Why start out with a wussy compromise on health care? Demand the best, and compromise only when you have to.
http://www.truthout.org/121808JBack in 2003, an Illinois state senator named Barack Obama spoke to an AFL-CIO group and what he told them is now making headlines across the Internet. "I happen to be a proponent of a single-payer universal health-care plan," he said to applause. "I see no reason why the United States of America, the wealthiest country in the history of the world, spending 14 percent of its Gross National Product on health care, cannot provide basic health insurance to everybody."
As Obama understood at the time, single-payer offers enormous advantages. Everyone's in, nobody's out. Patients pick their own doctors, who remain in the private sector. The government pays the bills, while private insurance companies and health maintenance organizations (HMOs) no longer act as gate-keepers, excluding pre-existing conditions from coverage and telling doctors and patients what is "medically necessary" and what is not.
<snip>
The argument is classic: "Don't let the best become the enemy of the better." Or, perhaps more to the point: "Don't pick a fight we have no chance of winning."
Daschle and Obama are two of America's brightest political minds, and they could well be right.
But the best way to find out is to fight for single-payer and then, if we must, negotiate a compromise. If there was ever a time to go for the whole loaf, it is now, when the insurance companies are despised for their high-handed gate-keeping and their role in creating the current financial crisis.
How, then, do we convince Obama, Daschle and the Democrats in Congress to give up the old politics and join us in a fight for the Change We Need? Here's what I'm doing. I went to www.change.gov, clicked on "Lead a Health Care Discussion," and arranged to host a house party for other Democrats abroad here in France. If enough of us did this in our own communities, we might well remove the veto from single-payer health care.