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Health Care in the House: An Interview with Tom Perriello.

tomperriello.jpgCongressman Tom Perriello, who I profiled this spring, is one of my favorite political barometers: A smart, next-generation Democrat from a swing district, he has a knack for talking about progressive issues with people who aren't progressives. Yesterday, the day Perriello was listed in The Hill as one of 23 House Democrats planning to vote "no" on health care reform, we spoke about where health care reform is in Congress and tonight's speech by the president; a lightly edited transcript follows. Later on, I'll post a similar interview with Senator Chuck Schumer.

The president is going to address Congress tonight. What you think he needs to say?

What I want to hear from the president is two things: First, I want to hear the narrative of the next generation of American politics that connects the very bold approaches to health-care reform, energy reform, and financial-sector reform. What people are looking for right now is an understanding of how these things connect. They know how messed up things are, and they understand and give us some credit for the fact that we are trying to tackle problems that both parties have whined about for the last 30 years without doing anything.

To me, it’s sort of a new capitalism for the common good, it’s an approach that is bold in terms of what it wants to accomplish, but extremely pragmatic and market-based in the solutions that it’s taking. One of the reasons why people had trouble understanding these reforms is that they don’t fit with what they understood for a generation, which is that one side is for market and one side is for government. In fact, what we’re doing is taking market-oriented solutions to problems that only the public sector can fix. People don’t know what box to fit it in, so what I’m looking for from the president is a narrative that explains why there’s this new generation of approaches that starts to put all this in that context, in being a problem-solving generation, a generation that tackles big problems.

Second of all, when it comes to health care, I think the most important thing is to delineate for people who currently have insurance what is it about this program, about creating competition, that not only covers the uninsured but also helps others who already have insurance -- reducing costs and adding security for those folks -- if they were to ever lose insurance.

-- Tim Fernholz


You're on a list of Democrats who have said they might vote no on health care reform, and the quote they have from you is not particularly solid. I’m curious what gets you to a yes.

[The] question is about cost. Is this credibly going to reduce skyrocketing premiums for middle-class families and small businesses, and is it going to reduce the federal deficit long-term? These are the essential things we promised with this bill. We’re spending too much on healthcare, particularly middle-class families and businesses, so are we there or not? Where are we on that cost-curve, on that deficit? Now, part of how you do that is by making sure you cover the uninsured, or that the uninsured are required to buy in the system instead of free-riding on the system. So covering the uninsured is a component of bringing premiums down for middle-class families. I think the first drafts didn’t meet that standard and the last drafts were much closer and we’re headed in the right direction on that.

How important is bipartisanship in getting the bill passed?

I have been disappointed by the Republican unwillingness to step up and be part of the solution. Not coming from a partisan background, it seems like when your country is in the worst economic crisis since the 1930s that’s the time when you don’t focus on the election in 2010, you focus on fixing the country. I think bipartisanship is a great thing, but the most important thing is getting the solutions right, and anyone’s who’s willing to be a meaningful part of solving these problems – have a seat at the table. The American people are going to judge us by whether we solve the problem, and they’re going to judge elected officials by whether they were part of that solution or not.

To bring up the specter of 1994, does the Democrats’ political fate depend on getting a good bill passed? How do you think this is going to affect 2010?

Before the internet and before talking into a TV recorder, the Right and the Center [could] coexist in a single coalition, but that’s a bit harder now because people are going to see how big the gap is between the center and right on these issues, and [we] have a full year to examine that. In terms of the comparison with the failure, we were almost all elected to do healthcare reform and I think people have a right to hold us to our word on that. And I think most of us also ran on some degree of fiscal responsibility and getting our budget under control. So if we find a way to do healthcare reform in a budget neutral or even deficit reducing way, then we are living up to the promises [we made] people

The most effective way to do the health care reform cheaply involves the politically-sensitive public option, which brings up something of a conflict between fiscal responsibility and limiting government intervention. Is that a hard choice for you?

I feel like you’re seeing a last gasp of the debate that has paralyzed politics since the 60s, which is, either you’re pro-market or pro-government. I think this generation asks the question, “What’s the problem and how can we solve it?” For us, the market and the power of profit motive is a good thing. For us, this is a pragmatic question, are we going to bring costs down? Not “is it a government take-over?” or are these corporations run amok? So I think you see more of a solutions-oriented person in politics in confrontation with the ideological divides of the 60s generation.

Are you looking forward to this fall?

This is literally a generation-defining moment for us. America has simply not had the urge politically, or the leaders with courage, for a generation to step up to these problems. [T]he next couple of months are going to test us – whether we make America different, whether there is some change, whether we can tackle the things that everyone else is too scared to tackle. That’s the difference – results, producing results. And we’re not there! We’re just not there yet. But, nevertheless, we’ll get there and we’re going to see whether we can do the work it takes to look back and say “Wow, this is the generation that stepped up to the challenge and didn’t drop the ball.”

Do you see yourself voting for health care reform?

I’m going to know a lot more in the next 36 hours, let’s face it, it’s going to determine what's on the table. I’m very curious to see what my colleagues come back [with after recess,] what their top line thinking is back from the break – are they scared out of their minds or have their fighting spirit? Can we actually turn our ideas to make a decent bill into a strong reform? I’ll know a lot more by the end of this week.



COMMENTS

How can having the government force citizens to purchase a product from a for-profit company be considered "market based?" In a free market, companies would compete for business, reducing their profit margins if necessary. A good article from the LA Times published during the '08 election points out why mandates are unconstitutional:
http://articles.latimes.com/2008/mar/24/opinion/oe-court24

Linda it is an OPTION. OPTION OPTION OPTION OPTION.

In fact, even if it passes, it won't have a lot of means to push prices down because it will be too small--people working for companies with over 20 employees won't be ALLOWED to choose the public option. For people who don't have insurance, it will be one of many OPTIONS.

Perriello, who is my congressman, is a good progressive in a real swing district, where he won in 2008 (beating a terrible right-wing Republican) by about 700 votes. I've seen him in action at a town hall, very ably taking on (and talking sense to) a furious mob of tea-bagger types. At this stage he has to be visibly non-committal about healthcare reform, but I'm pretty sure he's going to vote for reform when the chips are down. (He voted for the climate-change bill earlier this year.) He's a good example of the kind of new progressive we need in Congress, and I certainly hope that he keeps his seat.

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