Wednesday, March 28, 2012

(Health)Careless

Looks like the Supremes are gong to scuttle Obamacare, which should be a surprise to exactly no one. The problem I always had with Obamacare is that it was a false solution to an actual problem. The US is the lone outlier in the First World in that it doesn't have national healthcare. Indeed, many Second World and even some Third World nations are going to national healthcare, too. It gets at a fundamental aspect of healthcare: that good health, in a civilized society, is neither a commodity nor a privilege, but is a human right.

Obamacare, for all of the howling of the reactionaries, was a reform that was so business-friendly that Eisenhower's administration could have put it forward. It wasn't socialism, but was, instead, a sloppy kiss to the private insurance industry. And therein was the problem -- the individual mandate, which forces people to buy private health insurance, is, fundamentally, unconstitutional.

By trying to cater to the private insurance industry, Obama sowed the seeds of the ruin of Romneycare...err...Obamacare. Since he was going to encounter rabid, shrill hostility from the Right regardless of what he did, Obama should have been bold and gone for Medicare for All -- single-payer for all Americans. Medicare remains a popular program (even among the rank-and-file of the Right, who seem not to understand that Medicare is from the government when they protest "Keep the government out of my Medicare"). The Right's leadership wants to do away with Medicare, but their rank-and-file enjoy its benefits.

So, strategically, Obama should have made that his program, so the Right's leadership would have to be at odds with their own supporters' preferences as they tried to stop it. And it would have granted healthcare access to all Americans, would've reduced costs, ensured Medicare's solvency, and would have brought tangible benefit to millions. It would've been a bold move, a courageous one, and a just one. He needed to be bold, not timid, because the opposition was going to go after him regardless of what he'd offered.

Instead, Obama dusted off Romney's plan, put his name on it, and foisted that on Americans, hoping it wouldn't step on any of the power players' toes. The result is what we have right now, and it's looking like Obamacare is dead on arrival at the Roberts Supreme Court.

*golf applause*