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Pelosi Agrees: Health Bill Conservative

Via Matt Taibbi:

As she inched toward the triumphant win, Nancy Pelosi issued a fact sheet about the bill that cheerfully quoted an E.J. Dionne editorial. The passage:

An op-ed by E.J. Dionne on Friday reveals that the current health reform legislation pending before Congress was “built on a series of principles that Republicans espoused for years.”

The most progressive legislation since Medicare? Puhleeeaze.

Speaking for me only

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    Wonderful (5.00 / 6) (#3)
    by MO Blue on Tue Mar 23, 2010 at 01:01:26 PM EST
    Democratic Party leadership, with a overwhelming majority in both houses of Congress, are proudly announcing that they were able to pass Republican legislation. Ever wonder how the Republicans and conservative policies have bounced back so quickly to being within striking distance of regaining their majority positions?

    This is so stupid (none / 0) (#22)
    by Socraticsilence on Tue Mar 23, 2010 at 02:34:05 PM EST
    the influence of past republican solutions should be pointed out but the bill itself should be sold as moderate and centrist (which, you know, it is).

    Parent
    I'm not the one proudly announcing that they (5.00 / 5) (#34)
    by MO Blue on Tue Mar 23, 2010 at 02:55:38 PM EST
    passed Republican health insurance legislation and it is the greatest achievement in 100 years.

    Great campaign slogan for the Dems in the next couple of elections.

    "Vote Democratic. We can pass Republican legislation that Republicans can't pass."

    Parent

    Clinton proved that with NAFTA. (5.00 / 3) (#42)
    by dkmich on Tue Mar 23, 2010 at 04:11:21 PM EST
    With Democrats like these, who needs Republicans.

    Parent
    LOL! (5.00 / 2) (#43)
    by Buckeye on Tue Mar 23, 2010 at 04:43:32 PM EST
    Very true statement unfortunately.

    Parent
    We also had Steny Hoyer (5.00 / 1) (#13)
    by joanneleon on Tue Mar 23, 2010 at 02:07:41 PM EST
    quoting Republican presidents all weekend.

    Yet, few Democrats on the floor of the House took the time to refute or call out the lies that were being told by nearly every Republican who spoke.

    The term "progressive" has nothing to do (5.00 / 1) (#25)
    by Farmboy on Tue Mar 23, 2010 at 02:39:55 PM EST
    with the left/right idealogical spectrum, or with any political party. It simply means to advocate social reform. FDR, a Democrat, advocated social reform. So did his uncle Teddy, a Republican.

    This draws the title of this post into discussion. While progressive is the opposite of conservative, the EJ Dionne quote used the word "Republicans," not conservatives. The two terms are not synonymous.

    Not to nitpick but... (none / 0) (#29)
    by shoephone on Tue Mar 23, 2010 at 02:51:02 PM EST
    I believe FDR and TR were cousins, not uncle and nephew.

    Parent
    Thanks (none / 0) (#35)
    by Farmboy on Tue Mar 23, 2010 at 02:56:48 PM EST
    FDR and Teddy were fifth cousins by blood, but Eleanor was Teddy's niece - so their marriage made Teddy FDR's uncle as well.

    Parent
    And the La Follettes were Republicans (none / 0) (#36)
    by Cream City on Tue Mar 23, 2010 at 03:03:38 PM EST
    who were effective in their state through coalitions with other reformers among Socialists and Populists (so ideas often called Progressive often first were Socialist or Populist proposals).

    That is, I tend toward your concept, with the added notation that many of them also were progressive issue by issue.  Many were retrograde on some issues.  Thus, it can be useful to see it as a coalition, and a single-interest coalition that came together again and again on mutual interests.

    Parent

    Reality (4.00 / 2) (#7)
    by ScottW714 on Tue Mar 23, 2010 at 01:35:20 PM EST
    I can appreciate that this bill isn't what we wanted, but it's a damn good start.  

    I hate when people start comparing different era political ideas, from "the party of Lincoln" to the "HRC bill a republican idea".

    The "principles that Republicans espoused for years" have nothing to do with the modern day republican party principles, or rather lack of them.  Making any sort of meaningful comparison to the medical and political system in the past 70 years to today's political and medical environment is far too simplistic.

    What was the state of Americans and Health Care when either Roosevelt was in office, how about Johnson, Nixon or even Reagan and Clinton.  Nothing was the same and this bill, which I might add was closer to failing than passing, was about the best we can expect.

    Universal care, pleaze, if that is what would have become law today there would be an all out revolution in the red states, or at least some very serious civil disobedience with people dying, IMO.  A this point a true blue liberal plan could have ripped this country apart for years.

    Let's not forget, we went up against some of the most influential special interests out there and won.  We won.  Anyone thinking we could have walked away with everything liberals wanted is asdelusional as the idiots suing to get the President removed from office.

    What is important now is to keep hammering away, and to do that we need to get more liberals elected, which requires getting the public on board with what is actually the law.  Make people want more change and it will happen, complain and whine about how worthless and republican the bill is and watch the public turn around and vote R.

    Dem leadership is proudly telling (5.00 / 3) (#8)
    by MO Blue on Tue Mar 23, 2010 at 01:41:37 PM EST
    the country how

    republican the bill is

    I think that they have helped set the stage for

    the public turn around and vote R.


    Parent
    Which is the wrong tact (none / 0) (#21)
    by Socraticsilence on Tue Mar 23, 2010 at 02:32:15 PM EST
    clearly- this bill should be sold as a moderate,centrist approach to achieveing universal care and slowing the rapid growth in costs (though costs probably shouldn't be the buzzword- as this bill and frankly any bill will have a very hard time curbing medical inflation). Part of the problem with the bill is that its been painted as far outside the mainstream, as some how radical- the brainchild of "the most pro-abortion president in American History. "  

    Parent
    Not to worry. (3.00 / 2) (#33)
    by shoephone on Tue Mar 23, 2010 at 02:55:28 PM EST
    Obama was toutng your meme yesterday.

    "It's not 'radical' legislation. It's 'major' legislation."

    And all the little lambs breathed a collective sigh of relief.

    Parent

    The public option was very very very popular. (5.00 / 4) (#9)
    by Buckeye on Tue Mar 23, 2010 at 01:48:15 PM EST
    So no, the country would not have burned if progressivism was represented in the bill.

    Furthermore, you are ignoring the giant risk to democrats this bill represents.  If it succeeds, it will have proven progressives wrong.  The system can be fixed without progressive ideals - i.e. public insurance.  If it fails and in a few years our health system is a disaster, the public will not embrace democrats to give them another shot and take the bill "oh my God, even further left.  Even more socialistic."  The public will instead recoil from the democrats and embrace conservative ideas.

    So either the bill succeeds and progressives are proven wrong.  Or the bill fails and progressives (liberals) take the blame.

    Lose Lose scenario.  Sorry, your rant does not make any sense.

    Parent

    thats a possibility (none / 0) (#17)
    by Socraticsilence on Tue Mar 23, 2010 at 02:28:29 PM EST
    of course its also pretty easy to argue that every single major Democratic or Bi-partisan Healthcare reform bill of the past 60 year was more conservative than the one the preceded it (Truman>LBJ>Kennedy-Nixon>Clinton>Obama), and that if this bill had failed not only would the issue have been radiocative for at least a decade but that when the issue was again broached the solution would have been substantively less progressive than the Current bill with absolutely no assurances of passage.

    Parent
    I respectfully disagree that failure would have (5.00 / 3) (#23)
    by Buckeye on Tue Mar 23, 2010 at 02:35:02 PM EST
    been worse for the democrats.  It would have been worse for Obama, but not the democrats if it fails (if it succeeds, that is different).

    If in several years our health care system is a mess - sky high premiums, significantly higher deficits if we do not execute against the assumption in the CBO analysis, and not having universal coverage are the 3 big areas I worry about - the public is going to blame the democratic party.  If the bill did not pass, the health care problems we currently have will not go away.  Democrats can blame special interests (which would not be true) and republican opposition and still have a heartbeat to offer reform options (like public insurance).

    Parent

    I'm sorry (none / 0) (#32)
    by Socraticsilence on Tue Mar 23, 2010 at 02:54:43 PM EST
    but if simply spinning the lack of reform for political gain was the point then Obama messed up in 2008 when he argued for money to prevent the collapse of the financial industry- after all total economic collaspe with depression level employment would be a positive for Dems. Heck, by that measure we should be rooting for the overturn of Roe v. Wade- I can't think of a single major thing that would help the party more than Roe being overturned, sure it would be horrible for American Women but some nice high profile back alley deaths would help the party.  Finally, in terms of sheer political analysis the failure of the bill would have been bad for the party- why wouldn't people just say- the Dems have tried to pass reform but wouldn't get over partisan rancor and work with the GOP we should use more market oriented solutions.

    Parent
    My point is not (5.00 / 2) (#38)
    by Buckeye on Tue Mar 23, 2010 at 03:12:12 PM EST
    that we should allow failure for political gain.  My point is that we should not pass failure for political gain.  Whatever fallout would come Obama's way from failing to pass a bad bill would not be nearly as bad as what will happen to us it is fails.  Hopefully, it won't and this debate is academic.

    Parent
    And by the way, (5.00 / 8) (#10)
    by Buckeye on Tue Mar 23, 2010 at 01:49:59 PM EST
    No, we did not win against special interests.  That is just plain wrong.  Big Parma, unions, trial lawyers, Big Insurance, AARP, etc. were all bought off and either supported the bill or got out of the way.

    There is a reason insurance and parma stocks are trading at 52 week, 3 year, 5 year highs.  

    (hint...they got the bill they wanted).

    Parent

    That is Silly (3.00 / 2) (#26)
    by ScottW714 on Tue Mar 23, 2010 at 02:40:17 PM EST
    So we should use the market to evaluate political and social change ?  I thought we dropped that line of thinking after Fox News declared death to American after the market dropped when Obama was elected, where is it today ?

    It's been a day, and we all know Wall Street would never pump and dump stock onto unsuspecting investors.  Off topic, but Wall Street earns it's bonuses on creating bubbles, then dumping the overinflated stock and on to the next bubble.  I thought it was going to be oil, again, but then HC falls into their laps, what an opportunity, they are after all hurting since their grandest bubble, real estate, burst.

    I am not claiming to be right, I offered my opinion, but please don't try and tell me I am wrong and use the market as evidence.  That is silly.

    Parent

    No it is not. (5.00 / 1) (#37)
    by Buckeye on Tue Mar 23, 2010 at 03:04:51 PM EST
    If we "won" against managed care, investors would not be reacting this way.  They got the bill they wanted.  If that is winning, I sure as hell would hate to see what you describe as losing.

    Parent
    Stability in the market (none / 0) (#40)
    by waldenpond on Tue Mar 23, 2010 at 04:09:26 PM EST
    Investors are reactionary and irrational.  They were spasming with the health insurance debate. Every time someone sneezed, they freaked out. Now that the issue is resolved, the market has a 'reality' to manage to so investors get back in.

    Look back two years and see what CI, AET and UNH look like: $100 to 35, $58 to 35 and $60 to 33.

    Stocks are recovering, they are not recovered.

    Parent

    The reason many of those stock were (none / 0) (#44)
    by Buckeye on Tue Mar 23, 2010 at 04:48:42 PM EST
    so low back then had nothing to do with Obamacare "socking it to them."  It was because of the market meltdown which hit every stock and the threat of a single payer system when Obama and a very democratic congress got elected.

    I am not saying the stock market is always a perfect indicator of policy decisions.  I am just saying that insurance investors liked Obamacare because it forces new customers to buy insurance using Medicare cuts and the IRS to achieve it.  When Nelson got bought off and passage looked inevitable last year, insurance stock jumped to 52 week highs.  That simply would not have happened if Obamacare "took on the special interests" and delivered a win for the American people.

    Parent

    Its even stupider (none / 0) (#27)
    by Socraticsilence on Tue Mar 23, 2010 at 02:46:04 PM EST
     once you realize that Pharma was going to go up in virtually any concievable Healthcare plan for the simple reason that more people recieving healthcare= more customers.

    Parent
    Co-opting special interests (2.00 / 1) (#16)
    by Socraticsilence on Tue Mar 23, 2010 at 02:24:54 PM EST
    was crucial to getting anything through- the Clinton plan in the 90s attempted to co-opt special interests but failed because it actually forced some companies to stop it or fail- It gave the Big 5 insurance companies a virtual monopoly, which would have destroyed almost all other insurance companies. Heck, Medicare/Medicaid only happened after the insurance companies realized that the elderly weren't a profitable market (they tried in the late 50s and failed).  

    Someone's going to have to tell me what kind of bill they think could have gotten passed by this or frankly any congress in the last four decades over a concerted opposition effort by both the Insurance companies and more importantly Pharma (just as AHIP et al replaced the AMA as the most powerful force in the Healthcare industry in the 1960s, as early as the 1980s PhARMA overtook AHIP in power and influence- they have a warchest 10 to 100 times as large as the Insurance Companies).

    Parent

    What about a public insurance option? (5.00 / 3) (#18)
    by Buckeye on Tue Mar 23, 2010 at 02:30:11 PM EST
    Passed the house, had the support of senators and was popular with the American public.  The fact that it got pulled and that special interests had to be co-opted is my point.  The above poster said we won against special interest.

    LOL.

    Parent

    The White House made a deal not (5.00 / 3) (#20)
    by observed on Tue Mar 23, 2010 at 02:31:52 PM EST
    to allow a public option. It's pretty clear that the PO would have had a good chance to pass Congress.

    Parent
    No, no it wouldn't (none / 0) (#24)
    by Socraticsilence on Tue Mar 23, 2010 at 02:36:00 PM EST
    not in any meaningful form- the way it was proposed would have basically made it the refuge for those with pre-existing conditions- which would have made it a massive failure in terms of actually competeting with the private plans.

    Parent
    Read and weep. (5.00 / 1) (#11)
    by Buckeye on Tue Mar 23, 2010 at 01:55:06 PM EST
    Where to start... (5.00 / 5) (#41)
    by Anne on Tue Mar 23, 2010 at 04:10:43 PM EST
    I can appreciate that this bill isn't what we wanted, but it's a damn good start.

    Whether it's a good start depends on how big you think the task is: are we trying to empty out a bathtub with an eyedropper, or did we pull the plug?  Many of us think that not only is it the former, but the tap is still running, so the tub is in danger of overflowing.

    I hate when people start comparing different era political ideas, from "the party of Lincoln" to the "HRC bill a republican idea".
     
    It's being called a Republican bill because many of its "features" were supplied by the Republicans and Obama has openly bragged about the many of their good ideas that were incorporated in this bill.

    The "principles that Republicans espoused for years" have nothing to do with the modern day republican party principles, or rather lack of them.  Making any sort of meaningful comparison to the medical and political system in the past 70 years to today's political and medical environment is far too simplistic.

     

     The world is evolving, for sure, but it is hard to make an argument that the Republicans of the last several decades are known for their interest in raising people up; you cannot so soon have forgotten that "compassionate conservatism" was simply a nice way of saying, "we'll try to work up a tear for you when you die."  And rather than this being so much a matter of the political or medical environments, it is about the corporate environment and culture and its undue influence on the political and electoral environment.

    What was the state of Americans and Health Care when either Roosevelt was in office, how about Johnson, Nixon or even Reagan and Clinton.  Nothing was the same and this bill, which I might add was closer to failing than passing, was about the best we can expect.
     
    No one would argue that health care has come a long way since the days of FDR, but when you consider that other industrialized nations with single-payer or hybrid systems spend a lot less, have a healthier populace that live longer with better medical outcomes, there is not as much pride to be taken in the state of the technology and innovation in health care in this country when not everyone is able to get the benefit of it.

    Universal care, pleaze, if that is what would have become law today there would be an all out revolution in the red states, or at least some very serious civil disobedience with people dying, IMO.  A this point a true blue liberal plan could have ripped this country apart for years.
     

    People do not die because they can get care, they die because they cannot.  They don't riot because universal care will keep them out of medical bankruptcy - they should be rioting because this private system does not.  I was too young to remember, but was there civil disobedience when Johnson signed Medicare into law?  Was the nation ripped apart because seniors were enrolled in a single-payer health plan?  That must have been left out of the history books.

    Let's not forget, we went up against some of the most influential special interests out there and won.  We won.  Anyone thinking we could have walked away with everything liberals wanted is as delusional as the idiots suing to get the President removed from office.
     

    "We" will continue to go up against those special interests, because our president invited them into the WH and made special, industry-favorable deals with them - not to improve our health care, but to make sure the industry dollars kept flowing into Democratic coffers.  "We" won the requirement to buy health insurance from a private company, but there is still no guarantee people can afford the care they need.

    What is important now is to keep hammering away, and to do that we need to get more liberals elected, which requires getting the public on board with what is actually the law.  Make people want more change and it will happen, complain and whine about how worthless and republican the bill is and watch the public turn around and vote R.
     

    How much harder can we hammer?  How loud must we speak to be heard.  The public was fully on board to get the insurance companies to stop strangling us, fully on board with a lot of things, and we have been summarily ignored.

    I don't dispute that there are not some good things in this legislation, but they could have been passed on their own, and not packaged with a trillion-dollar bonanza for Big Insurance.

    As long as we keep buying the "Hey! It's Better Than Nothing!" attitude that's exactly what we will get - something that's better than nothing.
    I'm sorry, but that's just pathetic, and I refuse - refuse - to accept it.

    Parent

    What's really sad is (none / 0) (#1)
    by masslib on Tue Mar 23, 2010 at 12:59:52 PM EST
    there is no alternative.  The Democrats are essentially saying, "where else are you going to go?"  

    Unless (5.00 / 2) (#14)
    by Ga6thDem on Tue Mar 23, 2010 at 02:09:39 PM EST
    something changes between now and November, I have somewhere to go: it's called sitting home. I can sit home just like the voters in Mass did during the special election.

    Parent
    Lots of places to go (5.00 / 4) (#31)
    by shoephone on Tue Mar 23, 2010 at 02:53:02 PM EST
    It's just that none of them will be filled with the phony Dems. Greens, socialists, independents, stay home... there are options.

    Parent
    If we're going to have (none / 0) (#2)
    by TeresaInSnow2 on Tue Mar 23, 2010 at 01:00:56 PM EST
    Republican government anyway, then I'll vote for those who have the guts to admit it....the Republicans.

    Parent
    It isn't even a good point to make (none / 0) (#4)
    by ruffian on Tue Mar 23, 2010 at 01:18:04 PM EST
    to refute the Republicans claims that the bill is liberal. This 'brag' is just telling Republicans that they were more liberal 20 years ago. Well, they know that - it is why they have moved to the right.

    Stupid to make the bill this way, and even stupider to brag about it.

    It is a necessary point to make (5.00 / 1) (#5)
    by Manuel on Tue Mar 23, 2010 at 01:24:49 PM EST
    to counter the foxmyth (I like tthis meme) that the bill is "socialized medicine" or a "massive government takeover of health care".  Democrats should stay humble and stay on point about this being good policy.  Leave history to the historians.

    Parent
    I agree you have to answer that (none / 0) (#12)
    by ruffian on Tue Mar 23, 2010 at 02:07:32 PM EST
    because it certainly is not true, and I guess they just want to use the shorthand of calling it Republican.

    Parent
    Is Vice President Biden correct? Is this a (none / 0) (#6)
    by oculus on Tue Mar 23, 2010 at 01:31:50 PM EST
    big f#cking deal or not?

    It all depends on how you view it (5.00 / 1) (#28)
    by Socraticsilence on Tue Mar 23, 2010 at 02:48:58 PM EST
    if you viewed Healthcare reform as inevitable then this is a pitiful compromise, if on the other hand you look at attempts at such reform since 1948- then this is pretty huge and easily the biggest win since 1965.

    Parent
    Headline in today's LAT: (none / 0) (#30)
    by oculus on Tue Mar 23, 2010 at 02:52:40 PM EST
    1/4th of Californians do not have health insurance.

    Parent
    I'd would argue (none / 0) (#15)
    by Socraticsilence on Tue Mar 23, 2010 at 02:17:57 PM EST
    that given Healthcare's importance, this is the most substantive progressive legislation since medicare/medicaid. Now, in terms of where the bill lies on the ideological spectrum its not as progressive as other bills- Clinton and Obama's SCHIP expansions are more progressive by that measure for example; however given the extraordinary reach of this bill and the importance of Healthcare in the Liberal pantheon this is bigger- frankly, since the Great Society we've been going backwards, fighting a defensive battle with minor victories every now and again (see: Clinton's raising of the top marginal rate in his first budget) but largely we've been making cuts to the point where we "reformed" welfare and championed it as the signature achievement of a Democratic President, every time we've tried Healthcare Reform its been slapped down- but this time we finally got it through- is it perfect, no its not, and yes as you stated 17 years ago it would have been a moderate Republican option (of course 20 years before that Clinton's plan which essentially established a monopoly for the 5 big insurance companies- they supported "Hillarycare" it was the companies left out that objected- would have been considered a conservative option as well, it was far, far closer to Nixon's offer than Kennedy's plan, and Kennedy's plan in turn was far more conservative than Truman's which was essentially a single payer system).  If you look at the history of Healthcare reform starting with Truman in 1948 this is a momentous achievement. Oh, and word about LBJ and Medicaid/Medicare- there's a reason he was able to get them through- he like Clinton and Obama had the support of the major insurers but unlike them didn't have to make any major concessions (other than not attempting to make coverage universal), there's a reason for this- Private companies had in the late 50s attempted to provide coverage for the elderly (see: "Golden 60" and other plans) it was only when they found out such plans weren't profitable that they ceded the field to the state.

    Obama didn't have to make any (5.00 / 5) (#39)
    by MO Blue on Tue Mar 23, 2010 at 03:51:44 PM EST
    major concessions (other than not attempting to make coverage universal)?

    Even though Obama put in mandates, the program will not provide universal coverage. It will eventually provide insurance for 32 million people. According to the last figures I've seen, there are currently 45 million people uninsured and that number may rise by 2014.

    Major concessions (all worth more than $100 billion) made by Obama as reported by major news organization.

    1. No public option
    2. No reimportation of prescription drugs
    3. No negotiation of prescription drugs
    4. No elimination of the overcharge for prescription drugs on dual eligible Medicare/Medicaid participants.
    5. No acceleration of generics for high priced prescription drugs.  


    Parent
    It's like how you are a centrist BTD. (none / 0) (#19)
    by Salo on Tue Mar 23, 2010 at 02:31:27 PM EST
    soooo centrist.

      Now in truth it's a damn shame they traded away the PO and Single Payer so quickly.  But, in the end I think they are taking a brave step into the early 20th century.  It fits with Lloyd George's proto-reforms and his National Insurance...