tazzygirl
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WASHINGTON – Rarely does the government, that big, clumsy, poorly regarded oaf, pull off anything short of war that touches all lives with one act, one stroke of a president's pen. Such a moment now seems near.
We are perched upon the edge of a historical change. If this bill passes, it will place Obama up there with Johnson. This article takes a look at the historical significance.
After a year of riotous argument, decades of failure and a century of spoiled hopes, the United States is reaching for a system of medical care that extends coverage nearly to all citizens. The change that's coming, if Sunday's tussle in the House goes President Barack Obama's way, would reshape a sixth of the economy and shatter the status quo.
To the ardent liberal, Obama's health care plan is a shadow of what should have been, sapped by dispiriting downsizing and trade-offs.
To the loud foe on the right, it is a dreadful expansion of the nanny state.
To history, it is likely to be judged alongside the boldest acts of presidents and Congress in the pantheon of domestic affairs. Think of the guaranteed federal pensions of Social Security, socialized medicine for the old and poor, the civil rights remedies to inequality.
Take a moment to think about this. SS and Medicare, two things we could not live without in this country now... and Civil Rights. How many recall how ardently the Civil Rights movement was lobbied, fought and debated against.
Can anyone imagine these gone?
Change is coming, it now appears, but in steps, not overnight. The major expansion of coverage to 30 million people — powered by subsidies, employer obligations, a mandate for most Americans to carry insurance, new places to buy it and rules barring insurance companies from turning sick people away — is four years out.
In contrast, on June 30, 1966, after a titanic struggle capped by the bill signing a year earlier, President Lyndon Johnson launched government health insurance for the elderly with three simple words, as if flicking a switch: "Medicare begins tomorrow."
If only... but at least Obama knows it couldnt be that simple. The screams heard about paying for this first were heard.
Yet if the overhaul goes through, he and LBJ will share a distinction: the only two presidents to succeed with a transcendent health care law.
You can be sure Obama, a student of history, is aware of how LBJ captured the moment when Medicare became law with his pen. That happened in Independence, Mo., in the presence of the very first American to sign up for the program: Harry Truman. The ex-president had ended a world war but could not achieve national health insurance in his time.
"Care for the sick, serenity for the fearful," Johnson promised that day. "In this town, and a thousand other towns like it, there are men and women in pain who will now find ease."
Said Truman: "I am glad to have lived this long."
Ted Kennedy lived long enough to see a goal of his lifetime take shape but not long enough for it to happen. His death last summer was almost the death of the whole plan because a Republican won his Senate seat, changed the voting balance and left despondent Democrats in search of a second wind, which they found.
Historical moments!
Why is this so hard? In part, because self-reliance and suspicion of a strong central government intruding into people's lives are rooted in the founding of the republic, and still strong.
The colonial insurgents who dumped British tea into Boston harbor inspired the name and agitating spirit of today's tea party protesters, who rolled a taped-together health care bill up the Capitol steps like toilet paper to show their disdain. "Grandma's not Shovel-Ready," said one of their signs last week, playing off a fear the aged will see their care rationed away.
And we are back to that argument once again.
In 1854, President Franklin Pierce vetoed a national mental health bill on the basis that it would be unconstitutional to treat health as anything but a private matter that is none of the government's business.
Seventy-five years later, the American Medical Association denounced proposals for organized medical services as an "incitement to revolution" at the hands of "Medical Soviets."
And that wasn't even about government-run health care. The AMA's fierce opposition to collectivism included objections to private health insurance, the norm today, and the pooling of doctors into what became health maintenance organizations decades later.
Amazing how much the AMA has been against change over the years. Oddly enough, HMO's and their ilk is, in part, what is wrong with health care today.
Why the creep of government in health care? In part, because individualism isn't the entire American story. The idea of watching out for each other is also in the nation's fabric.
Besides, as much as Americans hate overbearing government and higher taxes, give them a federal benefit and then just try to take it away. Today's hot potato becomes tomorrow's cherished check.
That's one reason government programs grow — and why Democrats dared to push for a less than popular package mere months from congressional elections, when people were telling their leaders to create jobs instead.
Johnson, full of beans after his Medicare victory, realized all of this.
"The doubters predicted a scandal; we gave them a success story," he crowed a month after the law took effect, as hundreds of thousands of patients entered hospitals for treatment covered by the government and some 6 million children and needy adults began getting benefits.
"Where are the doubters tonight?" he asked. "Where are the prophets of crisis and catastrophe? Well, some of them are signing their applications; some of them are mailing in their Medicare cards because they now want to share in the success of this program."
Obama can only hope for such a first-blush reception. He took on the cause of universal coverage after a campaign in which he did not promise it, intending only to secure insurance for all children and shrink the pool of uninsured adults. His health care ambition grew in office, quickly.
More than a quarter century before, Ted Kennedy came close to the prize with none other than the Republican president, Richard Nixon, who embraced ideas that mainstream Republicans today cannot tolerate. Nixon was ready to force businesses to provide health insurance to their workers or pay heavy penalties.
Sound familiar? It will.
At its core, Nixon's proposal is a pillar of Obama's plan today. Nixon's willingness to subsidize coverage for the working poor is also seen in the plan, though writ larger.
Back then, Kennedy's union and liberal allies gambled that by spurning Nixon, they'd get something better later. They didn't. In similar fashion years after that, President Bill Clinton aimed high and crashed hard.
Clinton no doubt drew on his own failure when, in December, he advised Democrats to pass what they could manage and not make it an all-or-nothing fight. "America," he said, "can't afford to let the perfect be the enemy of the good."
Obama absorbed these lessons.
For him, a system with government as the sole or principal payer of everyone's medical bills was a nonstarter, nice for the ideologues and other countries but not the American way. He would have liked the option of a government-run plan competing in the marketplace, but didn't need it.
For months he stood so far back from the legislative nitty-gritty that it was hard to tell what he stood for.
In the end, he stood for more than the incremental steps that succeeded in the past, and for less than the towering ideas that failed.
http://news.yahoo.com/s/ap/20100320/ap_on_go_pr_wh/us_health_care_moment_in_history
Change is coming. This is the closest we have been. It has become a debate in every political campaign.
Its time. Thats why all the upset. Heaven forbid a democrat have such a monumental impact on history.
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