This is big, what’s happening. President Obama appears to have misstepped on a major initiative and defining issue. He has misjudged the nation’s mood, which itself is news: He rose from nothing to everything with the help of his fine-tuned antennae. Resistance to the Democratic health-care plans is in the air, showing up more now on YouTube than in the polls, but it will be in the polls soon enough. The president, in short, may be facing a real loss. This will be interesting in a number of ways and for a number of reasons, among them that we’ve never seen him publicly defeated before, because he hasn’t been. So we may be entering new territory, with new struggles shaped by new dynamics.
His news conference the other night was bad. He was filibustery and spinny and gave long and largely unfollowable answers that seemed aimed at limiting the number of questions asked and running out the clock. You don’t do that when you’re fully confident. Far more seriously, he didn’t seem to be telling the truth. We need to create a new national health-care program in order to cut down on government spending? Who would believe that? Would anybody?
The common wisdom the past week has been that whatever challenges health care faces, the president will at least get something because he has a Democratic House and Senate and they’re not going to let their guy die. He’ll get this or that, maybe not a new nationalized system but some things, and he’ll be able to declare some degree of victory.
And this makes sense. But after the news conference, I found myself wondering if he’d get anything.
I think the plan is being slowed and may well be stopped not by ideology, or even by philosophy in a strict sense, but by simple American common sense. I suspect voters, the past few weeks, have been giving themselves an internal Q-and-A that goes something like this:
Will whatever health care bill is produced by Congress increase the deficit? “Of course.” Will it mean tax increases? “Of course.” Will it mean new fees of fines? “Probably.” Can I afford it right now? “No, I’m already getting clobbered.” Will it make the marketplace freer and better? “Probably not.” Is our health care system in crisis? “Yeah, it has been for years.” Is it the most pressing crisis right now? “No, the economy is.” Will a health-care bill improve the economy? “I doubt it.”
The White House misread the national mood. The problem isn’t that they didn’t “bend the curve,” or didn’t sell it right. The problem is that the national mood has changed since the president was elected. Back then the mood was “change is for the good.” But that altered as the full implications of the financial crash seeped in. The crash gave everyone a diminished sense of their own margin for error. It gave them a diminished sense of their country’s margin for error. Americans are not in a chance-taking mood. They’re not in a spending mood, not after the unprecedented spending of the past year, from the end of the Bush era through the first six months of Obama. Here the Congressional Budget Office report that a health care bill would not save money but would instead cost more than a trillion dollars in the next decade was decisive. People say bureaucrats never do anything. The bureaucrats of CBO might have killed health care.
The final bill, with all its complexities, will probably be huge, a thousand pages or so. Americans don’t fear the devil’s in the details, they fear hell is. Do they want the same people running health care who gave us the Department of Motor Vehicles, the post office and the invasion of Iraq?
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Let me throw forward three other things that I suspect lessen , or will lessen, support for full health-care reform, two of them not quantifiable.
The first has to do with the doctors throughout the country who give patients a break, who quietly underbill someone they know is in trouble, or don’t charge for their services. Also the emergency rooms that provide excellent service for the uninsured in medical crisis. People don’t talk about this much because they’re afraid if they do they’ll lose it, that some government genius will come along and make it illegal for a doctor not to charge or a hospital to fudge around, with mercy, in its billing. People are afraid of losing the parts of the system that sometimes work—the unquantifiable parts, the human parts.
Second, and this is big, some of the bills being worked on in Congress will allow for or mandate taxpayer funding of abortion. Speaking only and narrowly in political terms, this is so ignorant as to be astounding. A good portion of the support for national health care comes from a sort of European Christian Democrat spirit of community, of “We are all in this together.” This spirit potentially unites Democrats, leftists, some Republicans and GOP populists, the politically unaffiliated and those of whatever view with low incomes. But putting abortion in the mix takes the Christian out of Christian Democrat. It breaks and jangles the coalition, telling those who believe abortion is evil that they not only have to accept its legality but now have to pay for it in a brand new plan, for which they’ll be more highly taxed. This is taking a knife to your own supporters.
The third point is largely unspoken but I suspect gives some people real pause. We are living in a time in which educated people who are at the top of American life feel they have the right to make very public criticisms of . . . let’s call it the private, pleasurable but health-related choices of others. They shame smokers and the overweight. Drinking will be next. Mr. Obama’s own choice for surgeon general has come under criticism as too heavy.
Only a generation ago such criticisms would have been considered rude and unacceptable. But they are part of the ugly, chafing price of having the government in something: Suddenly it can make big and very personal demands on you. Those who live in a way that isn’t sufficiently healthy “cost us money” and “drive up premiums.” Mr. Obama himself said something like it in his press conference, when he spoke of a person who might not buy health insurance. If he gets hit by a bus, “the rest of us have to pay for it.”
Under a national health-care plan we might be hearing that a lot. You don’t exercise, you smoke, you drink, you eat too much, and “the rest of us have to pay for it.”
It is a new opportunity for new class professionals (an old phrase that should make a comeback) to shame others, which appears to be one of their hobbies. (It may even be one of their addictions. Let’s stage an intervention.) Every time I hear Kathleen Sebelius talk about “transitioning” from “treating disease” to “preventing disease,” I start thinking of how they’ll use this as an excuse to judge, shame and intrude.
So this might be an unarticulated public fear: When everyone pays for the same health-care system, the overseers will feel more and more a right to tell you how to live, which simple joys are allowed and which are not.
Americans in the most personal, daily ways feel they are less free than they used to be. And they are right, they are less free.
Who wants more of that?
She took refuge (as did some of her questioners) in the impenetrable language of the law, and in what seemed (and this is becoming a regular strategy in politics) to be the deliberate jumbling of syntax, so people at home won’t be able to follow what is being said. To be clear and succinct is to look for trouble. Better to produce a mist and miasma of jumbly words, and sentences that do not hold. You’re talking, so you’ll seem alive—in fact people using the syntax dodge are often quite animated—but as to meaning, you can leave that to the TV producers, who’ll wrestle around trying to get something that makes sense and then settle for the Perry Mason soundbite. (Well, in truth the Perry Mason soundbite is pretty much what they want.)
He made, again, the case for independence. Now is the time, the facts are inescapable, the people are for it, we are not so much declaring as acknowledging reality. “Looking into the future [he] saw a new nation, a new time, all much in the spirit of lines he had written in a recent letter to a friend: ‘. . . We are in the very midst of revolution, the most complete, unexpected, and remarkable of any in the history of the world.’ “ Outside the wind picked up and the storm struck hard with thunder and lightning. Storms had in the past unnerved Adams, but he spoke steadily, logically and compellingly for two hours.
On David McCullough: Almost all the details in the above come from his “John Adams” and “1776”. He is America’s greatest living historian. He has often written about great men and the reason may be a certain law of similarity: He is one also. His work has been broadly influential, immensely popular, respected by his peers (Pulitzer Prizes for “Truman” and “John Adams,” National Book Awards for “The Path Between the Seas” and “Mornings on Horseback”) and by the American public. It is not often—it is increasingly rare—that the academy shares the views of the local dry cleaner, the student flying coach and the high school teacher, but all agree on Mr. McCullough, as they did half a century ago on, say, Robert Frost and Carl Sandburg. He is admired by normal people and esteemed by the intellectual establishment.
The Sentence comes from a story Clare Boothe Luce told about a conversation she had in 1962 in the White House with her old friend John F. Kennedy. She told him, she said, that “a great man is one sentence.” His leadership can be so well summed up in a single sentence that you don’t have to hear his name to know who’s being talked about. “He preserved the union and freed the slaves,” or, “He lifted us out of a great depression and helped to win a World War.” You didn’t have to be told “Lincoln” or “FDR.”
The statue was covered by a blue felt drop cloth. The dignitaries walked to the platform—Nancy Pelosi, Mitch McConnell, the Republican senate leader, John Boehner of the House. Mrs. Reagan walked slowly onto the platform in a bright white suit. At public events Mrs. Pelosi always tries to look engaged, a pleasant half-smile on her face. This is a courtesy women in their middle years unconsciously give to the world. It is precious and largely unremarked. You see it on the street in small towns. Mr. McConnell had a good speech. Rather than recite a history lesson, he said, he’d note that in the 1980s, when the world said America was over, America said not quite, and when they said freedom was yesterday, America said I don’t think so. Reagan “stood taller than any statue.”
The category of military hero—warrior—fell off a bit, in part because of the bad reputation of war. Some emerged of heroic size—Gens. Pershing and Patton, Eisenhower and Marshall. But somewhere in the 1960s I think we decided, or the makers of our culture decided, that to celebrate great warriors was to encourage war. And we always have too much of that. So they made a lot of movies depicting soldiers as victims and officers as brutish. This was especially true in the Vietnam era and the years that followed. Maybe a correction was in order: It’s good to remember war is hell. But when we removed the warrior, we removed something intensely human, something ancestral and stirring, something celebrated naturally throughout the long history of man. Also it was ungrateful: They put themselves in harm’s way for us.