nook and cranny of American life—including everyday decisions about the choice of doctors and medical plans, pollsters say. Some seniors specifically fear that the healthcare overhaul will take money away from their cherished Medicare program, and they don’t want to take that risk.
Only 35 percent of people 65 and older approve of Obama’s handling of healthcare, according to a Washington Post/ABC News poll in August …
Their defense of a government medical insurance program for themselves and their skepticism of further government intrusion into our lives isn’t quite as contradictory (or ironic) once you understand the whys and wherefores of the mandatory nature of Medicare. Seniors aren’t interested in more government or the chance that the only insurance available to them will be cut to meet a savings goal.
Those are how the planets are lining up in the health care reform universe. Obama and the Dems aren’t succeeding in convincing the skeptics with their arguments. In fact, as it drags on, more skeptics are being born than believers.
The answer, devoid of politics, seems clear. Stop the process right now, reset the debate and actually have one. Find out what “reform” means to the public and act on that consensus. It may end up merely insuring those without insurance. It may be that and tort reform plus opening up the intra-state private insurance markets and eliminating mandates. Or more. Or less. But what should be clear to both the Democrats and Obama at this point is it is not what they’re offering.
The danger to them (electorally) and to us (reduction of liberty) is they’ll disregard that in the name of politics and ram through something we’ll all regret but find difficult get rid of once passed.
That’s what I fear and it appears that’s what some on the left are prepared to do. They have waited too long and have too much invested politically to back off now.