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Health Care Reform: Governor, Speaker Can't Get It Done

by: Elliott Petty

Tue Jan 29, 2008 at 15:50:28 PM PST


Oh my, how the mighty have fallen.  The health care overhaul brokered by the popular Governor Arnold Schwarzenegger and power-wielding Speaker Fabian Nunez could only manage one single vote in a Senate health committee.  How can a bill that is supported by insurance companies, business chambers and organized labor fail?  The politics of backroom deals, that's how.  The people never supported it.
Elliott Petty :: Health Care Reform: Governor, Speaker Can't Get It Done
Not a single public hearing in Sacramento or anywhere else in this state, a rushed negotiation at the end of a special session that produced a compromise the governor initially backed away from and a complete retreat from SB 840 which the Democratically controlled legislature passed and sent to the governor only one year and a half ago.  

On the issues that matter most, our elected officials can't get it done.  Perhaps this is a shining example of why we need term limit reform, so we may give our leaders the time to make incremental improvements.  Others will argue this is why Prop. 93 should be killed, ridding ourselves of the ineffective incumbents that would otherwise hang on to their posts.

I'd like to reject both arguments.  The real culprit is the poll-driven decision making of politicians who represent no movement.  Both Republicans and Democrats want to improve the health care system.  

Republican conservatives believe in so-called free market principles like limiting medical malpractice suits, defending the rights of HMOs to pick and choose patients, services and cutting off aid to illegal aliens would make health care more affordable, thus more accessible.  They're winning by blocking all reform ideas and doing nothing which hurts people with and without health insurance.

As for California Democrats, well in 2006 they believed in Single-payer before it was vetoed, now I think they agree with the governor that everyone should share the costs of the broken system we have today.  

Not sure what they'll support during the next election cycle.  And the polls will continue to shift in the wrong direction so long as the Democrats continue to ignore its base, neglect to change the electorate into a winning coalition and fail to take principled stands on policy positions.

But these politicians, led by the governor and out top Democrat, the State Speaker want very little to do with any of that.  Listening to the base means taking direction from residents who don't have the contribution power of the special interests.

Actively working to change the voting electorate requires space for new voices and bold action to keep the momentum going.  If you can promise it during the campaign, you can work to pass it in the legislature.  This builds hope that change is possible, and excitement about what we can do next.  

Taking principled stands means that on occasion you have to be unpopular and work to convince others.  It also builds credibility and respect i.e., Muhammad Ali or Dr. King Jr.

But its easier to take advice from the political hacks who work polls and focus groups in exchange for the almighty dollar.  But as long as this brand of self-styled, ego driven politics continues, so will our state's problems and our leaders' inability to get anything done.

Take Prop. 93 for example.  Nunez has put everything behind it, still its slipping in the polls and he may have to look for a new position soon.  I haven't met a soul who wasn't working for an elected official or political organization that feel the state needs this type of reform.

Prop. 94-97, Schwarzenegger is doing some of his best acting in those commercials for it, but it too is having trouble finding a voting constituency chomping at the bit to make only 4 out of dozens of Indian tribes richer than they already are.

And ABX 1 1, with the might of the Governor and the Speaker couldn't find its way out of committee, embarrassingly receiving just one vote in favor of it.  And while there are an estimated 6 million Californians without health care, and millions more who are succeptible to the whims of their profit-driven insurance company, you are hard-pressed to find non-Sacramento politician advocates that were willing to lay it all on the line for such a dubious smoke and mirrors package.

Maybe we should blame ourselves, they say we get the government we deserve, and we sure are getting it.

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As far as post-mortems go... (0.00 / 0)
...this is a pretty good one. I think you get right to the heart of it when you say that the leadership in Sacramento was listening to its corporate donor base, and not its activist voter base.

Ironically, the polling data for single-payer is encouraging. Different polls say different things, but there seems to be a range of support for single-payer with 35% at bottom and 55% at its top. Those aren't bad numbers to start a movement out with. Some specifics:

LA Times, October 25, 2007:

Extending Medicare to cover all Americans, creating a government-run system: 53% yes, 36% no

An August Field Poll showed that support for single-payer had increased by 12% from December 2006, from 24% to 36%.

Also in August, a poll of CA small business showed that 42% supported SB 840 and 40% opposed it.

Leadership from Sacramento Democrats, combined with a robust activist coalition (from unions to analysts to the grassroots and netroots) should be able to build upon this support and create a majority coalition among Californians for single-payer. But as long as leading Democrats refuse to see opportunities to change the system, to make a clear and convincing case to Californians for universal health care, we're going to be stuck in the same morass.

It's worth noting Sacramento Dems face a similar dilemma on the budget - the hired hands will likely suggest just going along with the budget cuts, even though few Californians want to fire teachers, close parks, and cut off elderly folks' food stamps and health care, even though there is a willingness to increase taxes to solve the structural budget deficit.

Californians want real solutions to serious problems, and so far, their Democratic leaders in Sacramento simply haven't been willing to offer them.

You can check out any time you like but you can never leave


You're kidding me, right? (0.00 / 0)
"Not a single public hearing in Sacramento or anywhere else in the state?" How about 12 in the Capitol. How about 27 across the state by members of the Assembly.

"A rushed negotiation." The bill was introduced in December 2006. The final vote was in January 2008. So much for "rushed."

"Supported by insurance companies." The bill was opposed by the major for-profit insurance companies. Blue Cross pledged to spend $100 million to kill it.

"The people never supported it." PPIC showed nearly 3-1 in favor. It was supported by every major consumer group (from AARP to Consumers Union), most major labor unions, and perhaps the broadest bipartisan coalition in health care reform history. The "California Speaks" forums showed this was exactly what the people of California wanted.

 


Not kidding at all (0.00 / 0)
Refering to no public hearings on the final version that went for a vote in the Senate.  That was not vetted in the public.  

the original bill was introduced in 2006 with many changes after that.  

Ok, the bill polled well, but there is no public pressure on those legislators who voted no.  Explain that if the support was so strong.

And you can ask our friends in Labor if there are any real differences in private for profit insurers and non-profit insurers who also often make profit driven decisions.  If there was, we wouldnt see unions trying to organize them all the same.

i hope the Speaker keeps the conversation going, we need reform and people need confidence that the reform will help, not hurt them.  


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