Where I Stand on Health Insurance Reform

There is a lot of anger from the left about what's being seen as Obama capitulating to the Republicans on Health Insurance Reform. During the campaign Obama favored a Public Option. Now, the Public Option appears in danger and many liberals don't think "real" reform is possible without it.

In a perfect world, I'm for the most progressive health reform possible. But, our world is far from perfect and politics is the art of the possible. There are 47 million people in America without health insurance and they don't care if it's a public or private option that provides it. They just want access to quality health care.

A few days ago Matthew Yglesias wrote where he stood on health care and I found myself agreeing with him.

— In terms of the present-day political debate, I think mandate-regulate-subsidize plus a public option would be a major improvement over the status quo.

— But even though mandate-regulate-subsidize without a public option wouldn’t be as good, I still think it would be an improvement over the status quo.

— I don’t think reform advocates should “drop” the public option; I think they should fight for it and try to bring practical pressure to bear on members of the Senate to vote for one.

— But if in the final standoff we get a choice between mandate-regulate-subsidize and the status quo, I would prefer to take mandate-regulate-subsidize.

In summer 2003, I moved to Burlington, Vermont to join Howard Dean's Presidential Campaign. One of Dean's main draws for me, besides his brave stance on the Iraq War, was his success at providing near-universal health insurance to Vermont's residents. He did this without a Public Option.

In fact, Ezra Klein recently pointed out that Dean, considered one of the most liberal candidates in the '04 primary, didn't have a Public Option or co-ops in his national '04 platform.

Dean's plan would have insured millions fewer people than the bills being considered in the House or the bill that we think we'll see out of the Senate.
...
For all that, it was a good and well-meaning plan. But it was a lot worse than what we're considering now. It was a lot worse even than the compromises we're considering now.

I admire the liberals in the House who say they won't vote for a bill that doesn't contain a Public Option, but I hope in the end they put a reform bill on Obama's desk to sign. As Paul Starr says in the current issue of American Prospect, "if any of them actually do vote against the final bill and prevent it from passing because it fails to offer a public option, they will help to ruin the best chance in years to put health care on a path toward reform."

Crossposted on The Huffington Post

Odds & Ends

Thanks to everyone who made it to my going away party last night at Cafe 50 West. It was a great time and a shout-out to Kevin Jacobs for hosting us. Plenty of pictures to see on Facebook.

-- Obama Hope Artist Shepard Fairey was arrested in Boston on outstanding warrants 'alleging the Los Angeles artist tagged property with graffiti.'

-- NYC is loosing it's middle class - "I guess the day of reckoning is finally - and unfortunately - happening. The city that has long been the place of racial, cultural and class ferment is watching its heart - its middle-class - be replaced by the super-rich. Pretty sad, if you ask me."

-- A new poll shows Hamas more popular now than before the recent war. Ezra says: "The question with the war in Gaza was not whether it was right. It was whether it was smart. If you believe that the point was to weaken Hamas and push the Palestinians towards more sensible leadership, it's hard to see how Israel's assault can be judged successful."

-- The Howard Dean for HHS idea is spreading. Sen. Tom Harkin has backed Dean. Now if only we can turn Rahm Emanuel around.

The Hill: Howard Dean for HHS

Tom Daschle's withdrawal leaves an opening at Health and Human Services. Howard Dean is the man for that job.

Dean isn't given enough credit for his expert chairmanship of the Democratic National Committee. His "50 State Strategy" is as responsible for Obama's large victory in 2008 as any other factor. Not to mention the 2006 congressional gains. He rebuilt the grass roots of the Democratic Party from the ground up, organizing a whole generation of young leaders.

His record as a five-term governor of Vermont is strong, including providing near-universal heath coverage. During his gubernatorial reelection bid, he had to wear a bulletproof vest because of death threats he'd received due to his support for gay civil unions.

Personally, Dean inspired me enough in 2003 that I moved to Vermont to work for him. He was one of the early voices of reason (followed by Gore and Obama) in the Democratic Party, opposing the war in Iraq. His 2004 campaign's use of the Internet changed the face of American politics forever.

Dean, also a medical doctor, would be an inspired choice for secretary of Health and Human Services. His knowledge of the issues plus his openness to innovation make him uniquely qualified. Join us on Facebook in support of the good Doctor!

Originally posted on The Hill.