is worth reading in full. Perhaps the central irony of the health care debate is that Democrats adopted Republican ideas on health care, but were nevertheless lambasted (in some cases the same people who devised the ideas in the first place). More on that
.
But it is a liberal bill in another regard: it should make a real dent in income inequality.
addresses one of the most important, yet underappreciated, aspects of the Affordable Care Act (as we're now calling it):
The reason the liberal age (1932-1968) lasted so long and accomplished so much was in large part due to FDR's success at addressing income inequality and getting us all more or less on the same page. It's also good for the economy because when average people have extra cash they tend to spend it. If Obama and the Democrats could narrow the gap between the rich and everyone else they would be doing a great service for the country. (This, by the way, is not Communism. We're talking about finding pragmatic ways of using government to temper the inevitable excesses of the free market... not having the government take over the economy.)
But as
Ronald Brownstein points out, there's a disconnect in terms of public perception, especially among whites:
On the long climb to health care reform that ended with this week's momentous signing ceremony, President Obama aimed many of his arguments at a different audience from the one targeted by predecessors who faltered on the same steep hill.
Compared with earlier presidents, Obama focused his case less on helping the uninsured and more on providing those with coverage greater leverage against their insurers. That shift was especially evident in his final drive toward passage.
And yet, polling just before the bill's approval showed that most white Americans believed that the legislation would primarily benefit the uninsured and the poor, not people like them. In a mid-March Gallup survey, 57 percent of white respondents said that the bill would make things better for the uninsured, and 52 percent said that it would improve conditions for low-income families. But only one-third of whites said that it would benefit the country overall -- and just one-fifth said that it would help their own family.
In both that Gallup Poll and the latest monthly survey by the nonpartisan Kaiser Family Foundation, nonwhite respondents were much more likely than whites to say that the bill would help the country and their own families. Those responses reflect not only experience (African-Americans and Hispanics are more likely than whites to lack insurance) but also minorities' greater receptivity to government activism. By meeting a tangible need in these communities, health reform is likely to solidify the Democratic hold on the one-quarter (and growing) minority share of the electorate, especially if Republicans define themselves around demanding repeal.
But whites still cast about three-quarters of votes. And if most remain convinced that health reform primarily benefits the poor and uninsured, Democrats could find themselves caught in an unusual populist crossfire during this fall's elections.
The ACA (aka HCR) will in fact help middle class people (of all ethnicities)... in some ways immediately, but in other ways not for several years. So its still important for Democrats to sell this. I think the job will be easier now that it's passed, but they really can't rest on their laurels.
Meanwhile it seems that Republicans plan to continue their strategy of playing to the Tea Party crowd, doing everything in their power to obstruct Democratic governance, rather than engage with Democrats in an effort to secure compromises and move legislation to the right. Such engagement would certainly succeed in making future legislative more conservative, but it would also be a boon the Obama Admin., who would have succeeded in making Washington work. So we can't have that!
These dynamics were on clear display in the case of David Frum's recent criticisms of Republican strategy (linked to in my previous post), which quickly got him expelled from the American Enterprise Institute (one of the preeminent Conservative think tanks).
David Waldman:Frum has an excellent conservative pedigree. He was a speechwriter for George W. Bush, among other things, and he remains extremely conservative today. However, over the last year or so he has been making a name for himself as a reasonable conservative, one willing to call out the Republican Party when he thinks it's making a mistake. And that, apparently, is the problem. The last straw for AEI was apparently this post on Frum's blog, where he said, "Conservatives and Republicans today suffered their most crushing legislative defeat since the 1960s," and went on to lay the blame at the all-or-nothing strategy employed by the GOP leadership.
Frum's crime was not an ideological one but a partisan one. Apparently, not only is it forbidden to question GOP strategy when it's still being executed, it's even forbidden to question it after it has already failed.
Ezra Klein:
As Frum saw clearly, if you were interested in a conservative health-care system, there was room for compromise in this bill. If Republicans had cut a deal on revenue, we could've capped the tax break for employer-sponsored insurance and there would've been no increase in Medicare payroll taxes. Health savings accounts and tort reform could've been much larger parts of the bill. A system of reinsurance for catastrophic costs, as Sen. Chuck Grassley once proposed, was certainly on the table. If Republicans had offered 40 real votes for Wyden-Bennett, I would've been on their side in this debate.
But whatever interest there was in making the outcome of this legislative process more conservative, it was swamped by the interest in making the outcome more Republican. I'm not saying that there's no reason conservatives could've found to oppose this bill. But there's no way to look at Medicare Part D and RomneyCare and conservative think tanks in the 1990s and 2000s and believe that all conservatives should've opposed this bill. There's definitely no way to square their past preferences and the rhetoric they abetted this time around. And in the final analysis, the bill is worse -- both from their perspective and mine -- for that opposition. You can pass bills on a party-line vote, but you can do more with bipartisan cover.
Which is not to say there was nothing to recommend the right's electoral strategy here. But pure obstructionism failed. You might think they'd go through a period of soul-searching now where they considered whether people like Frum might've had a point about the benefits of well-timed, principled compromise. Instead, they're excommunicating him.
Frum's wife even felt compelled to jump in:
We have both been part of the conservative movement for, as mentioned, the better part of half of our lives. And I can categorically state I’ve never seen such a hostile environment towards free thought and debate–the hallmarks of Reaganism, the politics with which we grew up–prevail in our movement as it does today. The thuggish demagoguery of the Limbaughs and Becks is a trait we once derided in the old socialist Left. Well boys, take a look in the mirror. It is us now.
Edmund Andrews:
It's hard to believe that this revelation came like a bolt out of the blue. The Republican arguments on health care, the economic stimulus and financial regulation have become so convoluted and degraded that they only make sense from the perspective of raw political strategy and Tea Party pandering. What holds the Republican Party together isn't anything remotely like a coherent philosophy or set of values. The only things holding it together are group-think based on a cold calculation of how best to block the Democrats and rile the base. It's an intellectual circling of the wagons. Small wonder that it becomes oppressive.
I am tempted to think that the revulsion expressed Crittenden is part of a bigger ferment among Republicans. I'd like to think that there is a group of young Turks or moderates who agree with Frum that the GOP health-care rejectionism will turn out to be the party's Waterloo. I'd like to think that there is a new generation GOP that is ready to take a chance on constructive engagement.
But my good friend Bruce Bartlett is skeptical. Republican leaders think their strategy since the 2008 election has been a great success. If they win back House and Senate seats this fall -- as they almost certainly will -- they'll argue that their strategy has been vindicated. And the truth is, the Young Turks are among the most fervent of the hard-liners -- the Jeb Hensarlings, Paul Ryans. The moderates are disappearing faster than ever, and the ones who stay are disdained.
Matthew Yglesias adds:
I think that to understand what’s wrong with the conservative movement today, you need to think about Barry Goldwater’s 1964 Presidential campaign. In ‘64, the GOP establishment felt that Goldwater was too radical. They said that nominating a hard-rightist like Goldwater would be counterproductive. But conservative activists worked hard, and they did it. Goldwater got the nod. And, just as the establishment predicted, Goldwater got crushed. And just as the established predicted, it proved to be counterproductive. The 1964 landslide led directly to Medicare, Medicaid, Title I education spending, and the “war on poverty.” In the 45 years since that fateful campaign, the conservative movement managed to gain total control over the Republican Party and to sporadically govern the country. But it’s only very partially rolled back one aspect of the Johnson administration’s domestic policy.
Which is just to say that the conservative movement from 1964-2009 was a giant failure. By nominating Goldwater, it invited a massive progressive win that all the subsequent conservative wins were unable to undue. But the orthodox conservative tradition of ‘64 is that it was a great success that laid the groundwork for the triumphs to come.
Which is to say that it’s not just a movement incapable of thinking seriously about the interests of the country, it can’t think rigorously about its own goals. 2009-2010 has already seen the greatest flowering of progressive policy since 1965-66. No matter how well Republicans do in the 2010 midterms, the right will never fully roll back what the 111th Congress has done. And yet, as Andrews suggests, if they win seats in 2010, conservatives will consider their behavior during 2009-10 to have been very successful.
So maybe Republican insanity is a good thing! But in the big scheme of things it really isn't. The reality is that power tends to shift back and forth between the two parties, so having one party dominated by lunatics doesn't bode well.
Paul Krugman:
I admit it: I had fun watching right-wingers go wild as health reform finally became law. But a few days later, it doesn’t seem quite as entertaining — and not just because of the wave of vandalism and threats aimed at Democratic lawmakers. For if you care about America’s future, you can’t be happy as extremists take full control of one of our two great political parties.
To be sure, it was enjoyable watching Representative Devin Nunes, a Republican of California, warn that by passing health reform, Democrats “will finally lay the cornerstone of their socialist utopia on the backs of the American people.” Gosh, that sounds uncomfortable. And it’s been a hoot watching Mitt Romney squirm as he tries to distance himself from a plan that, as he knows full well, is nearly identical to the reform he himself pushed through as governor of Massachusetts. His best shot was declaring that enacting reform was an “unconscionable abuse of power,” a “historic usurpation of the legislative process” — presumably because the legislative process isn’t supposed to include things like “votes” in which the majority prevails.
Well, yesterday was Pelosi's 70th birthday, so at risk of overdoing it, here's a little more love for our Speaker...