Stop Calling It Obamacare

That’s the name we have all given to the admittedly flawed health care law, more officially known as the Affordable Care Act (not much better!). We don’t call Social Security “Roosecurity” or the Emancipation Proclamation “LincolnProc.” Why this insistence on giving important laws or orders people’s names, anyway? Like, “Megan’s Law.” It doesn’t add or detract from their legal effectiveness, or ineffectiveness, as the case may be.

In their failed attempt to get new legislation on the books, the Republicans in the House were undoubtedly motivated, at least in part, by a desire to erase a law that bore Obama’s name, to blot it out of history. But at what point does this issue stop being his or theirs, and become ours?

It’s true that President Obama put the first points on the board, to use a March Madness term, for the team seeking an inclusive national health care system. It’s not pretty, but it’s there, and the game is far from over. Let’s remember that he and other supporters tried to build this complicated and arcane law using the current private structure as much as possible. It will be hard to fix, but at least we have to try. There’s a lot of mourning or gloating about broken campaign promises today. So what else is new?

I am no policy wonk, but first we have to decide whether health care is a right or a privilege. I think in the end, it’s a mixture of both.

Another thing we have to work out is whether people should be required to buy health insurance. Well, in most cases, the law requires you to carry insurance before you get into a car and drive it on the highway. Sure, you have a choice, you can decide not to drive. But if you’re alive in this country, you have a body – a vehicle on the highway, so to speak – and it may be OK now, but you could wake up one day with a life-threatening illness. Then you get to go to the emergency room. In principle, you should do the rest of us a favor and just die – but that’s not how things work.

I am a senior now with no children. Why do I have to pay property tax to support public schools? Well, the theory is that an educated citizenry is something we all have an investment in. Whether our schools accomplish that goal is a separate issue, something we have to try to fix.

Some say we should leave heath care to the free market as much as possible. Then, we would be left to the tender mercies of the insurance industry. How do we think that’s going to work for us? Should we leave health care to the states to regulate? Should employers be required to offer health insurance at all? We have to find the answers. I think we can.

Our current president, as a CNN commentator pointed out, seemed to be acting like a fire chief watching a building burn down, preferring to let it burn because he didn’t start the fire, and the charred remains will make his arguments for him. But he likes to put his name on things. Perhaps that will move him to put it on something that really works, or at least works better, regardless of whose name was on it before.

PR 101

So it’s the signature effort of your campaign. You’re trying to get everyone’s buy-in -- literally, in this case. And your website fails. What are people going to remember about your product?

It’s very sad that the Obama administration can spend billions on something and then have its rollout botched by what have to be avoidable mistakes. Just to start with, the Obamacare site developer said what screwed things up was that the administration, at the last minute, wanted users to sign up for an account before they could browse the site. Hey, you want people to look at your product – you don’t require them to register or sign in first. Isn’t that a barrier to retail success?

One congresswoman said this week that companies like eBay deal with zillions of customers without problems. Perhaps the administration should have waved a few bucks in front of the site developers for those entities. My running joke is that the powers-that-be should kidnap Edward Snowden, bring him back from Russia, and offer him amnesty if he fixes the Obamacare site.

Obamacare is a noble experiment to fix something that’s really broken: the American healthcare system. Maybe from a technical medical standpoint, it’s the best in the world, but who can argue that doing nothing to fix its delivery was ever an option?

If you stay on this planet long enough, you will see things you thought could never change collapse in a heap. It happened with the auto industry. I have seen it happening in journalism, my old profession. Personally, I think maybe one of the next things to go might be the whole private health insurance industry as we now know it.

But from heaps of rubble rise new ways of doing things. The auto industry is an example, and even in journalism, evolution is taking place. Maybe what needs to go is the employer-based health insurance concept, which, as I understand history, was only a patch so employers could get around wage freezes to attract employees.

Obamacare is a Rube Goldberg system designed to offer a better product to consumers without pissing off the corporations overmuch. With all its limitations, it should be given a real chance to succeed or fail. In the meantime, though, President Obama needs to take a PR class. I think such a thing is available at most community colleges at minimal expense.

Sea Changes

Let me see…we were about to launch an attack on Syria, but now we’re talking to the Russians about their plan to secure and destroy Syria’s stockpile of chemical weapons. And now the new president of Iran, Hassan Rouhani, has ended the denial of the Holocaust and wants to negotiate over that country’s plans to become a nuclear power. What’s going on here? What triggered this? It’s not spring. But could it be an equinoctial thing?

Probably nothing so semi-metaphysical. I think it’s more about enlightened self-interest. The Russians have substantial military and economic interest in what happens in Syria. Putin & Co. would probably like to see the Assad regime stay in power for as long as possible. In Iran, maybe reality is setting in. CNN’s Christiane Amanpour, who interviewed Rouhani, says he wouldn’t be making nice unless he had authorization to do so from the religious leaders of his country, and why would they provide it? Could it be that economic sanctions are actually hurting, and the old men who run that country realize that the general population, which is much younger and less hateful of America, might be upset with them if they don’t change their attitudes? Is it a case of  “the devil knowing his time is short”?

Some Americans may have trouble trusting either the Russians or the Iranians, after our past history with their respective governments. But there are few more solid foundations for trust than an opposing party doing something that’s good, simply because circumstances are leaving no other choice.

So the next question is, if our worst enemies are finally doing something we want them to do because they have to do it, can the same principles work with forcing Congress to work through differences on Obamacare and the debt ceiling?

I think locking members of Congress in the Capitol and locking all the bathrooms there until they get this done would work just fine. There are few more powerful incentives than having to go because you have to go.

Obama's Rough Patch

So we thought that perhaps once President Obama’s second term began, Congressional factions would have little choice but to concentrate on getting stuff done. What were we thinking?

Opponents of the President are basking in the steam from the boiling pot, with no fewer than three scandals brewing. There’s the security failure at Benghazi; the selective targeting of Tea Party groups by the IRS; and the Justice Department’s acquisition of AP phone records to track down a leak.

The Benghazi issue has been characterized by the administration as a “sideshow.” Not a good word choice, as it involves an apparent failure that led to the deaths of four people, including a U.S. ambassador. Is the White House itself at fault? So far, probably not, but it’s generally agreed that a ball was dropped – the question is, who dropped it? Former Secretary of State Hillary Clinton, because of her failure to read cables asking for more security for diplomatic personnel in Banghazi? She wouldn’t be the first CEO to have glossed over a communication. And I bet all her Republican critics in Congress have read all the bills they vote on, right? Still, the administration failed to get ahead of this problem, and at the very least, it turned into an unnecessary PR crisis.

The IRS? Its selective targeting of Tea Party groups is inexcusable, and this scandal comes at a really bad time, as the implementation of Obamacare is supposed to come with the agency’s oversight of the program. The only thing that mitigates it,  IMHO, is that some of these Tea Party groups were seeking tax-exempt status, and the IRS was trying to dig into whether that was really appropriate. IMHO again, if we had a simple, clear and sensible tax code, this problem wouldn’t exist in the first place, but that, as they say, is a separate animal.

The least important of these scandals for the average American seems to be the DOJ’s acquisition of the AP’s phone records, supposedly because it “only” involves the media. Many forget that the records will lead authorities to government officials who had confidential contact with reporters, and going forward, officials may be spooked about ever talking to a reporter again. Are we living in East Germany? If we can’t have a free press doing its job, we may not have a democracy, either.

At the bottom, or the top, if you prefer, of the AP thing is Attorney General Eric Holder. IMHO once more, if anyone in the Obama administration should be falling on his sword, it’s this guy. We’ve already been through Fast and Furious with his non-answers. President Obama would save himself a lot of grief by showing Holder the door as soon as possible.

Impeachment? Well, I’ve seen this movie before, so I’m going to take my popcorn and go home.