The Obama administration and the Congressional Democrats are finally hitting the inevitable wall that was bound to confront them because of the president's congenital inability to be a bold leader, and because of the party's toxic decades-old decision to betray its working class New Deal base in favor of wholesale corporate whoredom.
The wall is health care reform, which both Barack Obama and the Democratic Party had hoped would be the ticket for them to ride to victory in the 2010 Congressional elections and the 2012 presidential election.
But you cannot achieve the twin goals of reducing health care costs and providing access to health care to 50 million uninsured people, while leaving the profit centers of the current system--doctors, hospitals and the health insurance industry--in charge and in a position to continue to reap profits.
Watching President Obama address the American Medical Association was a cringe-inducing experience as he assured the assembled doctors he was not going to expand Medicare payments "broadly" to cover all patients, or end the current "piece-work reimbursement" system that has so enriched physicians, or as he told them that savings would "not come off your backs." It was particularly cringe-inducing when he told the AMA that he knew that making money was not why its members were in the profession, saying, "That is not why you became doctors. That is not why you put in all those hours in the Anatomy Suite or the O.R. That is not what brings you back to a patient's bedside to check in or makes you call a loved one to say it'll be fine. You did not enter this profession to be bean-counters and paper-pushers. You entered this profession to be healers--and that's what our health care system should let you be."
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http://www.commondreams.org/view/2009/06/21-1