Worry Grows That Obama Won't Act Swiftly Enough On Health Care
It's common enough for interest groups to wring their hands about an incoming president's priorities. But this is an important story.
There seems to be genuine worry among some health care advocates and opinion leaders that Barack Obama won't move swiftly enough on health care reform, potentially squandering a chance to use his mandate in service of this long-sought goal.
Health care reform advocates are saying that they worry Obama's enthusiasm for health care reform may wane as he confronts other looming challenges. Some senior Dems in Congress are predicting the same, as are some opinion makers.
"If you`re looking for a bold move early on on an issue like health care and immigration, I`ll say no," Chicago reporter Lynn Sweet said the other day on Hardball.
That has prompted no shortage of worry that Obama could duplicate the missteps of Bill Clinton, who failed to act on health care for too long, with disastrous results.
"President Clinton came in determined to do something significant on health-care reform," Ron Pollack, executive director of the pro-consumer health group Families USA, said recently. "A president's leadership is most effective before he expends much of his political capital."
Just yesterday, Senate finance chair Max Baucus released his own blueprint for health care reform and announced his intention to push for action the first half of '09. Obama reacted to the proposal -- which includes several key features of the plan he pressed during the campaign -- with a vague pledge to work closely with Baucus while staying tantalizingly mum on specifics.
The Obama camp has not sent any signals on this one way or the other, to my knowledge. So it's hard to gauge whether the worrying is rooted in something real -- in what the advocates are being told in behind-the-scenes talks with the Obama transition team -- or whether it's mere caterwauling.
That said, if not now, when? As someone recently said, there's a "righteous wind" at Obama's back. Will there ever be a mandate for accomplishing something this ambitious as strong as the one that exists now?
More on this story soon.
Late Update: Jonathan Cohn argues that some Dems think it can be done -- and has the reporting to back it up.















O/T: Mark Begich pulls ahead of Ted Stevens by 814 votes (2008-11-13 9:15 a.m. PT).
November 13, 2008 12:16 PM | Reply | Permalink
Thanks for that. I've been wondering what the count was. That is great news. I hope it stays that way.
November 13, 2008 1:05 PM | Reply | Permalink
As someone said in another thread, health care costs to companies is a co-conspirator to this economic crisis (i.e. GM). I would imagine that it is pretty high on that list.
But, worrying about Obama's enthusiasm seems kind of like tarot card reading to me. None of us can predict someone's enthusiasm level, and seems ridiculous to speculate over.
November 13, 2008 12:20 PM | Reply | Permalink
Let's stop the second-guessing and hand-wringing about what Obama is or is not going to do until he's actually been in office for a few weeks, at least. Jesus H. Christ.
The next time Lynn Sweet is right about something will be the first; and yet her unfounded speculation is causing all of the rending of garments and gnashing of teeth throughout the progressive healthcare community? Give me a beak.
November 13, 2008 12:21 PM | Reply | Permalink
Lynn Sweet. She of the "Have you consulted former living Presidents?" fame...hilarious.
I wanted Obama to say "No, Lynn, I've only consulted former non-living Presidents. Next question?"
November 13, 2008 12:28 PM | Reply | Permalink
lol, true, that question alone was telling. And though the wingnuts hated Obama's answer, I thought it was pretty freaking funny.
November 13, 2008 12:31 PM | Reply | Permalink
If there is one thing about Obama of which I am certain, it is that he is a great study of history and will at least attempt not to allow the mistakes of the past to take hold in his administration.
November 13, 2008 1:07 PM | Reply | Permalink
Parrot or eagle?
....just funnin'... ;-P
November 13, 2008 1:23 PM | Reply | Permalink
I just wish TPM didn't have a preview function, so I could blame all of my typos on them. Of course, my typos usually aren't as amusing as that one was, esp. given the avatar of the poster who noted it.
November 13, 2008 2:26 PM | Reply | Permalink
Agreed to the power of ten. I am thinking of just turning off the computer box for the next year. I am stunned at how fucking critical some people on the left are. Do you think republicans, when they get their man elected, launch an immediate campaign to discredit his presidency? No, they don't. Which is why they usually win. Jesus flipping Christ. I have never seen such hand wringing and negativity. It's like democrats and progressives actually want to fail. After all, it is much easier to lead of life of bitching and whining when the other party is in charge.
And quoting Lynn Sweet? Is Sargent serious with that bullshit? Just because she goes on Hardball does not make her credible. She is not exactly a fan of Obama, for God's sake.
November 13, 2008 4:44 PM | Reply | Permalink
Democrats worry about everything. And they're apparently genetically incapable of keeping those worries to themselves.
We worry that he won't act quickly enough. We worry that he acted too quickly (Rahm). We worry that he's not going to do enough about Lieberman.
STFU with all the worrying.
November 13, 2008 12:25 PM | Reply | Permalink
Hey CT, you are worrying about Democratic worrying!
November 13, 2008 12:26 PM | Reply | Permalink
Does that make Greg a concern troll?
November 13, 2008 12:28 PM | Reply | Permalink
No. The Democrats give him so much to work with, it's probably impossible to resist discussing all the worrying.
The Democrats just won the White House, and made significant gains in both chambers of Congress, and yet it seems as if it's been nonstop handwringing and teeth gnashing for the last 9 days.
It's tiresome.
And counterproductive.
November 13, 2008 12:31 PM | Reply | Permalink
You are 100% correct. It is like watching a sporting event with my father. It could be the first quarter/period/half and if the team for which he is not rooting scores, he immediately declares the game to be over and changes the channel/leaves the game. It is insane.
This is beyond annoying. If you seek failure, you will get it. Based upon the standards some of us are now putting upon Obama, he will certainly fail. If you expect him to cure cancer in the first 18 months (or at all), you are heading for disappointment. He is going to have to undo the near destruction of our country by a narcissistic idiot who is trying to tie his hands in perpetuity with regulations that will take an entire first term to undo. Let's give him a break and some support.
I hate fair weather fans.
November 13, 2008 4:50 PM | Reply | Permalink
Jeebus Frakking Geist on a whole wheat cracker! If I see one more stupid fucking pile of footless speculation masquarading as journalism built out of quotes from a bunch of (usually unnamed) people who aren't in any way connected to Obama or his transition team concern trolling about him not doing something he promised to do, or not being able to do something he promised to do, there's a non-zero probability that I'm going to go postal.
I realize we're all anxious to see Bush gone. That's why we started obsessing on the campaign about fifteen minutes after the Schiavo debacle. I realize that Democrats, and liberals in general, aren't happy unless they've got something to get their panties in a twist about. I'm well aware that there are thousands and thousand of people in D.C., particularly Democrats, whose sense of self-importance will lead them to say just about any goddamned thing a reporter wants him or her to say to give faux sourcing to the reporter's rank speculation, but enough is enough. This is not information. It is not news. It is the opposite of news. Reading it is actively making people stupider. IQ points are being sucked out of peoples' brains everytime one of these feckless, baseless "No He Can't" stories hits the tubes.
November 13, 2008 12:30 PM | Reply | Permalink
I knew something was missing. I haven't had an NCSteve rant in a while. All is right with the world.
November 13, 2008 12:32 PM | Reply | Permalink
Thank you.
About a thousand times.
Enough with the handwringing. MAKE.IT.STOP.
The problem with the disciplined and tightlipped Obama campaign is that reporters are starting to just make up "issues" out of thin air.
Me?
I'm worried that Obama won't deliberate thoroughly enough and act quickly enough in choosing a puppy for the family. Can I call the AP and have them quote me as a "Obama voter who is starting to have real concerns about whether he'll carry through on his promise to choose a shelter dog".
Obama supporter: "I was really enthusiastic about Obama, but it's been 9 days since the election, and I still haven't got the pony I thought he promised, so now I'm a little worried."
November 13, 2008 12:35 PM | Reply | Permalink
Got my pony yesterday. It's blue with orange spots. Eats peppermints and can fly when it's wings grow in.
Still waiting on the chocolate castle....
November 13, 2008 1:28 PM | Reply | Permalink
Yes!
M ultiple
S tupid
M agpies
November 13, 2008 1:37 PM | Reply | Permalink
+1
November 13, 2008 12:36 PM | Reply | Permalink
+2
November 13, 2008 12:40 PM | Reply | Permalink
Bravo!
November 13, 2008 12:44 PM | Reply | Permalink
How right you are, sir. Christ, what a bunch of panty-wringing whiners we Democrats are.
November 13, 2008 1:06 PM | Reply | Permalink
Further evidence that there just isn't enough news to fill up all of the online publishing and cable news outlet space, so folks just have to make stuff up.
It really is silly.
November 13, 2008 1:22 PM | Reply | Permalink
Thank you, thank you, thank you, thank you, thank you......
November 13, 2008 1:23 PM | Reply | Permalink
Me too. Guess that makes me a follower!
November 13, 2008 1:50 PM | Reply | Permalink
XOXOXOXO!!! There are reasonable people on TPM after all.
November 13, 2008 3:22 PM | Reply | Permalink
Oh my, an interest group is concerned their pet issues won't be given priority in the new Administration?
You're kidding?!
November 13, 2008 12:31 PM | Reply | Permalink
Yeah, pet insurance is such a rip off. And they won't even cover my rabbit.
Wait, what were you talking about? ;)
November 13, 2008 12:34 PM | Reply | Permalink
That's good stuff. :)
November 13, 2008 12:36 PM | Reply | Permalink
Dogs and cats only
November 13, 2008 1:33 PM | Reply | Permalink
lol, I know I know. I looked into it once, but they don't cover rabbits. Our house rabbit is essentially a cat (litter box, cat toys), and is getting more expensive as he ages (7+ yrs old).
November 13, 2008 3:20 PM | Reply | Permalink
Does he chew on the lamp cords? I had a friend who had one that did. Fortunately, he never got through the insulation(!).
November 13, 2008 4:03 PM | Reply | Permalink
He would, but we have them all tucked away.
My wife has some Scooby Doo slippers that kind of look like him (brown, big eyes) and he absolutely hates them. When she's wearing them, he'll sneak attack them, and grab Scooby's collar and yank. We joke that he thinks that they are 'false bunnies'. Funniest thing in the world.
November 13, 2008 4:06 PM | Reply | Permalink
Dear Healthcare Reform Advocate,
I realize healthcare is more than a pet issue, and will be a defining issue of our time. But, did Obama not make HC reform one of the pillars of his reform agenda?
Huh? Didn't he? Huh?
So why not let the guy be President for about 5 seconds first before deciding if he's acting quickly enough.
Thanks.
November 13, 2008 12:35 PM | Reply | Permalink
But...but...but...it's been 9 DAYS since he was elected!!!
November 13, 2008 12:37 PM | Reply | Permalink
O/T, except this time O=on instead of O=off.
Neither Bill nor Hillary had seen how Congress works up-close. They thought Hillary and her team could cook up something in the back room with no input from Congress, and it would fly. Well, it did; just like a lead balloon.
So among the differences between then and now are: (1) BigO has four years experience in the Senate; (2) everybody saw what happened to Hillary and learned a lesson from it; (3) Obama and Hillary made health-care reforms really big planks in their platforms.
Uh, how about after Jan. 20?
Yes, after Jan. 3 when the new Congress is seated.
November 13, 2008 12:32 PM | Reply | Permalink
Let's remember that every single thing worrywart dems, including yours truly, have wrung their hands over regarding Obama this year has been dead wrong.
He has confounded expectations and come out ahead on every issue, almost every day, for almost two years.
There's no reason to think that will change come January 20.
November 13, 2008 12:32 PM | Reply | Permalink
Amen, but with one caveat. There will be mistakes and times when something goes wrong. It's gone so smoothly I have to keep reminding myself that.
November 13, 2008 12:37 PM | Reply | Permalink
Thanks for this, KY--I was all set to say much the same thing if no one else had.
Obama's whole MO, from the primaries till now, has been to work against the grain of the 24-hour news cycle. Nothing has changed, at least procedurally, yet everyone who was cool (now, in retrospect) with that strategy is suddenly not cool with the very same approach. At one level, I get it: it's time for my guy to deliver, and he damn sure better deliver like I want him to--yesterday would not be too soon, either. But: this--the way Obama works--is also what we signed up for by becoming supporters.
"Deliberate haste," he called it in his press conference last week. Yessir. Especially that "deliberate" part. And, given that TNR post--and, for that matter, Obama's own list of first priorities for his administration--health care won't be an afterthought. So, y'all chill already. He's got this.
November 13, 2008 1:06 PM | Reply | Permalink
So how long before the Insurance companies slash their rates and "Harry and Louise" make their triumphant return to the airwaves?
November 13, 2008 12:39 PM | Reply | Permalink
The Harry and Louise argument happened in the primary mailers from the Obama campaign against Hillary's healthcare proposal actually, which is part of the reason I questioned how committed he was to making significant healthcare reform.
There is a question of what the top priorities are going to be for the Obama admin. I'm sure eh can't accomplish everything that he proposed. Now in the transition is when those priorities are going to be established. These folks are trying to hold Obama accountable for his campaign promises and make sure healthcare doesn't slide to the back burner... again. And in a democratic system that's what we should all be doing, not just saying I'll go along with whatever Obama's team thinks best.
November 13, 2008 1:02 PM | Reply | Permalink
Fuck all. He's been President Elect for 9 days and people are worrying about this, that or the other. Folks need to chill the fuck out. Let him get his staff and administration in place before you start complaining about what should be the priority on his agenda.
This is going to be a long four years.
November 13, 2008 12:53 PM | Reply | Permalink
Co-sign.
November 13, 2008 12:58 PM | Reply | Permalink
That's right. I suspect that most of this is not liberal groups anxious to get quick action on their wish lists, but Republican groups trying to create mischief and drive down Obama's poll numbers even before he takes office, diminishing his ability tto move his agenda.
As to the health care question, what's 'quickly enough'? Is it immediately, 30 days in, 6 months in? We have an economy problem. If he doesn't get it corrected right away, nothing else will matter. There have to be priorities.
November 13, 2008 3:30 PM | Reply | Permalink
Plus too also, it seems to me that Obama is capable of handling two issues simultaneously. It's not as if he will be working his way through some check list, marking one off before moving on to the next.
November 13, 2008 12:59 PM | Reply | Permalink
In truth Health care and illegal immigration are connected, because it's FREE for illegal aliens and for Americans they want your drivers license and Social Security card to identify you when the debt collector calls?
NOW WE ARE FINALLY PAYING THE PIPER. Thats where my tax dollars are going by forced federal mandate...?
37 MILLION illegal aliens--that we support for parasite employers, according to the Tucson sector Border Patrol union local 2544, not the propaganda brought forth by the Liberal national press and special interest lobby of only 13 million.
An additional half-million coming every year. California is $11 billion dollars in the red, so now they are looking for ways to cut programs.
Don't re-elect Mayor's like Antonio Villaraigosa or any other politician that is selling your future for campaign contributions Villaraigosa embraced LOS ANGELES as a SANCTUARY CITY, in a SANCTUARY STATE. Just because the West Coast border states are far away, don't think for one-minute this doesn't have a financial impact on YOU..?
A massive financial impact on our economy by importing the worlds poor. THIS IS NOT JUST ABOUT 'THE RULE OF LAW' BUT OVERPOPULATION?
THIS IS ABOUT AMERICANS FORCED TO PAY FOR ILLEGAL SLAVE LABOR?
Go to www.numbersusa.com for immigration facts not lies.
TIME TO FIGHT BACK OR BE SUBMERGED IN ILLEGAL FOREIGN NATIONALS, LEECHING FROM OUR WELFARE SYSTEM! REMEMBER PROP 187? YOU HAVE BEEN PAYING EVER SINCE. EDUCATION, HEALTH-CARE, HOUSING! JUST THE TIP OF THE ECONOMIC ICEBERG. REMEMBER? LOW INCOME PEOPLE GET ALL THEIR TAXES BACK! REMEMBER ALL THE RISING CRIME RATES IN SANCTUARY CITIES AND STATES!
Learn about many positive legal cases won at www.judicialwatch.org We are beginning to stop the open border zealots and immigration special interest lobby.
November 13, 2008 12:59 PM | Reply | Permalink
EASY ON THE ALL CAPS. You can place emphasis by rhetorical use of language, and an occasional exclamation point. The ALL CAPS makes you seem like a nut.
Just sayin'.
November 13, 2008 1:24 PM | Reply | Permalink
Well the all caps, along with being an actual nut make him/her seem like a nut...
November 13, 2008 1:28 PM | Reply | Permalink
Frankly, I'd say this poster was a bit nutty, even without the excessive shouting,
November 13, 2008 2:11 PM | Reply | Permalink
reads like propaganda
November 13, 2008 3:24 PM | Reply | Permalink
I was just at a big meeting of NYC hospital CEOs and CFOs on the state of the economy and prospects for health care reform. Palpable fear in the air.
November 13, 2008 1:02 PM | Reply | Permalink
Can you elaborate a little about their fears?
November 13, 2008 1:22 PM | Reply | Permalink
Let me guess. It's that hospitals are already suffering. Admissions are down. Surgeries are down. People aren't even buying health care! Many hospitals are in terrible economic shape as a consequence.
November 13, 2008 1:54 PM | Reply | Permalink
All fiscal concerns are magnified in NYC these days because of the large financial services sector here. Unemployment exacerbates other concerns about access to health care coverage. There is concern that the level of federal contribution to Medicaid will not increase sufficiently; enrollment in state sponsored insurance is anticipated to increase significantly; there is great concern about cuts to outpatient Medicaid reimbursement (a recent "midnight regulation", passed surruptitiously by CMS, the agency that administers Medicare/Medicaid, stands to cut $500 million annually in New York State); and to teaching hospitals for graduate medical education; as pressure mounts, there is great indignation in the hospital community over profits still being realized by health plans. New York health plans generated more than $7 billion in profits over the last five years. Despite the economic downturn, health insurer financial performance remains strong.
Plus fucking Bush is in town so gridlock is terrible. And it's raining.
November 13, 2008 2:46 PM | Reply | Permalink
Fucking Brokaw said on election night, after the Big O was declared the winner: "There will most certainly be gaffes and mistakes."
The lazy motherfuckers in the MSM have been served a gaffe-mistake-monumental-cluster-fuck-feast for 8 years and have barely reported it.
Now they are sharpening their knives because they're going to get, at best, one minor gaffe every three months.
You watch. These stupid lazy assholes are going to cook up bullshit like, "Obama took six months too long to fix the 8 years of shit he was handed by Bush." Or some such shit. God I really hate these fuckers.
Dammit! I feel the return of CrabbyCrat. And cosign on the fucking worrywarts. Put some god damn swagger in your step! You just wiped up the field with these neocon trogs. Focus on getting some shit done! The platform is there. The mandate is there. Roll up your sleeves, define and analyze the options, make thoughtful decisions. The Big O showed us how he'll be responsive, strong, thoughtful, and focused. Stop worrying and get to work. And when one of these MSM suckfucks asks you a stupid question, give him The Biden!
Aaaauugh!
November 13, 2008 1:05 PM | Reply | Permalink
I feel your frustration.
November 13, 2008 1:09 PM | Reply | Permalink
With friends like these, Obama needs no enemies.
He just won election last week, why doesn't everyone chill the frack out?
November 13, 2008 1:17 PM | Reply | Permalink
In a related story, my mom is worried that my dad may not remember to take out the trash.
November 13, 2008 1:34 PM | Reply | Permalink
Breaking news alert: my mom is worried that I will spend too much on Christmas gifts and that I'm not eating enough vegatables.
November 13, 2008 3:48 PM | Reply | Permalink
It's only been a week. I agree with Das2003. Everybody should just CHILL.
Contrast to what many hope, Obama is NOT Superman.
November 13, 2008 1:47 PM | Reply | Permalink
Neither Obama nor anyone else is going to be able to create a system of universal, quality health-care as long as Americans continue eating like pigs, failing to exercise and making themselves unhealthy.
November 13, 2008 1:48 PM | Reply | Permalink
I'd say more, but my hands are all greasy
November 13, 2008 2:00 PM | Reply | Permalink
Obama's president. Not king or God.
All he can do on that front is provide a healthy example (he is.) and reduce the food lobby's influence. It is true that eating habits affect American's health, which influences health care costs (freaking feedbacks! sounds like I'm talking about global warming....). But what can a president do about nutrition? We all know how to eat healthy.
November 13, 2008 3:47 PM | Reply | Permalink
That's my point. People don't take responsibility for their own health, there ain't gonna be quality health care for everyone.
November 14, 2008 11:05 AM | Reply | Permalink
Nonsense. The problem is that we're not eating enough. The faster we die, the less we have to spend taking care of old people. The transfat disclosure rule may break Social Security.
November 13, 2008 3:52 PM | Reply | Permalink
I think it would be smart for Obama to let a health care proposal bubble up from Baucus and others, than sign on to it. It keeps the heavy lifting off his plate during the first months.
And it wouldn't be labled "The Obama Plan" and become an instant target of the Right. Eventually they'll do this whether it's his plan or not, but this could by some time and make the attack less effective.
I hope Dems focus on keeping a health care solution as lean and mean as possible and not weighed down with a thousand pages of side-programs and loopholes, but that's probably asking too much.
November 13, 2008 1:54 PM | Reply | Permalink
I agree completely. It's better for everybody if whatever health care plan that gets passed is known as the "Democratic Plan."
November 13, 2008 2:25 PM | Reply | Permalink
no matter how much he disappoints us
and he will
he's better than the alternative
November 13, 2008 2:05 PM | Reply | Permalink
Amen.
November 13, 2008 2:15 PM | Reply | Permalink
The thinking of DC Democrats has changed at all even with this election. This is pretty much what is going on in their heads:
"Why strike while the iron is hot and actually get meaningful healthcare leagislation passed when you can be cowards and wait and get nothing passed? After all, if we don't pass anything we can milk tons of special interests for campaign cash and string them all along for years while blaming the Republicans! This is better than what we did with the bankruptcy bill a few years back!"
November 13, 2008 2:22 PM | Reply | Permalink
Democrats are sometimes their own worst enemy!
November 13, 2008 3:18 PM | Reply | Permalink
Sometimes?
November 14, 2008 8:39 AM | Reply | Permalink
Dollars and Sense (May/June 2008) states that a family earning $25,000/year With private health insurance spends 37.2% of income on health care. This is calculated as amount of total tax burden going to health + insurance premium divided by annual salary + payroll tax + annual health insurance premium. Figures for $50,000 and 75,000 are 26% and 22.3%. This does not include deductibles and co-pays that add up fast. Converting our chaotic non system to single payer, single risk pool would be the greatest stimulus package we could imagine. Talk about tax relief!!!! We just have to create the political will and let them know it is here.
November 13, 2008 3:24 PM | Reply | Permalink
Let HR 676 bubble up, Baucus' plan is tooooo expensive. Visualize giant funnel of money to insurance companies and drug companies.
November 13, 2008 3:26 PM | Reply | Permalink
Oregon Action did a voter mobilization campaign around health care reform and sent out postcards that said something like "Some people will say health care reform must wait until we fix the economic crisis. Tell them we can't fix the economic crisis without health care reform.
November 13, 2008 6:14 PM | Reply | Permalink