Showing posts with label Health Care. Show all posts
Showing posts with label Health Care. Show all posts

Monday, January 21, 2013

Obama's Inaugural Address

“As times change, so must we,” President Barack Obama said in his eloquent and inspiring inaugural address, delivered to several hundred thousand witnesses gathered in front of the U.S. Capitol.  He continued, “Fidelity to our founding principles requires new responses to new challenges; that preserving our individual freedoms ultimately requires collective action.”

Mr. Obama’s address marked the beginning of his second term as president.  The remarks fell on Rev. Martin Luther King, Jr. Day, and focused heavily on civil rights, equality and fairness for all.  We, the people, declare today that the most evident of truths – that all of us are created equal,” he said, “just as it guided our forebears through Seneca Falls, and Selma, and Stonewall.”   

The president, citing and end of a decade of war, and the nascent economic recovery, said, “America’s possibilities are limitless.”  He then gave the nation a clarion call, “My fellow Americans, we are made for this moment, and we will seize it – so long as we seize it together. “

House Speaker John Boehner and Republican Majority Leader Eric Cantor, who were seated on the platform near President Obama, showed no emotion during the address.  But the president delivered a message intended for his opposition.  “The commitments we make to each other – through Medicare, and Medicaid, and Social Security – these things do not sap our initiative; they strengthen us.  They do not make us a nation of takers; they free us to take the risks that make this country great. “

And, in reference to the partisan divisiveness that has created great turmoil in the halls of Congress for the past four years, Mr. Obama said, “We cannot mistake absolutism for principle, or substitute spectacle for politics, or treat name-calling as reasoned debate.”

Yet some of the issues the president highlighted, in his nineteen-minute address, are sure to meet resistance from Republicans in Congress.  Mr. Obama devoted a paragraph to climate change, which wasn’t even debated during the presidential campaign.    Speaking of gun control, the president said, “Our journey is not complete until all our children, from the streets of Detroit to the hills of Appalachia to the quiet lanes of Newtown, know that they are cared for, and cherished, and always safe from harm.” 

Mr. Obama took on criticism of his handling of Iran’s nuclear program, “We will show the courage to try and resolve our differences with other nations peacefully – not because we are naïve about the dangers we face, but because engagement can more durably lift suspicion and fear.”

In many ways, President Obama’s speech was a continuation of his campaign to engage women, gays, immigrants and the middle class.  “For we, the people, understand that our country cannot succeed when a shrinking few do very well and a growing many barely make it.  We believe that America’s prosperity must rest upon the broad shoulders of a rising middle class.”  But he warned of tough choices ahead to reduce health care costs and the deficits.  Nonetheless, he said,  “But we reject the belief that America must choose between caring for the generation that built this country and investing in the generation that will build its future.”

The president spoke confidently, with clarity and purpose.  His speech laid out a progressive agenda, yet it was grounded in the values and intentions of America’s Founding Fathers.  “Being true to our founding documents does not require us to agree on every contour of life,” he said, “Progress does not compel us to settle centuries-long debates about the role of government for all time – but it does require us to act in our time.”

As President Barack Obama entered the Capitol building, following his address, he turned and looked out at the crowd, and the Washington Monument in the distance.  He then smiled.


Thursday, December 17, 2009

Change? What Change?


Remember just a few weeks ago when political pundits were declaring the demise of the Republican Party? That Republicans were teetering on the edge of insignificance; remember? Well, not to be outdone, Democrats have now stolen the show!

Former Democratic National Committee Chairman, and Vermont Governor, Howard Dean has counseled senators to vote no on the latest Senate health reform proposal. As he explained in a Washington Post op-ed piece, "I know health reform when I see it, and there isn't much left in the Senate bill...this bill would do more harm than good to the future of America." Democratic Congressman Dave Obey, of Wisconsin, was quoted by Politico as saying, "It's ridiculous, and the Obama administration is sitting on the sidelines. That's nonsense." Powerful Democratic Congressmen John Conyers, of Michigan, said, "No public option, no extending Medicare to 55, no nothing, an excise tax, God...The insurance lobby is taking over."

While everyone pretty much agrees health care reform is needed, Democrats have not been able to garner support of the 60 members required to assure passage. Meanwhile, President Obama has been singularly focused on supporting any bill that could be labeled health care reform, but to no avail. Senator Joe Leiberman, an independent who caucuses with the Democrats, said no to extending Medicare benefits just three months after he proposed the very same idea. Of course he almost was Republican Senator John McCain's running mate in 2008. Nebraska Democratic Senator Ben Nelson has rejected the public option and wants tighter restrictions on abortion.

President Obama has found himself in the position of catering a handful of moderates at the expense of his core supporters. But is any win on health care reform a win? No say liberal members of Congress who are furious. For instance, Democratic Representative Anthony Weiner of New York said, "Some of us have compromised our compromised compromise. We need the president to stand up for the values our party shares."

So the White House has found itself deflecting criticism from its own party. White House adviser David Axelrod responded to Howard Dean's attack, "I saw his piece in the Post this morning, and it's predicated on a bunch of erroneous conclusions. White House Press Secretary Robert Gibbs said of Dean's charge that the bill was good for insurance companies, "if this is such a great thing for the insurance companies, why are they spending hundreds and millions of dollars every day to attack it?"

Meanwhile, the president began employing some scar tactics, telling ABC Newsman Charlie Gibson, "If we don't pass it, here's the guarantee....your premiums will go up, your employers are going to load up more costs on you." And he said the costs of Medicare and Medicaid are on an "unsustainable" trajectory, and if not dealt with, "the federal government will go bankrupt." As the president ratchets up his rhetoric, his job approval rating has slipped to a new low, 47% according to an NBC News/Wall Street Journal poll. The president can find some comfort in the fact that the Congress, the Democratic Party and the Republican Party all do worse in the polls.

But Republicans are beginning to build a narrative of a president who is not a leader. And it just may be sticking. MSNBC's Joe Scarborough observes that "No one fears of President Obama." And conservative columnist Peggy Noonan asked Axelrod, "You are losing the left, you are losing the right, you are losing the center. That looks to me like a political disaster." Even Democrats like Representative Weiner are calling for leadership; "It's time for the president to get his hands dirty."

Even if House and Senate conferees are able to hammer out a health care reform bill that passes Congress, its impact is not likely to be felt on Main Street for some time. Meanwhile the president's image will have been damaged by the lengthy debate, and he will have spent an enormous amount of good will with the public no matter the outcome.

This is now President Obama's ecomony, Obama's unemployment problem, Obama's housing crisis, Obama's deficit, Obama's wars, Obama's banking regulatory problem and it will remain Obama's health care reform problem. Fortunately for President Obama, the party of "no" has weak national leadership. Governor Sarah Palin's magical book tour has made her a lot of money but it hasn't converted many voters. However, Republicans will be competitive in Congressional districts across the country. And as the 2010 midterm elections approach, Americans will be asking themselves, "Is this change we can really believe in?"

Friday, August 14, 2009

Health Care at the Forum

There isn’t a more striking symbol of America’s health care crisis than the thousands of people who are lining up this week outside the Los Angeles Forum waiting for treatment. One patient put it succinctly, "If everybody in this country were in the situation my daughter and I are in, they would have a whole different view of (the health care debate)."

Many of those in the queue have jobs but they do not have adequate health care. In many cases the employer does not provide enough coverage. Still it seems a bit ironic that the nonprofit Remote Area Medical Volunteer Corp (RAM), whose mission is to provide free health, dental and eye care to poor or under served areas around the globe, is turning people away in Los Angeles. This is because of the heavy demand, and because RAM does not have enough volunteer doctors. One RAM worker compared the need in Los Angeles to the poorest parts of India.

Yet this unfortunate scene is far from an antidote for the radical and misleading assertions being screamed aloud at town hall meetings across the country in the health care debate. “Death panels” and “eugenics” are among the outrageous lies being spun by those seeking to benefit, either politically or financially, by killing health care reform.

In a country of more than 300 million people there is bound to be a small fraction that absolutely believes President Obama wants to kill grandma, or that the president is a Nazi. These are the kind of folks who make up the core audience for Glenn Beck, Rush Limbaugh and Sarah Palin, all of whom everyday feed their loyalists the red meat of socialism and government gone wrong. Beck's and Limbaugh's few million loyal listeners never miss a minute of their shameless diatribes. After all, these radio commentators get paid an enormous amount of money to incite a national ruckus, and their audiences love it. You are right Mr. President, it sure plays well on television.

Protesters don't want to hear the truth. Like that there are no death panels in the government's health care reform proposals. They believe that government gotten too big and is not true to the wishes of our founding fathers. In fact, some of these folks are joining local militias perhaps with an eye to "one day taking our country back!" From whom? It's very scary.

For the past decade America has been caught up in a great ideological feud between left and right that has perhaps been more polarizing than at any time in our history, except for the period leading up to and during the Civil War. The feud is being amplified and accelerated by technological advances.

At the core of the feud is the role of government in each American's life. And a wasteful, inefficient and bloated government is easy to criticize. It is also easy to criticize those elected officials who lie and cheat. Or those who want to spend taxpayer money on corporate jets. And what of a government that mishandles the economy and yet saves the rich bankers during the worst economic downturn in decades? One Wall Street banker made more than $700 million, yet the unemployment rate is unacceptably high and foreclosures are too.

A large number of well-intentioned Americans are "mad as hell" and say they are not going to take it anymore. There is a lot of pent up emotion and concern in our populace. They feel no one has been listening to them, and hot August days are especially conducive to raising the heat in town hall meetings across the nation. The complaints and cries for help have become louder, especially at the extremes. But there is nothing to fear. This is American Democracy at work.

Most Americans are smart enough to see through the fog of distortions, fabrications and flat out lies being offered up about health care. They know that all politics is local and that hypocrisy runs deep in DC. They know that many Senators and Congressmen are being well funded by the health industry. That many elected officials will do what is best to assure their own survival.

Most Americans agree that this country's health care system is broken. There are 46 million uninsured people in the U.S., and that number is growing every day. They know that health insurance companies have enjoyed record profits while co-payments have gone up and “pre-conditions” and other loopholes are impeding access to quality care. They see it every time they need care.

President Obama must continue to aggressively push his agenda and highlight its benefits. They include making health care accessible to all, making it affordable for everyone and "bending the curve" of health care costs, which are out of control and are a tremendous drain on our economy. Proponents must also speak out with a clear voice.

Few Americans are happy with our current system. Just ask anyone standing in line at the Los Angeles Forum.

Friday, August 7, 2009

Healthcare Smackdown

Fed by disinformation, delaying tactics and disruptive behavior many recent local townhall meetings have morphed into world wresting federation smackdowns. It is time for President Obama to assume more of a leadership role on health care or he and America will suffer a serious defeat.

Currently health care legislation is in the intensive care unit on Capitol Hill where Senators and Congressmen are struggling to put together a consensus on several incredibly complicated and controversial issues. For instance, how do we cover everyone? How do we offset the enormous costs projected from a new plan? Should there be a federal option? How do we make certain that those who are happy with their current health care will be able to keep it? Is it appropriate to include voluntary end of life counseling?

Enacting health care legislation is certain to impact just about everyone in some fashion, so there is an enormous amount at stake. And emotions are running high as Congressional committees continue to wrangle over the complicated details of a plan. It is an ideal atmosphere for exploitation by special interest groups, who spend millions of dollars on campaign donations and public relations to protect their profits, and for good old politics as usual.

Take former Alaska Governor Sarah Palin, a favorite among conservative Republicans. On her Facebook page she declared President Obama's health care plan is "evil." She posted, “The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama's 'death panel' so his bureaucrats can decide, based on a subjective judgment of their 'level of productivity in society' whether they are worthy of health care." Of course, she knows President Obama has made no such proposal.

Conservative talk show commentator Sean Hannity's Web site displayed a banner, "Become part of the mob," referring to Congressional townhall meetings. The Website Tea Party Patriots circulated a memo reading in part, "Yell out and challenge the Rep's statement early." It went on, "Get him off his prepared script and agenda...stand up and shout and sit right back down." Conservative radio talk-show host Rush Limbaugh said that the administration's health care logo is similar to the Nazi symbol. Glenn Beck, another conservative host, exhorted his audience to join in the ruckus, as did many local Republican organizations throughout the country. Of course, now some Democrats and unions are fighting back. Sure, free speech is great as long as you agree with me!

Critics say, "What's the rush?" Today 45 million people are uninsured. More are being added to that number every day as people lose their jobs in this difficult economy. Those without coverage go to hospital emergency rooms when they need care, and the costs are ultimately passed on to everyone else. America already spends more money on health care than any other industrialized country, yet those countries offer health care to everyone. So there is a moral imperative to do something now.

Beyond that, today every American is feeling the effects of increasing health care costs, rising at about 7% per year and projected to reach $4.3 trillion in ten years, or about 20% of our economy. Employer health care costs are going up dramatically as well, and they are eating into profit margins and being passed along to the employees in the form of reduced coverage or higher co-payments. And if you are unfortunate enough to get sick you are likely to find out your plan does not provide adequate coverage, or you may be dropped from your plan in the future because of a "pre-existing" condition. No wonder health insurance companies are making huge profits.

The American health care system is innovative, for sure. But it is also inefficient. Critics cite waste, duplication and little built in incentive to control expenses as part of the reason for spiraling costs. President Obama has proposed a lower cost government alternative to compete with health insurance companies. He has pledged that those who like their current health plan can keep it. But opponents charge that this is a Trojan horse for a government run system. For instance, as former Governor Palin noted, "Who will suffer the most when they ration health care...the sick, the elderly and the disabled, of course?"

Many Americans are concerned that a new health care plan will add to the already burgeoning national deficit. While President Obama's goal is to lower the trajectory of the growth in health care costs, it is estimated that a new plan will add at least $1 trillion in additional costs the federal budget. Congressional negotiators are scrambling to find ways to offset this cost through savings and taxes on the rich.

These are but a few of the flashpoints that have arisen in this health care debate. Almost everyone agrees something has to be done about health care costs, but the devil, as always, is in the details. And given the recession, the government's missteps in managing the financial crisis and the political polarization that divides our country, cynicism and distrust are rampant. People are concerned about the unknown.

Disruptions, distortions and disinformation by opponents, many financed by the health industry, are beginning to wear on public opinion and will delay long overdue and much needed reform. So it is time to lower our voices, to listen to the facts, to be civil and thoughtful in our discussions of this critically important issue. After all, when it comes to health care we all know that the status quo is unacceptable.