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Obama's Failed "Washington Strategy" For Health Care Reform

Ezra Klein obliquely labels the Obama Administration political strategy on health care reform a failure:

The cost argument wasn't working to marshal public support. But that wasn't its real failing. [I]ts real failing was that it didn't work to marshal Washington support. That, after all, was the audience. "Bend the curve" was a strategy with particular potency in the Beltway. People care about the deficit here, or at least pretend to. And the plan was to keep this in Washington: Pass the House and Senate bills by August, use the recess to reconcile the two pieces of legislation, and take a vote in September. That required a Washington-centric argument. It failed.

Even as a Washington strategy it was destined to failure. The reason is obvious for anyone with a memory - Republicans were never ever ever going to play along. What Klein is saying is, and it is an amazing statement - that the Obama strategy on health care reform was to count on Max Baucus and his "bipartisan" Gang of 6. What an amazing blunder. It seems inexcusable really. Who came up with this one? No doubt it was Rahmbo and his sidekick (and former Baucus CoS) Jim Messina. More . . .

Ezra continues:

Now the argument moves to the country, and it's going to sound a lot different. The opposition hasn't found purchase making arguments about cost. They've found resonance with government control and rationing and death. You don't win appealing to the wallet, you win by grabbing the gut. And the White House is following suit.

But if Ezra's previous commentary (and Matt Yglesias') on the power of the 60th Senator versus the feeble power of the President, none of this is going to matter anyway. Ezra wrote:

I don’t know how many times a president has to fail to solve this problem before we admit that it’s not a matter of presidential messaging, or toughness, or will, or strategy. FDR, Truman, Nixon, Carter and Clinton all took runs at this prize. All of them failed. And Lyndon Johnson went for Medicare and Medicaid because he was daunted by the challenge of comprehensive health-care reform.

Well since, according to Klein and Yglesias, it can not be the President's fault and the President has no power to influence this policy, what's the point of even covering what Obama is doing here? If, as Ezra says, Obama's Washington strategy has failed, then isn't it over already, by the analysis Klein and Yglesias repeat ad nauseum? Shouldn't we instead by wondering how Rahmbo is going to escape the blame for this failure? Like this story. Rahmbo is already running for cover. He accepts and adheres to the "weak President" theory espoused by Klein/Yglesias.

I think Obama himself and David Axelrod do not. They seem to believe that the President can do something about the state of play. I think they are right. But I also think Rahm Emanuel, Jim Messina and Max Baucus will have to be sidelined for the duration.

We'll see what happens.

Speaking for me only

< Organized Protests Expected in Grand Junction for Obama Health Care Talk | To Ignite Obama's Movement, Make Health Care Reform About Obama >
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  • Display: Sort:
    You know there is a real possibility (5.00 / 7) (#9)
    by MO Blue on Sat Aug 15, 2009 at 11:10:30 AM EST
    that if Obama had gone with the strategy that he campaigned on (open and transparent) and offered a plan with a REAL public option that he would not be in the mess that he is in today.

    Now he is faced with opposition not only from the Republicans, who were always going to oppose anything and everything, but also those who would have been his strongest supporters.

    I agree (5.00 / 0) (#10)
    by Big Tent Democrat on Sat Aug 15, 2009 at 11:15:52 AM EST
    The Obama admin. forgot to (5.00 / 2) (#11)
    by oculus on Sat Aug 15, 2009 at 11:19:20 AM EST
    organize the community,  

    Parent
    For me that isn't the problem (5.00 / 1) (#14)
    by Militarytracy on Sat Aug 15, 2009 at 11:22:56 AM EST
    Secret meetings with the insurance industry is what plagues me.  All the secrets.....how can I get enthused by mushroom treatment?

    Parent
    Not sure "plagued" is the word I (5.00 / 3) (#18)
    by oculus on Sat Aug 15, 2009 at 11:35:27 AM EST
    would use, but I was and am angered by big pharma's deal with the WH.  

    Parent
    Sold out? (5.00 / 1) (#19)
    by Militarytracy on Sat Aug 15, 2009 at 11:36:30 AM EST
    Well, you and I didn't sell out. (5.00 / 3) (#25)
    by oculus on Sat Aug 15, 2009 at 01:07:41 PM EST
    Congress and the President did.

    Parent
    The community (5.00 / 1) (#32)
    by cal1942 on Sat Aug 15, 2009 at 11:26:49 PM EST
    was ready.  There was overwhelming public support for a real plan to insure that they are covered.

    A golden opportunity was squandered.

    Parent

    Yuk Yuk (none / 0) (#13)
    by squeaky on Sat Aug 15, 2009 at 11:21:34 AM EST
    Obviously he chose a different strategy, for better or worse.

    Parent
    Worse (5.00 / 2) (#15)
    by Big Tent Democrat on Sat Aug 15, 2009 at 11:24:02 AM EST
    It should have been ready for his signature (none / 0) (#16)
    by andgarden on Sat Aug 15, 2009 at 11:27:01 AM EST
    along with the stimulus.

    Parent
    We'll See (none / 0) (#17)
    by squeaky on Sat Aug 15, 2009 at 11:30:36 AM EST
    Froomkin pretty much lays it out on the table. Either what we have seen is what we are going to get, or there is another card up Obama's sleeve which we have not seen yet.

    Could be bad advice too, as you suggest,. Remember what happened to Hillary once she ditched Penn?

    Parent

    I certainly find myself (none / 0) (#12)
    by Militarytracy on Sat Aug 15, 2009 at 11:20:30 AM EST
    approaching supporting him with caution, because I'm not sure what I might be getting myself and my country into.  I do not want to let my countrymen down again.

    Parent
    Banging (5.00 / 3) (#30)
    by Ga6thDem on Sat Aug 15, 2009 at 04:19:16 PM EST
    my head on the desk. I just clicked on the link and read Obama's from the gut statement and oh, my gosh does he not realize that insurance companies DONT CARE ENOUGH to call you and tell you aren't covered. The only way you are going to know if you arent covered in the middle of an emergency is if you CALL THEM and they tell you. Usually you are in the hospital and they send you a statement that says claim denied or policy cancelled or...

    That whole statement made me cringe. Does he think that we're all so stupid that we'll swallow anything that he throws out there?

    Not a Person You can Take Seriously (5.00 / 2) (#31)
    by pluege on Sat Aug 15, 2009 at 06:14:48 PM EST
    People care about the deficit here [Washington], or at least pretend to.

    this is an incredibly stupid statement. Did we not just finish 8 years of wild republican spending in which no one said a thing about the deficit or if they did they were shouted down. It is complete bull that anyone in "Washington", least of all republicans, cares about the deficit. Staring in the face of economic collapse, did we not just raise the "defense" budget $20 billion PER YEAR...and still republicans were complaining that the $20 billion annual raise was too small, that Obama was destroying the military.

    The republicans spouting about the deficit now is ONLY because democrats are in power, i.e., it is a political tactic, it has NOTHING to do with actual fiscal policy or concern and is not in anyway a credible position.

    I believe (5.00 / 1) (#33)
    by cal1942 on Sat Aug 15, 2009 at 11:46:39 PM EST
    what he meant by that (I'm not a Klien fan) is that deficit talk is a Washington thing that seldom really resonates with the public at large.

    Republicans complain about deficits to stop Democratic programs.  That's a constant that dates back to the 1930s.  Republican triggered deficits caused by tax cuts and excessive military spending don't count in today's Washington and haven't since at least the 1980s.

    There are certain things that Republicans can get away with that Democrats can't get away with in today's Village.  

    You'd think that the Village would have cheered when the Clinton administration had two straight surplus budgets, (actually only one.  The first was a total budget surplus -not really a surplus.  Only the second was an on budget surplus) but there were no non-stop glowing tributes.

    Parent

    Nancy Pelosi could be helpful (none / 0) (#1)
    by andgarden on Sat Aug 15, 2009 at 10:43:30 AM EST
    The day the House returns, it should vote on a unified House bill.

    Absolutely (5.00 / 0) (#3)
    by Big Tent Democrat on Sat Aug 15, 2009 at 10:51:40 AM EST
    But perhaps in a way you are not contemplating - in a way that puts pressure on Obama.

    Parent
    Explain (none / 0) (#4)
    by andgarden on Sat Aug 15, 2009 at 10:55:09 AM EST
    I think it probably puts pressure on the Senate to pass something too.

    It's becoming clear to me that getting to conference with a good House bill is 2/3 of the battle.

    Parent

    By placing Obama in a position (5.00 / 0) (#5)
    by Big Tent Democrat on Sat Aug 15, 2009 at 10:57:30 AM EST
    where he MUST finally lean on the Senate.

    Parent
    I hope so (5.00 / 0) (#6)
    by andgarden on Sat Aug 15, 2009 at 10:59:31 AM EST
    It was interesting to me that Specter said yesterday that there were 61 votes for Cloture in the Senate.

    Parent
    Snowe or collins I suppose (none / 0) (#8)
    by Big Tent Democrat on Sat Aug 15, 2009 at 11:09:21 AM EST
    BTD, do you think that Obama's (none / 0) (#2)
    by Militarytracy on Sat Aug 15, 2009 at 10:47:18 AM EST
    desire for this bipartisan dream to come true had anything to do with his choice of Rahm Emanuel as his Chief of Staff?  This is very very sad.  This was SO IMPORTANT FOR THE LIVES OF ALL OF US!  And with this economy.....well, it is just plain catastrophic.

    No (5.00 / 1) (#7)
    by Big Tent Democrat on Sat Aug 15, 2009 at 11:08:59 AM EST
    The theory is that Rahmbo is a head banger, who can twist arms. Why he has that reputation is not apparent to me.

    Parent
    How Rahmbo was used (5.00 / 1) (#20)
    by MO Blue on Sat Aug 15, 2009 at 11:37:24 AM EST
    in public statements was counter productive IMO.

    Obama would be quoted as saying that he was for a public option. Rahm would be quoted soon after as saying that Obama might be open to other options.

    Extremely poor strategy to set up a situation that instills doubt that you can trust what the president is saying.

    Parent

    And what I don't know is if Rahm speaks (5.00 / 1) (#21)
    by Militarytracy on Sat Aug 15, 2009 at 11:40:32 AM EST
    for Rahm and he just needs a you know what chewing from the depths of Hades and put squarely in his place, or if this two headed serpent thing was intended.

    Parent
    I seriously doubt that Rahm (5.00 / 1) (#22)
    by MO Blue on Sat Aug 15, 2009 at 12:26:37 PM EST
    is acting against Obama's wishes. The double speak has happened several times. Obama has had the opportunity to shut Rahm down on the theme that Obama was open to other alternatives if Rahmn was speaking only for himself.

    Parent
    That is my take too (none / 0) (#24)
    by Militarytracy on Sat Aug 15, 2009 at 01:04:01 PM EST
    We were being felt out for how much betrayal they could get us to take.  Now they've created a hell of a mess and they failed to have any clue to how much the have nots were suffering, literally dying.

    Parent
    Obama's Waterloo? (none / 0) (#23)
    by mmc9431 on Sat Aug 15, 2009 at 12:42:56 PM EST
    I think we'll find out what kind of president we're going to have in the next few weeks. Either he stands up and pressures the Dem's to get behind him (forget the Republican's) or he folds and we live with three years of a  and weak ineffective government. Because if the Republican's can derail this, it will be just the beginning.

    Well, (none / 0) (#26)
    by jbindc on Sat Aug 15, 2009 at 01:46:19 PM EST
    I think it will be the second option.

    After the toughest week yet for health reform, leading Democrats are warning that the party likely will have to accept major compromises to get a bill passed this year - perhaps even dropping a proposal to create a government-run plan that is almost an article of faith among some liberals.

    With August dominated by angry faces and raised voices at town hall meetings, influential Democrats began laying the groundwork for the fall, particularly with the party's liberal base, saying they may need to accept a less-than-perfect bill to achieve health reform this year.

    SNIP

    It won't be an easy sell. Even former national party chairman Howard Dean this week threatened Democrats who don't support the public insurance plan with the prospect of primary challenges - the first rumblings of what could devolve into a Democratic civil war over health care.

    There is no guarantee, either, that progressive House and Senate members wouldn't make good on their promise to oppose a bill without a public insurance plan.

    But the signs were everywhere this week that Democrats, stung and seemingly caught by surprise by the vehemence of the opposition to President Barack Obama's overhaul plans, were already gaming out September and what it would take to get a bill to Obama's desk.

    Jettisoning the public plan has always been one option, and even Obama has signaled for weeks that he would consider alternatives to a government insurance plan, which moderate Democratic senators have yet to embrace and nearly all Republicans oppose. And in the face of public resistance to Obama's plans, some top Democrats have begun to talk more openly about the possibility of compromise on a bill.



    Parent
    Distortion (none / 0) (#27)
    by squeaky on Sat Aug 15, 2009 at 02:10:53 PM EST
    The two choices mmc9431 presented are passing a bill or not passing a bill.

    What you have quoted is passing a bill, which is the first choice of  mmc9431, not the second.

    The gist of the article you linked to is that a bill will be passed but not one that will satisfy all of Obama's base.

    From your link, Bill Clinton chimes in:

    "Trying to hold the president's feet to the fire is fine, but first we have to win the big argument," former President Bill Clinton said Thursday at the Netroots Nation convention, a gathering of liberal activists and bloggers who will prove most difficult to convince. "I am pleading with you. It is OK with me if you want to keep everybody honest. . . . But try to keep this thing in the lane of getting something done. We need to pass a bill and move this thing forward."

    "I want us to be mindful we may need to take less than a full loaf," he said after recounting the political troubles that followed his failed reform effort in 1994.



    Parent
    we DID win the big argument, bubba (5.00 / 8) (#28)
    by Dadler on Sat Aug 15, 2009 at 03:36:05 PM EST
    it was called the election.

    the argument we haven't won is the one with ourselves about how to FIGHT the republican party's utterly predictable nonsense here.

    and it was more than predictable, apparently, to everyone but our incredibly smart president and his crew.

    amazing, but they really thought, it seems, that the wretched party was going to actually help the only slightly less wretched party.

    Parent

    DING! (5.00 / 1) (#29)
    by jbindc on Sat Aug 15, 2009 at 04:18:30 PM EST
    If Obama hopes to save a viable reform he has (none / 0) (#34)
    by BobTinKY on Sun Aug 16, 2009 at 02:13:48 AM EST
    to go all Roosevelt on the insurance companies.  Teddy, not FDR.  He has to attack head on the corporations who continue to mine huge profits in this perverted system.  

    Had Obama taken another course he wouldn't be forced to play populist rabble rouser.  At this point if he wants to reform, and there is no other way to return the government to financial stability in the long term, he has no choice but ot take on the insurers directly and demonize them.

    I have seen hints of it in the past few days and I suspect there will be more.  The private interests protecting the status quo have demonized Obama, the government, anything and everything.  Obama''s only play is to demonize them, discredit those messengers.  

    It shouldn't be that hard actually.

    Introducing Competition into the Health Care Plan (none / 0) (#35)
    by lesliejack on Tue Aug 18, 2009 at 06:00:32 PM EST
    President Obama should press ahead with his health care initiatives instead of being a perfectly nice person to get agreement from everyone; perfection is difficult to achieve.  He has the power, he campaigned on delivering this service and now he should get on with it. He is a nice person as indicated by reaching out to the other side already but trying to get everyone onside is becoming a sign of weakness. Many of his political enemies do not want health care and they do not want the democratic party to get the praise of future generations for having given the America people this need. They are satisfied with the status quo not realizing just how paralysing an absence of proper medical care is for their fellow citizens. They are interested only in winning or at least, not losing and no matter what you try to introduce they will differ with it; they think that everything can be done with the dollar as long as they are calling the shots. Let his enemies accuse Mr. Obama of unreal ambition, communism, socialism or whatever else. He has denounced these accusations and anyone who is listening to him can see they have no bases in fact. Get a plan out there and if the democratic party has to get the praise for this  service so be it; the republicans had their chances to do the same but didn't have the priorities to do so. In the meantime while the politicians doodle their citizens do without a basic need. A smooth-running Government fills the need, not wants, that no other sector of society fills to the best that their finances allow. When he completed his present round of town hall meetings and having explained what he is trying to accomplish Mr. Obama should push his proposals into law. He knows what he wants, what the American people want, and what he was elected to do by the majority of the American people. The longer he tries to get yet another person on side the longer some citizen is doing without the care necessary to regain health; it becomes the game of diminishing returns with the possibility of losing the game because of what is appearing to be indecision and being unsure and irresolute. And you know what perception is in politics!

    Although Democracy has a lot of virtue in the abstract there are many improvements that can be made in its application. One for me is that there is not enough of it practiced. One big way this can be overcome, and this is a NEW IDEA that will take some time to disseminate, is to allow all civil servant employees,  since they  are all paid from the public purse, to elect their managers and supervisors at all levels of the bureaucracy. Then, I suggest, there will be no more insolvable problems in our Democracies, which now appear to be present in Public Education, the Post Office, and now used as an excuse for not having Public Health Care. President Obama even made an oblique reference to the problems in the Post Office during his town hall meeting in Portsmouth, North Hampshire the past week.

    An Elected Bureaucracy would have to compete for their jobs whenever there is a general election in the level of government that pays their salaries. This would provide the competition that is necessary between the private and public sectors. This whole idea could be applied to the present complaint in the proposed Public Health Care Delivery along with the money that would be provided to it. Everything can be accomplished with adequate money and thinking people and something can be accomplished with some money and thinking people.

    In the present health care debate why can't the U. S. government come out with their own health care plan for the uninsured or underinsured; they could do this in the following manner using the duplications and wasted money that is presently in the Health Care Delivery System? Just to prove to the doubters out there that they can deliver this in a fiscally responsible manner they even could use less resources than private health users, as much as say 25%. For example, if 1/6 or 16% of U.S citizens have no or inadequate health care or benefits then put 16% of the total health care delivery program into the government health care plan; and just to show that it will not exceed that part of the budget  even take a further decrease from that absolute 16% that logically could go towards the government plan. That is, take up to a further 5% to 25% from this amount which would then only leave  0.25 x 16%; this would bring the total public commitment  down to as low as 12% of the present health care delivery budget and use only that amount for the government health care budget.

    With a democratically-elected Civil Service along with a reduced Public Budget that logically could be argued to be available for it, I think those presently in the Private Health Care System would clamour to join the Public System. I suggest that likely the empathic care from such a publically funded Health Delivery System would provide just as good care as the more expensive private plan. Over the ensuing years these annual hundreds of billions of public dollars could be used to build a wide ranging public system which over time could completely care for persons in the public plan. It's the government's money to do as the politicians wish with it and with all the managers running this public system being elected by their employees, in the system the least waste possible would occur, with the public funds being protected as well, or even better, than those at the highest levels of present government.

    If you wish to see the argument above extended and perhaps clarified you may do so by going to http:/way.to/Education. Thanks, Leslie