On Compromising

October 3, 2013

I thought a little graphic representation of the current Republican Congressional demands for Obama to “compromise” on his Affordable Care Act was in order.

compromising

[click to enlarge]

In 1993 the Clinton Administration tried mightily to provide universal health care coverage for all Americans. According to Wikipedia it:

required each US citizen and permanent resident alien to become enrolled in a qualified health plan and forbade their disenrollment until covered by another plan. It listed minimum coverages and maximum annual out-of-pocket expenses for each plan. It proposed the establishment of corporate “regional alliances” of health providers to be subject to a fee-for-service schedule. People below a certain set income level were to pay nothing. The act listed funding to be sent to the states for the administration of this plan, beginning at $13.5 billion in 1993 and reaching $38.3 billion in 2003.

The plan was not entirely lefty-liberal because it kept HMOs in business and in fact mandated employers to spend more money on them. Nevertheless, the plan failed and mightily.

The lefty-liberal position would be more akin to mandating everyone be covered but doing it through the single payer of the Federal government. Preferably with a lot of measures to cut out the profit margin and mandate a lot more efficiency. Remember that now. THAT is the starting point for the leftward position.

The right wing, you will recall, fought Medicare and Medicaid tooth and nail. The true right wing starting point* is that the Federal government should have no role in the health care of citizens whatever.

So even the Clinton attempt was a considerable compromise.

Along came Obama in 2008-2009 and he decided to take another run. Obviously, in the post-Clinton era, the landscape for what was possible to pass and how to pass it was not completely open. Since Obama came on board determined to change the politics of Washington and to seek consensus and compromise….his first offer was already compromised far to the rightward position.

The Affordable Health Care for America Act was introduced in Congress in October of 2009. It took until March 2010 for Obama to be able to sign the Patient Protection and Affordable Care Act (ACA, aka Obamacare) into law. In the mean time there was much jockeying, arguing and compromising in an attempt to get the right wing on board. It ended up with so many protections for the profit-based health care industry and so many potential uncrossable fee gaps for poor people that it is most assuredly a right-leaning compromise past the true middle of the full spectrum of the debate.

Now we come to the fall of 2013 and the Congressional Republicans temper tantrum over “compromise”. The anti-government party has refused to pass any appropriations for the new Fiscal Year, thereby shutting down the government. Their supposed reason has been (over the past several years there have been 40+ futile attempts in the House to repeal the ACA) that they wish to “fix” Obamacare. Now they are making it clear that they have no intention of fixing it, they simply want to dismantle it entirely.

Their current talking point is that Obama refuses to “compromise”.

Is it any wonder? They are not interested in “compromise” since we are already far past the middle point on this particular issue. The ACA is a step too far in their direction.

And now they have the chutzpah to demand further “compromise”.

Please.
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*Yes, I realize the true right wing starting point is that health care should only be for the very wealthiest people, full stop. And that nobody is responsible for health care beyond the individual person and whatever rapacious corporate entity sees fit to provide them with it. Lets toss them a bone for this discussion.