From Ezra Klein.
The quotable Pelosi will not let healthcare die:
Yesterday, Nancy Pelosi was asked about health-care reform at a small gathering of writers and columnists. Her reply:
I’ve said to my colleagues, go in the door. The door’s locked? Go to the gate. The gate’s locked? Climb over the fence. It’s too high? Pole vault in. That doesn’t work? Parachute in. We have to get this done for the American people one way or another.
Now, compare that to how the Senate is talking.
Amateur trying to understand healthcare.
NPR, All Things Considered, did a piece that presented opposing views on healthcare reform.
Two speakers: Professor Uwe Reinhardt of Princeton and Gail Wilensky, who was “White House health policy adviser to President George H.W. Bush, ran Medicare and Medicaid and later served as an adviser on health policy to Senator John McCain during his run for the White House.” So she’s a Republican.
Mis-handled by overeager Dems? Quite possibly. A 60-vote supermajority makes people giddy.
SIEGEL: Let’s say the Republicans say, you know what’s always near the top of our list when it comes to health care. It’s tort reform. It’s reforming the system of malpractice insurance in the country, which President Obama only went so far as to say, okay, maybe some pilot projects to look at alternative ways of dispute resolution.
Are the Democrats capable, or would it be worth it, even if it’s for a small share of the health care dollars, to meet the Republicans halfway on that question?
Prof. REINHARDT: I think they should have. I think at the very least it was discourteous not to have done it. But I believe the recent CBO report on malpractice shows it would actually yield savings if we had major reform. There are some great ideas out on this. They’ve been out, actually, for 20 or more years. It’s called alternative dispute resolution that takes this roulette wheel of jury rooms out of the proceedings and separates whether a patient got hurt and needs help from whether a physician was negligent.
All of these ideas are out there. And for a comprehensive health insurance bill not to have embraced that facet of it is actually rather inexcusable.
Something must be done:
SIEGEL: Do you think there are Republican votes for such bills?
Dr. WILENSKY: It will be hard. It will be harder now than it would’ve been a year ago. There’s a lot of jaundiced views. People like Orrin Hatch, who have had a history of being a part of bipartisan bills, walked away very angrily from what was going on in the Senate, one of the great losses that Senator Kennedy was not actively involved in the health care reform debate. It’s possible. It will be hard. It’s worth the effort.
SIEGEL: If the alternative to all of this – if one possible alternative is status quo, how bad is that?
Dr. WILENSKY: It’s very bad. We have challenges we must take on. Fifteen percent of the population, almost 50 million, about 45 million right now without health insurance coverage is a serious problem to the individuals and the communities where they live. And it’s wrong.
But we also have, for all of us that have coverage, unsustainable growth in health care spending, already at 17 percent of our GDP and growing. And we have a lot of quality problems. We don’t get what we need at the right time with patient safety measures. We really have to take these issues on, and they’re hard. They won’t be easy to fix.
Love this response from TNC.
TNC response to Chris Matthews forgetting that Obama was black:
One way to think about this is to flip the frame. Around these parts, we’ve been known, from time to time, to chat about the NFL. We’ve also been known to chat about the intricacies of beer. If you hang around you’ll notice that there are no shortage of women in these discussions. Having read a particularly smart take on Brett Favre, or having received a good recommendations on a particular IPA, it would not be a compliment for me to say, “Wow, I forgot you were a woman.” Indeed, it would be pretty offensive.
The problems is three-fold. First, it takes my necessarily limited, and necessarily blinkered, experience with the fairer sex and builds it into a shibboleth of invented truth. Then it takes that invented truth as a fair standard by which I can measure one’s “woman-ness.” So if football and beer don’t fit into my standard, I stop seeing the person as a woman. Finally instead of admitting that my invented truth is the problem, I put the onus on the woman. Hence the claim “I forgot you were a woman,” as opposed to “I just realized my invented truth was wrong.”
Ditto for Chris Matthews. The “I forgot Obama was black” sentiment allows the speaker the comfort of accepting, even lauding, a black person without interrogating their invented truth. It allows the speaker a luxurious ignorance–you get to name people (this is what black is) even when you don’t know people. In fact, Chris Matthews didn’t forget Barack Obama was black. Chris Matthews forgot that Chris Matthews was white.
I thoroughly enjoy being shown a new way of looking at things.