Under attacks from the right and severe lack of backbone from the left, health care reform is starting to wobble on its feet. While I remain a steadfast supporter of reform on both moral and economic grounds, the process is in trouble. Between lies and half-truths being tossed by the Republicans in the face of reform and the Democrats inability to properly deflect them, the ship is taking on too much water and without some change will probably founder. This should not happen.
I think it can be saved — and I think we can benefit from a good, solid bill that enacts real reform — but the President and his supporters must change course and tactics and must do it soon or however poorly-designed the arguments of the opposition may be the American people, and ultimately the support beneath the bill, will fall away into oblivion.
Get On Message — The White House must get their entire staff back on a single, solid, concise message. Instead of coming out of the chute with guns blazing, this administration has sauntered into the park holding a bill on a platter and were surprised that they were attacked from the bushes. Put on the battle gear, grow a pair, give out the orders to everyone on the team, and get marching in lockstep. The message from the White House must be solid, without holes, and consistent.
Stick to Your Guns — Speaking of a consistent message, the President must come out on national television in front of Congress and say, “This is what we want for health care reform — points A, B, C. Anything else, I will VETO — period.” And he must stand behind that decision, no matter what the polls say, no matter how the votes appear to be swinging. If you’re going to be bold, you have to stick to it or nobody will believe you, and right now, nobody thinks anyone’s really serious except the fear-mongers.
Public Option or Bust — The President’s punch list for reform must include the public option without it being a possible drop point. It is the only way true reform can happen and everyone knows it. Quit listening to the detractors and waffling on it. This is not a recipe for doughnuts, it’s health care reform.
The Buck Stops Here — President Obama must come out and state exactly how they are going to pay for reform, whether in the form of savings, taxes, discounts, or other means. The numbers must be clean, clear, and understandable without an accounting degree. He must stop skirting around the fact that in order to pay for this, people will have to be taxed. We citizens are not stupid, and if you tell it how it is, we’re likely to back you, but you cannot hide from what is the truth. If you’re going to sock it to the rich, then say that. If you’re going to raise all of our taxes by a margin to cover everyone else, tell us how much. We want to know the bottom line and then we’re likely to sign the check.
Go to the People — The President must engage the public media like he did during the candidacy and go on any newscast, talk show, and public media that will listen. He must call a national address and engage all networks. Taking along the solid, concise message of the first point, he needs to present it to the American people over and over, using graphs or videos or flowcharts or dayglo chimpanzees — whatever visual aids will help everyone understand the benefits and costs of health care reform and how it will affect them. Almost everyone I know is confused and knows little about what this bill will or won’t do and that must stop. Everyone should be talking about it around the water cooler and we should all know the exact picture, whether or not we agree with it.
Tighten the Screws — Once all this has been done, the White House must then put enormous pressure on its Democratic base in both houses to perform and align with their message. If that means calling every representative into a conference and having a Come-To-Jesus talk, so be it. Stop the sound bites of Democrats waffling within their own swimming pool while the Republicans dance outside and point fingers — it’s embarrassing.
Stop Beating the Dead Horse — The entire Democratic party along with the White House must stop talking of “bipartisanship”. It is worthless. We all well know that most Republicans do not want to reform health care and therefore will at best water down the reform and at worst kill it, this sort of bill must not be signed with the least bit of dilution.
If Necessary, Go Down Gracefully — If, after all this solidarity, marketing to the public, demands of the Congress, and adherence to a clear principle you cannot get the votes, you can’t get them — simple as that. This is Landmark Reform™ — it might not happen this round, although we need it desperately. But the clear and simple way of ensuring that, if it dies, you will not be able to resurrect it for another 10-20 years is to waffle and cajole and weasel and compromise it into a small, weak shadow of its original intent. Better to lose and lose big than to be decimated into pieces too small to put together again or, worse yet, to implement a bill that ends up being a drooling half-wit representation of Real Change.
We need to have health care reform. I think most Americans want health care reform, but we all want it to be done correctly, clearly, and decisively. This can and should truly be a huge turning point in our history as a country.











