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Shake your fists, then get real

by Karoli on December 16, 2009

Pretty DancerAs long-time readers know, my daughter (Ms. Dancer) is a competitive dancer. She has competed in world, national and regional competitions. Like all kids competing at her level, she discovered early on that even if she outdanced the competition, she could still lose because the judges liked the look of the other dancer, their hair, the color of their dress, or some other detail that simply held their attention. She learned a hard lesson at a young age: being the best doesn’t guarantee the win. Worse yet, it seemed that she would miss her goal by one place. This was to be the one constant of her competitive career. (She’s on hiatus right now due to a situation with the status of her school.)

Our conversations would go the same way every time. She’d suck it up in public, put on a smile and be gracious to the winner, get in the car, burst into tears and declare, “It’s NOT FAIR!!!”, to which I would reply “You’re right. It’s not. But it’s what it is. Do you quit? Or do you go on to the next one?” Those were real options. She knew she had the right to quit at any time without any protest from me as long as she understood her own reasons for doing so, and was honest about them.

She’d cry, shake her fists, rail at the subjective judges and the next day she’d put her shoes on, go back to the studio, practice some more and we’d go on to the next competition. Over the ten years she competed, she climbed through the standings to be a top-20 dancer in a 7-state region, top-10 in California in her age group.

We both learned to let go of disappointment and work harder for the better result, building on the strengths and working out the weaknesses. So what does this have to do with my normal topics?

It’s time for Democrats to unify, suck it up, and get this done

If you think I’m not furious with Joe Lieberman, you’d be wrong. I am. During his press conference today I wanted to slap that grin right off his face. His self-aggrandizing love-fest with himself is enough to make anyone scream, even Howard Dean, who doesn’t need much encouragement to get his own share of the spotlight.

There is nothing more maddening that feeling like you’ve put a ton of work into something only to have some arrogant jerk step on your hand and take it away in the blink of an eye. I get that. I feel that. Ms. Dancer and I both know that feeling way too well.

Here’s the thing: We’re not Charlie Brown and Joe Lieberman isn’t Lucy. This is how it’s done, like it or not, and it’s really time to step up and look at reality. I want to take some of the common themes I’m seeing around blogs, Twitter and the like and really break them down to see if they’re myths or the real deal.

Democrats have the votes to ram it through

Here’s where the reality check makes a difference. Let’s count the Senators, one by one. Nope, still only 58 and of those 58, probably 55 are a sure vote. Then there’s Bernie Sanders, and…oh HAI, it’s Joe Lieberman.

So no, we don’t have the votes, because cloture needs 60 votes, and to get to 60, we need a Republican or two or else complete and total unity inside the caucus.

Lieberman gets this. Why don’t we?

Conclusion: We don’t have the votes. Myth busted.

We’ve been sold out by [choose your name: Obama, Reid, Rahm]

Let’s see if I can put this argument together. It goes like this: If [Obama, Reid, Rahm] really wanted to, they could twist arms and MAKE THEM VOTE FOR WHAT WE WANT. They’re (choose as many as apply): a) sellouts; b) crummy leaders; c) intentionally sabotaging health care reform; or d) Republicans in disguise.

So…

  • We’ve established that there aren’t 60 votes if no compromise is made.
  • Every day things stay at an impasse is one more day Republicans get to bring primitive foamboard charts to the floor (I’ve been waiting for the felt charts to come out with little Jesus figures on them like Sunday school…) and tell lots of lies with lots of soundbites about the reform package.
  • We can get 60 votes if we a) Delay until mid-January, as Ms. Snowe wishes; or b) play ball with Joe Lieberman.

Fact: It isn’t fair. What are you going to do? Quit or move on? Hold onto blame and disappointment or work with what you’ve got, take the good out, work harder to fix what you don’t like in the next round?

Myth: It’s a sellout. It’s not a sellout. It’s how this stuff works. You can argue about Lieberman’s motives, but the bottom line is that Lieberman holds the trump card, he’s played it, and we can deal with the disappointment and come back harder and stronger in the next round, or pick up our toys and go home.

Whining, by the way, is not an option. Not with my daughter, and not in my mythbusting scenarios.

If President Obama were a better leader, he’d MAKE [insert name here] give in

He’s the President of the United States, not a Mafia don. The Republicans might think he’s a big bad scary black dude, but he’s really just a smart guy with a decent head for how this stuff goes, and a doggone pragmatic streak that just drives idealists nuts.

To those who like this argument, I’d be very interested to know when the last time was that they were successful by yanking someone up and “making them do it”.

Good luck with that.

Fact: Democrats have competing priorities under this big top, and represent constituencies that include pharma, insurance companies, doctors, medical device manufacturers, and other interested parties. Some Democrats represent budget hawk districts, where they’re expected to be the keepers of fiscal purity. Corollary: Democrats aren’t Republicans. They don’t strongarm their caucus into a strict, unified message. Ask Lindsey Graham what happens when a Republican strays off message. That has never been the style of the left.

Myth: By virtue of being the President, Barack Obama can take individual members to the woodshed and twist their arms to reverse a strongly-held position.

The insurance companies win

Oh, boo hoo. That’s like Ms. Dancer crying because she was second, even though she was…SECOND. In a field of 50.

Plus, they don’t really win. Not so much at all.

To insurers, winning means getting to do what they want, how they want, at whatever price they want, to whatever customers they choose, for the highest profit margin they can squeeze.

So what do they get? Required guaranteed issue of every insured with no underwriting requirements; minimum medical loss ratio of 85% (or 90%, depending); requirement to submit rate increases in advance with full justification; requirement to post detailed information about how premium dollars are spent on the Internet; requirement to cover claims without lifetime or annual caps on benefits; requirement to adjust focus from illness to wellness by covering preventive procedures 100%; and loss of the right to arbitrarily withdraw coverage from any insured at will right when the person needs them most; and best of all, limits on the differential between younger insureds and older ones.

They also get what they’ve resisted most for a very long time: regulation. Heavy, heavy regulation.

Yeah, that sounds like a win to me. How about you?

No, the insurance companies don’t win.

We’re screwed because we don’t have a public option

I’m not going to spend a lot of real estate on this one, since I already proved the public option to be a symbolic and sacred cow that has little to do with cost control and everything to do with a promise of a future single payer system.

Are we screwed? Well…other countries have similar arrangements to this, most notably Switzerland. No one died in Switzerland this year because they didn’t have access to health care insurance. Sadly, we can’t say that here in the US.

Finally, there’s no reason the public option or single payer or Medicare expansion can’t be the “work harder to make it better” piece of our future. It is a canard to say that the public option represented reform. It didn’t. It represented part of a larger package of reforms with one single major reform at its heart: Banning exclusion for pre-existing conditions.

We can afford to wait till it can be done right

This comes from the same group who uses the “44,000 people die in the US because they don’t have access to health care argument”? How does that work exactly? We die till we don’t? It’s important, those uninsured dying people till the ideal is more important?

Moreover, I’m trying very hard here to figure out how, with 2010 midterm elections looming large, waiting means somehow snatching a bigger success from a failure. Can anyone familiar with history point to any time where a bill has made it this far, been pulled back by proponents, and lived as a stronger version of itself? I can’t. I couldn’t find one single time where that was the case.

No, we can’t afford to wait. There are too many people hanging by a thread right now.

More importantly, if this is stalled, kiss a jobs bill or a cap-and-trade bill or any other really meaningful legislation goodbye right alongside it because a stoppage on this bill makes winners of teapeople and Republicans. There’s only one message stoppage sends: THE TERRORISTS WIN.

If I were mom of the world, I’d say this: Shake your fists. Be angry. Be active. Be engaged. But don’t be fooled by myths and memes, even when they come from the so-called good guys.

  • iowademocrat
    You are wrong on caps.
  • Because?
  • Linda W.
    ummm, perhaps it slipped by you but the insurance companies are STILL allowed to set caps on benefits and they are the sole determiner of that number

    maybe you didn't realize that YES they have to insure you. There is a limit though...they can only raise you premium 300% more if they consider you risky or just old...well, you can refuse and just pay the government fine. either way they penalize someone for not having enough green to pay the CEO's bonuses or their 33% administrative costs that have NOTHING to do with health care. BTW, there are no private insurers who provide more efficient service.

    The list goes on and on... this is a terrible piece of legislation. If they can't do better than this, they need to let it die. Maybe in the meantime Obama will grow a backbone and actually lead an effort to reform healthcare.

    This isn't a reform bill...it is a payoff to the lobbyist from both the White House and the Senate. This isn't about sucking it up, it's about refusing to let the Dems bargain real reform for campaign contributions. It needs to die.
  • It didn't slip by me, but maybe it slipped by you that there are other controls that cause a net-net to be 2x base rate? That's not different than it is today, only people who couldn't get access might have.

    I wish you well in your pursuit of the perfect. May you be victorious. I mean that. I'm counting on you to make it happen for us. If possible, could you make it happen in the next six months or so? If not...well, then add our names to the wall of the revolutionaries who died waiting.
  • lelawilley
    When have we ever gotten everything we want and/or deserve? In the workplace we make compromises almost daily. When I taught, I had to use a curriculum that was approved by the state even if I didn't really like what was in it. If I wanted to add that was all right as long as I still taught what "they" said so the students would do well on tests. If I wanted something changed, I worked within the system to compromise with others to get the curriculum changed.

    I, like you, wish this were a perfect world where the best always won. Like you, I agree that we need to be pragmatic. If we get rid of the pre-existing, rescissions, huge profit, etc. and regulate the industry, I agree that we win to fight another day.

    Like someone else said, if we don't do anything; we lose. Like others, I am afraid that doing nothing tanks the entire progressive agenda and gives the Right a win that we can't afford as individuals or a country.
  • I'm getting pretty concerned about the stall tactics going on right now. On the other hand, the fact that the GOP has resigned themselves to forcing a reading of the entire manager's amendment (or bill?) tells me they know we have 60 to move ahead. This is good. Excellent, even.

    Politics is not pretty, ever. Hard things take work. I am just tired of seeing people complain and whine because it's not everything they want.
  • Lela
    Politics isn't pretty but neither is anything else where there is mudslinging involved. We have to be willing to get in the mud and then clean it all up. Like you, I am concerned that too many Democrats seem willing to throw the baby out with the bathwater. The status quo doesn't really affect me nor will the reform since I am disabled and soon eligible for Medicare.

    There is a "but" in there and it is the fact that a person isn't eligible for medical coverage immediately upon becoming medically disabled. What about those who can't get their medications or see doctors? What happens to people who lose their jobs? Yeah, sure, there is COBRA but how many can actually afford those prices? I couldn't.

    I wish there was a way to get 60 votes for cloture and keep all the things we like in the bill. I wish we had started out with a more progressive/liberal bill. I wish we had a way to force Senators and Representatives to live in our shoes for just a month or so. I wish, I wish, I wish...... but it doesn't happen. POTUS never campaigned on a public option or single payer. He kept saying all should have access to the same health care as those in Congress. Looks like we may.

    Is it perfect? No!!! Do we care? Yes!!! Was Medicare perfect when first passed? No!!! Is it perfect now? No!!! If we don't start somewhere, we never get to the finish line.

    Keep up the fight and keep putting the information out there; I appreciate the work you do to keep us informed.
  • cARTHAN
    Nice read. I agree that we should not pull back again but my reasons are not as elegant as your. I fear that if the bill is pulled, many will see it as a failure. I don't know anything about competitive dancing but I do know something about supporting a weakened effort. I'm getting the feeling that the single payer, public option and medicare were shills. Never meant to happen. How many times in the early part of the debate did the POTUS as much as say the public option was not the primary focus? Changes in the way Insurance companies operate and the laws that govern them is the focus. If the bill is pulled, it stands as the second time hc has failed under a Democratic president. I dread to see what a a total failure will have in the 2010 and perhaps the 2012 elections. In the end, the major change that has to be the way lobbyist operate in DC and I do not see that happening soon.
  • You're exactly right about the consequence of pulling back from this. It will cost us the majority in the Senate for sure, and would likely cost the majority in the House.

    As to your comment about single payer, public option and Medicare, I would say only one was a shill -- the public option. And it served that purpose well, and also served progressives' purpose. As it stands today 61% of registered voters support the public option. That seems to me to be a great wave to push forward with it as the next round of health reform. Single payer was never an option, and Sen. Wyden told me back in October on a phone call that as much as Dems supported a Medicare buy-in, there wasn't much will for it in the Senate. I was, frankly, shocked that it ever even made it to the debate stage.

    If this were a siege (which it has been), the wall we are breaking through is the ban on pre-existing conditions. Once that wall falls down, the game changes to our rules.
  • Lots of good points; much to meditate on. Would love clarification on the following comment, though: "Can anyone familiar with history point to any time where a bill has made it this far, been pulled back by proponents, and lived as a stronger version of itself?"

    How is it a "stronger version of itself?" I don't follow Congressional maneuvers with the same background knowledge or attention to detail that you do; I'm probably missing some key information that would clarify your meaning.

    Really like your myth-busting data. It's refreshing to see a recap of details that can easily escape us. In some cases, your data gives me a point of departure for further research, so I can come to my own conclusions. Without your article, sorting out the key questions to investigate would be much harder for me.

    Also, I agree that waiting for a better bill, with so many "people hanging by a thread," is a luxury that only the well-heeled can afford. For many legislators, insulated from financial woes, much of this healthcare debate is about anything and everything except healthcare reform.

    All that said, I'm obviously an idealist who yearns for global, systemic change. I would want to change the fundamental nature of dance competition's culture, if my daughter were involved. It would be hard for me to keep my eye on the pragmatic truths: deep, systemic change of any cultural institution (socioeconomic, sociocultural, or sociopolitical) is a project for centuries, for eons. It's evolutionary.

    For today, how does your daughter keep following her passion in a system that's unfair? For today, how do we facilitate efforts to get as many health insurance benefits for the most people in a system that's unjust?

    I'm not sure I entirely buy your solution―but overall, it's a hell of a lot more practical than the one I was about to employ: sinking into helplessness, hopelessness, and depression... In fact, it's a hell of a lot more idealistic than sinking into despair, too!

    I feel the sickness in our political system, in our structures of power, so deeply that I feel poisoned. I want to refuse to cooperate with the poisoners in power. I want to resist (perhaps in a passive-aggressive, self-destructive manner--but resist, nonetheless, by refusing to "play" their game. Unfortunately, refusing to "play" means becoming further marginalized. And clearly, becoming catatonic isn't going to dispel any of that poison, or ease the disease!

    So, in the end, I'm thankful for your pragmatic, hard-headed persistence. I need viewpoints like yours to counterbalance my own tendencies to want to "kill the bill" (metaphorically). I refer to wanting to "kill politics" in general; I despise almost everything I see in politics, even at the local level, here in tiny Vermont. It corrupts, absolutely. Yet―what's the alternative?
  • Thank you for the comment. As I re-read it before replying, your statement about global, systemic change jumped out at me. This bill has that, it truly does. Here's the global, systemic change that must exist before structural systemic changes can be made: It ends all discrimination against the people of this country. It places us all on a level playing field.

    Without that level playing field, there can be no single payer, no public option, no systemic, structural change to the system in our future.

    This bill lays the foundation from which the better house is built.

    As to how my daughter handles being in a corrupt (and it is) system: By accepting that the system isn't fair and working her hardest and best to get as far as she can. She has never won the big trophy like some of her friends, but ten years of persistence has earned her an incredibly fit body, lots of joy from the dance, a wall full of trophies, ribbons, and memories, and many, many friends around the world.

    She wrote these words a year ago. They inspired me then and they inspire me now. I hope they inspire you, too.

    "I am swimming against the current.
    I am walking against the wind.
    Yet I keep going.
    And in the end…who really wins? When trophies fade..banners rip?
    I want to win.
    I want to dream.
    I want to weave dreams.
    I want to work.
    I want to fly.
    I am 5 feet tall and a mountain stands in the center of my path.
    Do I look at it and leave?
    PSSH!! HECK NO, I am going to pwn that mountain. ;D"
  • Yes, it's true (in your daughter's case, and with so much of life), that "process" matters more than "product." It's the journey, the friendships, the artistic passion, and the personal growth and wellbeing, that really matters when it comes to following one's "bliss."

    As a female trying to break into the all-male world of African and Afro-Cuban hand-drumming (back in the early-to-mid-1980s), I had to learn that lesson (the hard way). I wasn't going to be invited in. I was never going to be male, or African, or the best drummer. On the other hand, my rewards were much like your daughter's; my life became profoundly joyful (as well as painful) as a result of the "drumming" journey.

    I'm not so sure that this metaphor applies equally well to legislation, where the product is at least as important as the process. The "winning" is more important, perhaps, in legislation than it is in dance and drumming.

    I'm concerned that the Senate's #HCR bill, as it stands, does NOT truly place us "us all on a level playing field," as you put it. While I can't profess to know any longer exactly what's in the bill, I believe that insurance companies will be allowed to bill middle-aged adults at rates up to three times higher than younger adults. That's not a "level playing field."

    Given our government's history with regulation of corporate finances, I'm concerned that the "regulation" upon which this bill is predicated is a pipe dream, an abstract theory, and not an achievable reality.

    And I'm still puzzled as to why the move to strip anti-trust exemptions from the monopolistic private medical insurance industry has been aborted. Clearly, medical insurance companies are monopolistic in the aggregate. Clearly, they don't deserve to be exempt from anti-trust laws.

    It seems to me that one of the shortest roads to forcing private insurance companies to become competitive would have been to subject these corporations to the same anti-monopolistic rules that most other industries must comply with. Why was that dropped?

    At any rate, I'm also concerned about folks being subject to fines for opting out of insurance. That was a legitimate stance to take when a not-for-profit insurance option was made available. To force all Americans to buy private insurance (which I contend will never truly be regulated)--is just plain wrong.

    I completely "get" your argument for persisting rather than "caving," and for supporting the Senate's bill for its merits. I understand that this flawed bill may provide a foundation upon which to build.

    Yet, I'm disturbed by some of the precedents it sets in terms of subsidization by government of private industry. Taxpayer money for low-income premium subsidies are now going solely to private corporations. These private corporations have just as much power as Wall Street firms and banks to hide the truth from regulators, and to manipulate the regulatory process.

    Further, pouring taxpayer dollars into the private insurance industry will only strengthen its monopoly. How long until "private medical insurance companies" are "too big to fail?"

    I'm having difficulty sorting through rhetoric and hyperbole to find hard data. It's very difficult for me to evaluate this healthcare bill (and all of its implications) objectively.

    However, I believe my concerns about its potentials for harm are valid--and I haven't heard any answers "out there" that would alleviate those concerns.

    All I can say for now is: I sure do hope you're right that this bill provides a "level playing field" for all Americans. I haven't seen the evidence that it will. Maybe you can point me to some data or resources that'll help me clarify this issue.
  • It is really funny to see you whine about systemic fairness while you selectively post comments.

    really!
  • all of your comments posted to the blog appear. none have been moderated. Therefore, I'm at a total loss to know what you are referring to.
  • The only comments I don't post are ones with more than one link. those get moderated. otherwise comments are posted as they're made, provided they're posted with a registered account.
  • jockodundee
    nice article--how old is your daughter?
    why wait for Snow?
    what shall we do now?
    your friend,
    jocko dundee
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