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Obama On The Cusp Of History…Again

by | 6, Add your Comment | Mar 21, 2010

On July 30th, 1965, President Lyndon Baines Johnson signed the epic legislation called Medicare into law. President Johnson’s historic achievement was not without significant contention and venom. Many on the other side of the aisle opposed it as nothing more than government intrusion on the rights of liberties of free people. That idea has been the clarion call for those who demonize major social programs for more than a century. Johnson knew it, embraced it, and challenged it successfully:

“The doubters predicted a scandal; we gave them a success story,” he crowed a month after the law took effect, as hundreds of thousands of patients entered hospitals for treatment covered by the government and some 6 million children and needy adults began getting benefits.

“Where are the doubters tonight?” he asked. “Where are the prophets of crisis and catastrophe? Well, some of them are signing their applications; some of them are mailing in their Medicare cards because they now want to share in the success of this program.”

President Barack Obama, the nation’s first black commander-in-chief, stands on the cusp of making history. Whether or not his achievement is as successful as Johnson’s remains to be seen. But in crossing  the Rubicon, he has taken health reform initiatives further than any of his predecessors ever could. And whether you agree or not with the idea of reform– or the means of achieving it — Obama’s gambit is a remarkable achievement, borne from shrewd calculated strategy and bold, determined leadership.

President Obama, in the face of growing opposition and an unforgiving political climate, decided to eschew an incrementalist approach for broader sweeping reforms.  Although this bill comes up shorter on some of his aims, it nonetheless will transform America as we know it — a sobering thought quickly becoming reality to those in staunch opposition.  But the reality is government is already a major centerpiece of health care for American citizens:

In 1930, citizens paid nearly 80 percent of the nation’s medical costs from their own pocket. Government at all levels covered a mere 14 percent, with industry and philanthropy picking up the few remaining crumbs. Insurance was barely in the picture.

Federal and state programs now cover half the cost of health care purchased in the country and are expected to go over 50 percent in the next year or two, even absent Obama’s plan. By that measure, the government takeover of health care that opponents warn about is happening regardless of what’s about to happen next.

If the worry by some is about socialized medicine — then your fears have been realized for some time now, even without “Obamacare.”

Senator Edward Kennedy’s lifelong mission was to initiate health care reform.  He came relatively close in the 1970s, with the help of then President Richard Nixon — who ironically, championed universal health care coverage — much to the dismay of his fellow conservatives.  That effort failed, much like every attempt to reform the system over the last 100 years.  Senator Kennedy did not live long enough to see his dream realized, but his efforts and dedication over  the years, have driven this president to the brink of seeing it through.

The idea that the first black man to live in the White House could be the first president to achieve national health care is startling. History begets history. These are definitely changing times.

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Matthew Wright

About Matthew Wright

Matthew Wright, originally from Connecticut, is a blogger and budding freelance writer. He is heavily interested in politics and public policy. His aim is to encourage real debate between real people. Real change begins on the grassroots level, not in the media. He attended the University of Hartford in West Hartford,Connecticut, and now makes his home in Atlanta, Georgia. He also makes a mean lasagna.

 

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  • http://hannah.smith-family.com Monica Smith

    Don’t mean to bust your chops. But, while it is true that some people need someone to provide direction and someone to blame when an undertaking fails, fact is that under our system, legislation is drafted by the Congress and the executive either agrees that a program can be carried out as specified or indicates why not with a veto. George W. Bush’s signing statements, indicating “I don’t want to” or “I won’t do what the Congress directs,” were clearly un-Constitutional. However, other than removing the executive from office, the people have few options.
    I venture to say Barack Obama was fully aware of the limitations and wisely left it up to the Congress to reform a mess. I say that because I didn’t fully realize the extent to which Medicare and Medicaid had been partially privatized by inserting insurers as another layer of bureaucracy or parasites. Just today, the Florida Times-Union ran an article about how the Medicaid experiment in North Florida has failed and most of the HMOs have bailed. How we arrived at each Medicare Advantage subscriber costing the program 125% of regular members is beyond my comprehension. Correcting that will, however, as McCain has warned, reduce Medicare expenditures per capita by taking out the middlemen. It obviously had to be done first.
    All of which is to say that it didn’t bother me that Barack Obama’s health care proposals weren’t fully developed during the campaign and, while I preferred what Chris Dodd was talking about, Obama’s was better than Clinton’s. Hillary’s assertion that everyone “deserves” health care was not reassuring, since I don’t consider caring for the ill and injured a matter of deserts. What’s the point of living in a social group, if the individual isn’t able to be secured and/or succored in the event of insult and injury?
    Anyway, if anyone deserves special credit, it’s Howard Dean, who made health care an issue in 2003 and then insured the election of enough Democrats to finally get some basic reforms passed.
    Opening up Medicare to all age groups is going to be a piece of cake. Alan Grayson’s legislation is three pages long.

    • http://wrightandleftreport.wordpress.com Matthew Wright

      You’re not busting my chops. The President, not the congress will get the credit for this legislation. And he would have gotten the blame for its failure as well. Nobody remembers the speaker of the house or majority leader in congress when Social Security and Medicare were passed, but they sure as hell know who the president was during those time periods.

  • Webfairy

    321 done.

  • S. Baggett

    Cheers to not only all of the “first” who include President Obama as well the first woman SOTH Nancy Pelosi, but also to those who risk reelection and to those who have been fighting the good fight for their entire career- veep Joe Biden and Teddy Kennedy, may he rest in peace. Thank you to all who fought ” No matter how hopeless, no matter how far, to fight for the right without question or pause,to be willing to march into hell for a heavenly cause.”

  • http://tompoland.net Tom Poland

    Now we’ll see if it works.

  • http://hannah.smith-family.com Monica Smith

    When Carol Shea-Porter decided to run for the seat held in Congress by the Republican Jeb Bradley, she was motivated by the absolute failure she discovered in New Orleans when she went down from New Hampshire to help after Hurricane Katrina. She had no electoral experience but, as a social worker, the other issue she brought to the campaign, in addition making Washington more responsive and efficient in serving the people, was universal health care. Also, she was opposed to the war in Iraq. Hardly anyone shared those concerns in the New Hampshire political establishment. Only John Murtha came from Pennsylvania to provide moral support. The DCCC supported a long-time member of the NH House and Nancy Pelosi had to be embarrassed into staying away by letters in the press objecting to Washington interference in our election process. There were five candidates in the Democratic primary. Carol Shea-Porter, having spent all of about $35,000, garnered 51% of the vote. Even when she was elected in November and the incumbent was sent home, Howard Dean did not know her name. Then someone called from the DCCC offering to pay her debts. Carol was able to assure them that she had no debts. Thank you, very much.

    Of course, the press and pundits determined that the election was a fluke and 2008 would set it right. And the Democratic establishment was certain that 2008 would be Hillary Clinton’s turn. Carol Shea-Porter, almost alone in the state, came out early in support of Barack Obama. It was a risky thing for Shea-Porter to do. But, as she explained, it was something she had to do and I know why. You see, like Barack Obama’s mother, Carol Shea-Porter, whose family are all Republicans, is married to a man of African descent, most of whose relatives live in Baltimore. His heritage was never an issue and that’s how it should be. We are committed to judging people by what they do; not where they come from or who their daddy was.
    Republicans used to do that, too, I think, but something’s changed.

    In the interest of history:

    http://www.boston.com/news/nation/washington/articles/2006/11/15/a_win_from_the_blue/

    One of the other things Barack Obama and Carol Shea-Porter have in common is that they keep getting better. I laughed out loud re-reading my assessment from December 2006.
    http://hannah.smith-family.com/?p=1659

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