Ezra Klein thinks the Senate health care bill reflects Obama's campaign promises. But, he begins his post with this:
The public option did not survive the Senate. The individual mandate, which Obama campaigned against, was added after key members of Congress and the administration realized that the plan wouldn't function in its absence. Drug reimportation was defeated, and a vague effort to have government pick up some catastrophic costs was never really mentioned.
There's also the tax on so-called "cadillac" health care packages, which McCain supported and Obama campaigned against.
Now, I don't purport to be a policy wonk. I look at issues through a different lens. But, I do know all of those provisions have great import for real people, if not the pundits, wonks or politicos. And, those are among the reasons people voted for Barack Obama. In DC, it's just perfectly acceptable for politicians not to keep their promises. In fact, those of us who expect pols to do that are considered naive. But, it's just another reason why Americans outside of DC loathe politicians, something that is lost on people here.
But, hey, the insurance companies are happy that the public option was dropped and they get millions of new customers because of the mandate. And, the drug companies are really, really pleased with the
sweetheart deal they got from Team Obama. During the campaign, did any Obama voter really think the insurers and Pharma would love his insurance bill? I sure didn't.
That's not what voters expected from Barack Obama. And, that's a problem. Sure, there are some good things in the bill, but that doesn't change this equation. It remains to be seen what this bill actually does and how it helps. I'd like to think there's a framework upon which to build. But, after watching the way Democrats in the White House and Congress caved to the insurers and drug makers, I'm not sure who will do the fix in the future.
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