Creating The Debate
by digby
Ezra and others have noticed that Barack Obama’s soaring rhetoric about health care is not backed up by any kind of bold proposal:
“In possibly the most telling section,” I wrote, “he gives a great riff on health care, which manages to totally inspire while not actually saying anything sweeping or controversial. Watching it, you’d swear he just promised the stars, the sky, and universal insurance, when he really just committed to electronic records.”
[..]
Viewed more cynically, this is consensus-driven rhetoric. As folks involved in health policy well know, universal health care as an abstraction polls through the roof. Actual plans, policies, and specifics tend to meet with more resistance. Mirroring that relationship, Obama is advocating universal health care the idea while mentioning nothing but high-polling, broadly-agreed miscellanea. That’s not to say that he couldn’t step forward tomorrow morning with a brilliant, bold idea for moving this debate forward. But he’s not there yet, and he is, contrary to what some protest, offering policy ideas. His specifics are electronic records, health care for kids, and more discussion. No one will disagree with those policies, but then, there’s a reason for that.
Kevin Drum goes even further here.
I have no idea what Obama’s intentions are, but I disagree that there is no utility in engaging in sweeping, inspirational rhetoric on this without a lot of specific proposals to back it up.
I agree that as an abstraction health care is easy. Why not? But it’s also important to understand that the issue has not yet reached one of those transcendent places that makes massive change seem imperative and that’s where some soaring Obama rhetoric is very useful.
On this January morning of two thousand and seven, more than sixty years after President Truman first issued the call for national health insurance, we find ourselves in the midst of an historic moment on health care. From Maine to California, from business to labor, from Democrats to Republicans, the emergence of new and bold proposals from across the spectrum has effectively ended the debate over whether or not we should have universal health care in this country.
This is important. Universal Health Care, the concept, is far from settled, but Obama is just seizing the issue and saying that it is. And he’s doing it with inspirational rhetoric that makes you feel as if it’s an inexorable tide of progress, daring those who would try to stop it.
We are a long way from any plans and frankly I don’t particularly want to hear about them yet in detail. I just want to know if the Democrats are prepared to say that they believe in universal health care. If they don’t believe that then I want to hear why. That’s the bright line that Obama is drawing and I think it’s pretty smart.
.