Anyone with a pulse is aware of the heated debate surrounding health care in the U.S. Congress. The whole matter is a muddle right now, and certainly many peoples’ opinions on the matter are tentative. Complicating matters is Obama’s tactic of letting Congress draft differing versions of the legislation, giving critics ample opportunities to attack any aspect of any proposal they dislike — even though no one knows what the final product will look like.
President Obama attempted to impose some clarity on the matter by delivering a prime-time speech explaining the issue, making clear the imperative for action on the matter and touching on a variety of proposals while giving a general outline of his goals. The most contentious aspect that’s been proposed is the Democratic idea of a public option — a government-run insurance program like Medicare to provide coverage for those who cannot afford it.
By now, President Obama has made it clear to progressives and Americans who are on the fence about health care reform that he is distancing himself from the public option. Around the same time Sen. John McCain, R-Ariz., declared the public option was a nonstarter in any bipartisan health care bill, Obama began systematically downplaying it. He first declared it was only a “sliver” of any health care bill, then buried his brief talk of the public option well over halfway into his health care speech.
Yet when Sen. Max Baucus, D-Mont., chair of the influential Senate Finance Committee, presented the bipartisan bill he drafted with three Republican and two Democratic senators last week, not a single Republican voiced support for this bill. This was the first bill proposed in any committee that did not include a public option whatsoever.
Baucus’ bill was clearly dead on arrival. Obama’s attempts to reach out to the opposition to draft an acceptable, bipartisan bill have clearly fallen on deaf ears. At this point, it appears clear not only is a bipartisan bill not feasible, but any such bill would cut out essential aspects of any health care reform worthy of the name.
Public backlash in the form of shouting-match town hall meetings and Obama’s flagging poll numbers illustrate that Obama and the Democratic Congress are suffering political consequences — even before any bill has been passed. Despite this chaos and Obama constantly ceding ground on the issue, the fact that a significant majority of Americans — 68 percent — still support a public option remains unchanged, according to the latest CBS poll. What has changed is that more and more Americans don’t trust Obama’s handling of health care, which data from that poll also corroborates.
Although Bill Clinton and the Democratic Congress were savaged on health care while failing to pass any bill, the real political consequences occurred after they failed to pass any sort of reform. Obama has said he is determined to be the last president to deal with this issue. Given he will not receive any Republican support, he and the Democratic leadership in Congress should pass a bill with a strong public option through the reconciliation process, which allows senate to pass legislation with a simple majority vote, rather than the 60 votes needed to break a filibuster. This tactic drew the ire of Republicans when Democrats included a provision to allow for it in this year’s budget, yet it is quite apparent that such a provision is needed.
Clearly, Obama and congressional Democrats are bound to suffer political consequences when dealing with health care, whichever route they go. At this point, the best course of action is to push a strong bill through Congress quickly, ignoring any and all Republican opposition.
There is no better political talking point than results. If Democrats truly have the courage of their convictions, as I do, then they know this policy will work well. The fruits borne will disprove all the right-wing, sky-is-falling demagoguery.
Derek Dobachesky is a journalism graduate student.












