As the Democrats try to pick up the pieces of the blown-up public option compromise and move forward on health reform, some on the left have thrown up their hands and claim that the bill as it stands isn’t even worth passing any more. Cue Howard Dean:
“The Senate version is not worth passing,” former Democratic National Committee Chairman Howard Dean told POLITICO, referring to plans to strip the latest compromise from the bill, a Medicare buy-in. “I think in this particular iteration, this is the end of the road for reform.”
Dean said there are some good elements in the bill, but lawmakers should pull the plug and revisit the issue in Obama’s second term, unless Democrats are willing to shortcut a GOP filibuster. “No one will think this is health care reform. This is not even insurance reform,” he said. [emphasis mine]
Does Howard Dean really think that Obama is a shoo-in for a second term — and, on top of that, will face a more favorable Congress then — if the health reform effort collapses? That the bill’s failure now would lead to better chances for passage later? As Kevin Drum wrote, “If healthcare reform dies this year, it dies for a good long time.”
The estimable Nate Silver offers some forceful policy commentary to shake some sense into his fellow progressives, comparing the different scenarios for a family of four earning $54,000 under the Senate bill, under the status quo plus inflation, and under the status quo plus inflation plus S-CHIP. The result, you won’t be surprised, is that the family by far fares best under the Senate bill. Some might rightly argue that the cost is still not so affordable if a member of the family gets sick. But the costs would be debilitating without health reform at all.
Ezra Klein, who’s been banging the drum for passage, gets it right:
“This is a good bill,” Sen. Sherrod Brown said on Countdown last night. “Not a great bill, but a good bill.” That’s about right. But the other piece to remember is that more than it’s a good bill, it’s a good start. With $900 billion in subsidies already in place, it’s easier to add another hundred billion later, if we need it, than it would be to pass $1 trillion in subsidies in 2011. With the exchanges built and private insurers unable to hold down costs, it’s easier to argue for adding a strong public option to the market than it was before we’d tried regulation and a new competitive structure. With 95 percent of the country covered, it’s easier to go the final 5 percent. And with a health-care reform bill actually passed, it’s easier to convince legislators that passing such bills is possible.
Let’s hope progressive activists maintain their perspective on the bill and listen to the wonks (a divide that Steve Benen wrote about yesterday). Medicaid, Medicare, and Social Security all had their inadequacies when originally passed. But those shortcomings were addressed over time. The same would go for health care reform. But first you have to pass a bill.
