With health care, don�t let the perfect be the enemy
By Mary Shaw
Online Journal Contributing Writer
Dec 29, 2009, 00:13
Early in the morning on December 24, the U.S. Senate passed
its version of a health care reform bill. The next step is conference
committee, where the Senate and House versions -- quite different each another
-- will be reconciled and merged.
The Senate version contains a lot of compromises -- so many
that some progressives feel the Senate should have let the bill die and then
started again from scratch next year. But a new Senate bill would require the
same 60 votes to break a filibuster, and those 60 votes would surely require
similar compromises, since the cast of characters would be the same. To wait
until after the 2010 elections would be to continue losing people every day who
die from lack of health insurance. That would not be acceptable.
While the Senate bill is surely far from perfect (I would
have liked a public option, and I don�t like the health insurance mandate), it
will at least fix a few of the major issues facing sick Americans today: As I
understand it, the Senate bill would force insurance companies to cover
preexisting conditions, and it would prevent them from dropping your coverage
when you get sick and start costing them money. It would reduce the number of
uninsured Americans by 31 million by 2019. In addition, the bill is fiscally
responsible, and would allegedly reduce the deficit over time. Those are good
steps in the right direction. And, as Bill Clinton said recently, �America can�t
afford to let the perfect be the enemy of the good.�
In a recent New York Times column, Nobel laureate Paul
Krugman endorsed the bill despite its imperfections, looking instead to its
long-term promise. He pointed out that �social insurance programs tend to start
out highly imperfect and incomplete, but get better and more comprehensive as
the years go by. Thus, Social Security originally had huge gaps in coverage --
and a majority of African-Americans, in particular, fell through those gaps.
But it was improved over time, and it�s now the bedrock of retirement stability
for the vast majority of Americans.�
Another person I admire, Minnesota Senator Al Franken, has
spoken out in favor of the Senate bill. Franken is a progressive, and I think
he recognizes that passing this thing is better than doing nothing out of
disappointment for not getting everything.
Even self-described democratic socialist Senator Bernie
Sanders, a progressive hero if there ever was one, voted for this Senate bill, because
he believes that it�s better than nothing and will help a lot of people
Perhaps most importantly, Vicki Kennedy, widow of the late
Senator Ted Kennedy, wrote in a Washington Post op-ed that her late husband
would have wanted this bill to pass. And you can�t accuse Ted Kennedy of not
being a progressive.
So maybe the more radical progressives who condemn the
Senate bill should take a step back and look at the big picture. A step in the
right direction is better than no step at all. And, as Krugman noted, it would
provide a foundation on which to build additional public health benefits in the
future. This solid (or at least semi-solid) foundation is certainly better than
trying to build something entirely different on a wobbly foundation that doesn�t
have the support it needs in both houses of Congress.
Do it for the 45,000 people who die in the U.S. each year
due to lack of health insurance.
And do it for Ted Kennedy. May he rest in peace.
Mary Shaw is a Philadelphia-based writer and
activist, with a focus on politics, human rights, and social justice. She is a
former Philadelphia Area Coordinator for the Nobel-Prize-winning human rights
group Amnesty International, and her views appear regularly in a variety of
newspapers, magazines, and websites. Note that the ideas expressed here are the
author�s own, and do not necessarily reflect the opinions of Amnesty
International or any other organization with which she may be associated.
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