I have been following the debate over health since late 2003 when I spent 10 weeks living and breathing it for a public policy course. Coming from a family half comprised of medical professionals I am exposed to several different facets of the issue. Both in terms of consumer and provider perspectives, there is a massive energy toward an overhaul of the American health care system. There is a national movement growing which includes both business and labor that sees great benefit to at least movement toward cost reduction strategies, if not necessarily to the extent of a public insurance option. Given all that, and the idiosyncracies of the current political climate, I wonder if it’s not in the best interests for the national Republican party to take a dive on this issue.
Here’s how I got there. Despite recent movement that threatens to bring him down to Earth, President Obama is a very popular president at this point in his term. More importantly, the general feeling, along with a recent poll, is that the national Republican party is experiencing a deficit of ideas and leadership. Looking ahead to 2012, the current big names don’t seem to offer Obama much of a challenge, barring some massive debacle. Romney, Gingrich, and Palin are cartoonishly weak candidates. I think the excessive length of the Minnesota challenge is going to bite Tim Pawlenty in a general if he made it that far. Cantor, Jindal, Boener, McConnell…these guys are jokes outside their constituencies. Barring some meteoric candidate from the right, for which the climate is not very fertile, I can’t see a dethroning of Obama.
Given both Obama’s popularity and a faceless Republican party I wonder if it’s in the country’s or even the party’s interest to forgo the logjam on health care, and essentially hand Obama a victory, and likely a second term. In the process of bipartisanship legistlation it isn’t outside the realm of reason that this would actually allow the Republicans more substantive effect on the bill itself. Obama showed an almost annoying willfulness to compromise on the stimulus package and the budget.
There are several caveats that likely make this wishful thinking. First and foremost, there is a genuine anti-Federalist, small government argument to be made against health care reform. I like to think of this as an intellectual exercise mainly because the “bureaucrat making your health care decisions” rings hollow for me. As someone who has had to contend with insurance companies’ commitment to not provide coverage, if you think you and your doctor are the only ones making those decisions, you are out of your mind. People that subscribe to that view are likely not going to change their minds. Second, the political aspirations of individual Republicans (and politicians for that matter) defy the logic of inevitably getting trounced. I’m looking at you, Sarah Palin, it’s not going to happen. Senator from Alaska is the closest you’re going to get. Finally, I have little personal experience with the life of a Presidency. For all the history books and documentaries on the past, you can’t substitute the feel of the moment. Given only being politically conscious through 3 cycles, Obama could be walking a very simliar path for all I know. Perhaps by 2012 we’ll be remembering him as Carter the 2nd.
As contentious as this issue has been in the past and as rabid as our politics can get, I can’t help but fantasize about a Zack Morris style “time-out” to get this job done. There is so much support across the board, and so much fear among the bloodsuckers(read health care insurers) if we can get some patent reform, tort reform, preventative care, cost conscious oversight, or maybe- just maybe- the Grail of universal coverage, it may be worth 8 years of Democratic rule. Hell, you can rail against it to win elections later, but maybe for now hug the mat…