If Republicans Won’t Play Along on Health Care, Who Cares?

The Republicans bluffed and lost in February when they complained that the stimulus bill wasn’t “bi-partisan” enough. Okay, so House and Senate Democrats acquiesced to some of their demands, including tax cuts for businesses and removing provisions for “family planning” (the euphemism that refers to things like abortion and contraception). The Republicans responded to these concessions by voting against the bill.

Not a single House or Senate Republican voted in favor of the stimulus bill. They apparently believed that this would demonstrate to the American people their opposition to wasteful spending and fiscal irresponsibility. Trouble is, the American people didn’t much care what the Republicans thought; they’re in the midst of a financial crisis, where hundreds of thousands of jobs are being lost each month. Hell, yes, they want a stimulus!

Republicans were using a two-pronged approach to sway the public: (1) tax cuts are superior to government spending when it comes to stimulating the economy; and (2) the government is spending way too much. I won’t go into the merits of the arguments here, but suffice it to say that those were the counter-arguments to the Democratic spending bill (yes, “stimulus” = “spending.” Recall President Obama’s statement: “What do you think a stimulus bill is?”).

The public doesn’t much care for tax cuts when those tax cuts would benefit only the top earners in the country. Now, what does look like a good idea is investment in public works projects that have been long-neglected by Reaganites who believe that the government shouldn’t spend any money on anything that isn’t national defense.

Those four paragraphs were a flashback.

Interior — White House, Present Day.

President Obama is meeting with GOP leaders, reminding them that when they clamored for “bi-partisanship,” they abandoned it just as much as they accused Democrats of abandoning it. Between 2003 and 2009, Republicans were used to getting their way every time. Sure, Democrats have controlled Congress since 2007, but for some reason, Democrats spent those two years perfecting the fine arts of cowering and acquiescing. Whenever Republicans talked about “bi-partisanship,” they meant, “Give us everything we want or we’ll call you names. We’ll say you’re soft on terrorism. We’ll say you’re engaging in pork-barrel spending. And if that doesn’t work, then we’ll call you socialists and say that you hate America and want the terrorists to win. So you’d better give us all the things we demand, and if you ever try to put your own agenda forward, we’ll slap you down so hard you’d think Mike Tyson had taken Trent Lott’s seat.”

Well, the tables have certainly turned. And I’m pleased that Obama is prepared to shut Republicans out if they refuse to play ball. Hypocrisy? Not at all. I believe in universal health care. I think it’s absolutely necessary and I think it’s nothing but good. If Democrats are willing to embrace it and make it law, then I support them. When Republicans tried to stop SCHIP, I disagreed with them. It’s a matter of not only agreement and disagreement, but also of what’s good for this country. Quite honestly, the Republicans are not interested in governance. They’re interested in stalling until 2010. They want the wheels of government to grind to a halt so that they can then go back to their constituents in November, 2010 and say, “Look at what the Democrats have done for you! Nothing, that’s what! Aren’t you sorry that you voted them into office?”

And therein lies the fundamental difference: Democrats, including President Obama, are interested in doing something constructive. I will frequently disagree with the methods they use, but I largely agree with their philosophy that the government is going to need to spend money to improve the country. I agree that the wealthy should pay for the impoverished. And I agree that health care should be our right not only as citizens, but as human beings. I think the Democrats’ approach is superior to the Republicans’ approach, and that is why I believe that if Republicans are unwilling to reach an actual compromise with the Democrats, then they should be left behind. It is not the Democrats who should have to bend to appease the Republicans; the Democrats won, their ideas are better, and if the Republicans don’t want to go along with them, then it’s their own funeral. Congress doesn’t even need the Republicans.

I’m not the only one who believes this. The American people would rather the Democrats get on with their agenda instead of watering it down to please Republicans whose sanction they don’t need and whose contempt they will get in return for their efforts. In the New York Times/CBS poll referenced above, 56% of those surveyed said that they thought Democrats should stick to their policies, but 79% thought that it was Republicans who should be bi-partisan. That says a lot: not only do Americans want Democrats to do whatever it is Democrats want to do, but they simultaneously think that Republicans should do whatever it is the Democrats want to do.

Health care reform is way too important for Democrats to be chicken about. The last significant health care reform we had in this country was the prescription drug bill from 2005, which funneled a lot of money directly from the government into the hands of prescription drug companies. Sure, the bill could have included a provision for the government to use its significant bargaining power to get better deals on drugs — but then, that would hurt the drug companies’ revenue, wouldn’t it? At approximately the same time, Congress passed a bankruptcy bill that offered terrific terms for banks, credit card companies, and the very wealthy, but left middle- and low-income people in the dark.

The relationship between bankruptcy and health care is quite close; President Bush declared, in 2005, that we needed the bankruptcy bill so as to stop people from gaming the system and trying to get the rest of us to pay off their debts. To listen to him, you’d think Americans were going bankrupt after buying too many Faberge eggs. At the time he said that, though, fully half of bankruptcies in American were being caused not by frivolous over-spending, but by health-care spending. People were — and still are! — spending themselves into tremendous debt in order to stay healthy and alive. And since our health care system discourages regular check-ups, people are guaranteed to see a doctor only when the condition is serious, which means that it will cost more money to fix than it would have if a doctor had caught the condition earlier, during a regular check-up.

It shouldn’t be surprising that Republicans see health care as a political issue instead of a humanitarian one. In 1993, Bill Kristol wrote that Republicans couldn’t afford to let the Clinton health care plan survive; if it did, then the Republicans would be finished. Let me re-iterate that: to Bill Kristol, it was more important that heath care get defeated so the Democrats wouldn’t win re-election in 1994 than it was for people to have universal access to health care.

That’s what we’re up against. And that’s why I support the Democrats. And if Republicans don’t want to join, who cares? Let them explain to their constituents in 2010 about how they didn’t want those same constituents to have universal health care, all so that the free market could survive.