THE OBAMA HEALTH CARE PRESS CONFERENCE.
The Obama presser on Tom Daschle and health care was promising. The first big signal concerned scheduling. "The time has come – this year, in this new Administration – to modernize our health care system for the twenty-first century; to reduce costs for families and businesses; and to finally provide affordable, accessible health care for every American."
Key words: "This year." Obviously, he doesn't mean in 2008. But that does suggest a year one commitment, which syncs with Obama's previous statement that he'd like to send a bill to Congress by March or April. Given the financial emergency, that might prove optimistic. But Obama made a point during the presser of arguing that the two are connected. "This has to be interwoven into our economic recovery program," he said "This can't be put off because we're in an emergency. This is the emergency!"
But won't it be too expensive? On this question, Obama's answer was positively Orszagian. "Some ask how, at this economic moment, can we afford the challenge of reforming our economic system. I ask a different question. How can we afford not to?" That's not only good rhetoric. It's empirically accurate. "If we are to overcome our economic challenges," Obama continued, "we must finally overcome our health care challenges."
Obama went on to introduce Tom Daschle as "the original no drama guy." High praise. He also introduced Jeanne Lambrew's appointment as Daschle's deputy. Lambrew is an incredibly talented and knowledgeable health wonk, and her involvement should cheer liberals. Unlike during the campaign, when Obama's health care team seemed heavy on relatively cautious academics, Lambrew has long White House and executive branch experience, and comes to health care as a crusade as much as a topic of study. As Jon Cohn says, the importance of her presence "goes beyond the fact that she happens to know a heck of a lot about health care. She, too, has a strong commitment to what you might call the 'social justice' side of the debate."
For more from Lambrew, check out her congressional testimony from late October, where she argued that "the short-run economic crisis has health policy causes and effects—and arguably the most serious long-run economic challenge is our broken health care system." That was almost exactly the message Obama delivered today. And it's the message that will be heard in the White House, and translated into a political strategy by Tom Daschle.
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COMMENTS (11)
Obama's continued refusal to even discuss how he's going to pay for his grand schemes is increasingly frightening. It's good to do things, but they have to be paid for. He seems to have completely retreated into a 20th century liberal fantasy world where all expenses can be shunted off to the next generation (or two) and there will be no repercussions or consequences in the future. The $20-30 trillion debt he apparently intends to rack up is not going to do the American economy much good.
Posted by: mike | December 11, 2008 12:25 PM
"The time has come – this year, in this new Administration – to modernize our health care system for the twenty-first century; to reduce costs for families and businesses; and to finally provide affordable, accessible health care for every American."
Mmmmmmmmm. That's good kook-aid.
Posted by: Mike Soja | December 11, 2008 12:33 PM
I feel like after showing us the menu before the election, the chef, Obama, has just introduced the experienced and committed kitchen and wait staff, with wonderful aromas drifting from the kitchen.
The chef is now indicating first-half 2009 service of the appetizers, salad, and wine, and my mouth is watering.
The bill will be coming later after our tummies are full, but given what the previous chef did to piss my money down the drain, a $100-300 billion health care Obama/Dem. solution sounds pretty good compared to the tasteless Wall Street Crook Bailout brought to us by Bush and Paulson spending spree which contained nothing but empty plates for us plebians that just pay the taxes.
Posted by: JimPortlandOR | December 11, 2008 12:45 PM
Of course, as everyone predicted, the reporters didn't want to talk "boring health care" but dig for dirt about O's connection to Blago...
I loved the lady from Reuters who was the last reporter O called on who turned to the other reporters in the room and said..
"I know this will disappoint the other reporters here, but I would like to ask a question concerning health care!"
Posted by: wagonjak | December 11, 2008 12:51 PM
Mike, I don't think that's true. The short answer is that he's going to deficit spend. He's been pretty explicit about his willingness to run up fairly serious short-term deficits out of a conviction that some massive spending (on healthcare, infrastructure, and green jobs, primarily) is both necessary to our long-term fiscal stability and will have at least some short-term stimulative impact on the economy. (Healthcare reform gets health insurance of employers' backs; infrastructure puts people to work; green jobs do the same AND enhance the sustainability of various facets of American life and productivity.) What he HASN'T said, and what it seems like you want him to say, is: "All of my programs will be revenue-neutral." And obviously, saying that would be nuts. I respect the instinct that prizes fiscal austerity, but saying we can't afford health care reform because of the economic crisis is like saying that a house fire is so catastrophic you can't afford a hose.
Think of it this way: If we'd elected Gore in 2000, maybe that nifty surplus would still be around and this wouldn't be such a huge issue. Just something to keep in mind next time.
Posted by: DMinDC | December 11, 2008 12:56 PM
Gosh Mike...I guess the 7 billion a month that goes down the drain each month from the standing president's illegal and immoral occupation of Iraq doesn't bother you a bit...
But Obama's plan to provide healthcare to all Americans scares the holy hell out of you!
Take your head out of your a** Mike, leave that 19th century conservative fantasy world you live in with Bush, and join the rest of us in the 21st Century!
Posted by: wagonjak | December 11, 2008 1:00 PM
Hope President-elect Obama is choosing the right persons for certain offices. But I guess he is right in choosing Daschle and Lambrew for the new Health office.
Posted by: News Review | December 11, 2008 1:19 PM
But that does suggest a year one commitment, which syncs with Obama's previous statement that he'd like to send a bill to Congress by March or April.
Why should he even send a bill to Congress? Isn't the lesson of the Clinton fiasco in '94 that the President should send Congress a bare bones list of principles he wants in legislation and let them work out the details?
Posted by: Ron E. | December 11, 2008 1:20 PM
Ron E. -- I think that goes to Ezra's earlier point that the reason you get a Tom Daschle to do this is so that by the time your bill actually drops on the floor, a solid majority of Congress already knows what's in it, has forged compromises, and signed on. You don't want to just let congress "work out all the details" because that becomes a what's-for-me clusterfuck VERY quickly. (Read Jeff Birnbaum's book about the 1986 tax reform if you don't believe me.) What you want to do is make sure that there's no senator who reads about your bill on A1 of the Washington Post and spits out his morning coffee -- and you REALLY want to make sure there are fewer than 40 such Senators.
Posted by: DMinDC | December 11, 2008 1:29 PM
Blego should be healthcare czar. He seems good at transfer of wealth issues. Okay, he has a big mouth. But there are machiavellian reasons why he talks that way.
Posted by: Anonymous | December 11, 2008 1:31 PM
Rahm is going down, even if he stops showing up at The One's pressers. Couldn't happen to a nicer guy. Pirouette your way into the pokey, wise ass. While we're at it, why not take out Jesse Jr. too since his "emissary" will certainly rat him out when push comes to shove. Of course there will be a lot more wise asses who take a tumble over this. The One had better thank his lucky stars that the prosecution won't go after him.
Posted by: Anonymous | December 12, 2008 1:46 AM