It has become fashionable among some progressives to lambast the administration and congressional Democrats for the slow pace and incremental approach they have taken in trying to pass health reform legislation. (For a nice sampling, check out some of the posts and comments at Open Left.)
Ezra Klein highlights one emblematic strain among progressive critics, pointing to a piece by Marcia Angell, an M.D. and senior lecturer at Harvard Medical School, in the Huffington Post. Angell, a single-payer supporter, writes, “Is the House bill better than nothing? I don’t think so…. I would rather see us do nothing now, and have a better chance of trying again later and then doing it right.”
Klein offers a sensible counter-argument:
The idea that a high-profile failure in a moment where a liberal Democrat occupies the White House and Democrats hold 60 seats in the Senate for the first time since the 1970s will encourage a more ambitious success later does not track with the history of this issue, nor with the political incentives that future actors are likely to face. If even Obama’s modest effort proves too ambitious for the political system, the result is likely to be a retreat towards even more modest efforts in the future, as has happened in the past.
Among some progressives, there is a kind of denial about the nature of American reform. They fail to grasp that change, when it has come, has happened incrementally and evolutionarily. The New Republic’s John Judis touched on this yesterday when he pointed out that Social Security, that progressive landmark, was in fact less imposing an edifice when initially constructed in 1935:
That act, when it passed, was a bare shell of what it became in the 1950s after amendment. Benefits were nugatory. And most important, coverage was denied to wide swaths of the workforce, including farm laborers.
Why farm laborers? Well, because Franklin Roosevelt and liberal Democrats needed the vote of racist Southern Democrats who wanted to deny benefits to blacks, most of whom were farm laborers.
To believe that failure on reform today would only lead to a more progressive reform effort tomorrow is delusional, plain and simple. As TNR’s Jon Cohn argues, “You could plausibly claim that the reforms on the table today are more or less what moderate Republicans were proposing under Clinton, just as the Clinton reforms were not that far removed from what Nixon himself wanted in the early 70s.”
And yet for far too many progressives, a failure to perfect health reform now would constitute a defeat of epic proportions. This is why when Rep. Dennis Kucinich (D-OH), a single-payer advocate, voted “No” on the House health bill, he received hardly any reproofs from the netroots (Angell praised him), even as they went after other dissenting Dems. (One blogger for Open Left, Mike Lux, did lambast Kucinich – and was then promptly pushed around in his post’s comments section.)
After 70 years of trying to achieve universal health care, progressives are as close as they’ve ever been to that goal. It’s not perfect. It’s not pretty. But let’s not let the perverse allure of being sanctimonious in defeat – an addiction that plagues too many on our side – derail the best shot we have at improving the lives of millions of Americans.
