Skip to main content

Everyday Americans get up in the morning and go to work. They provide their services to companies and corporations. In return they expect a living wage. They expect that their work entitles them to financial security and healthcare security. For thirty plus years both have been eroding.

When President Obama ran for president in 2008 he understood that the root of every American’s economic security laid with ensuring every American would have access to affordable health care. He knew a single-payer health care system was the most effective system. However he was pragmatic enough to settle for RomneyCare on Viagra to begin the codification of health care as a right.

The reason health care reform has always eluded presidents of the past is because of ideological rigidity. President Obama minimized his ideological rigidity to the consternation of his left flank to get an imperfect law that will ultimately get improved. A few months ago I wrote a piece that placed this into context:

The genius in achieving the passage of Obamacare is immediately evident after reading the transcribed talk titled “A Brief History: Universal Health Care Efforts in the US” given by Karen S. Palmer MPH, MS in San Francisco at the Spring, 1999 Physicians For A National Health Program (PNHP) meeting. The talk revealed the headwinds that have blown over every President attempting to pass some form of universal healthcare. Doctor associations, insurance industry, unions, and other groups have always created opposition in some combination that guaranteed failure. She described the reason for failure as follows.

Political naiveté on the part of the reformers in failing to deal with the interest group opposition, ideology, historical experience, and the overall political context all played a key role in shaping how these groups identified and expressed their interests.

In effect, the very compromises President Obama has been knocked for are the compromises that allowed the passage of the Affordable Care Act. It was a running start that will need modification. The president is cognizant of this fact and he stated that much in the State Of The Union Speech on January 25th, 2011.

Please read below the fold for more on this story.

There are two polls out this week that seem to show opposite results. They were both taken in March. The AP-Gfk poll finds support for Obamacare falling to 26 percent. The Kaiser Health Tracking poll finds for the first time since November the Obamacare moved in a positive direction. Its net unfavorable went from 16 points to 8 points.

What is obvious from both polls is that after five years, Americans are still confused about the Affordable Care Act. This is not all their fault. There is a concerted effort by moneyed interests to misinform. They have been doing this successfully with many bogus ads that have been debunked at Daily Kos and throughout the ethical media.

Republican opposition to Obamacare has been steadfast and continuous. Republicans have spoken with one voice. The lies they tell are methodical and believable to many.

Because there is a real need for affordable healthcare, Americans know there is a problem. They do not know if Obamacare is the answer. They know what Republicans are offering is more of the status quo that does not help them. The polls show that given those options they are inclined to stay with Obamacare for the time being. They have this feeling even as Democrats refuse a full-throated blitz on support. As opposed to what is being sold by the traditional media, pundits, and consultants, these polls bode well not only for Obamacare but for Democrats.

Obamacare is the Democrats' alternative to the status quo. The status quo bankrupts Americans and kills. If Democrats get aggressive not only in supporting Obamacare but representing graphically an America without it, they win, the poor wins, the middle class wins.

The message is simple, vote for those opposing Obamacare and you risk bankruptcy, financial insecurity, or death.

Originally posted to Daily Kos on Sun Mar 30, 2014 at 02:45 PM PDT.

Also republished by Obamacare Saves Lives.

EMAIL TO A FRIEND X
Your Email has been sent.
You must add at least one tag to this diary before publishing it.

Add keywords that describe this diary. Separate multiple keywords with commas.
Tagging tips - Search For Tags - Browse For Tags

?

More Tagging tips:

A tag is a way to search for this diary. If someone is searching for "Barack Obama," is this a diary they'd be trying to find?

Use a person's full name, without any title. Senator Obama may become President Obama, and Michelle Obama might run for office.

If your diary covers an election or elected official, use election tags, which are generally the state abbreviation followed by the office. CA-01 is the first district House seat. CA-Sen covers both senate races. NY-GOV covers the New York governor's race.

Tags do not compound: that is, "education reform" is a completely different tag from "education". A tag like "reform" alone is probably not meaningful.

Consider if one or more of these tags fits your diary: Civil Rights, Community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, Media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don't fit in any of these tags. Don't worry if yours doesn't.

You can add a private note to this diary when hotlisting it:
Are you sure you want to remove this diary from your hotlist?
Are you sure you want to remove your recommendation? You can only recommend a diary once, so you will not be able to re-recommend it afterwards.
Rescue this diary, and add a note:
Are you sure you want to remove this diary from Rescue?
Choose where to republish this diary. The diary will be added to the queue for that group. Publish it from the queue to make it appear.

You must be a member of a group to use this feature.

Add a quick update to your diary without changing the diary itself:
Are you sure you want to remove this diary?
(The diary will be removed from the site and returned to your drafts for further editing.)
(The diary will be removed.)
Are you sure you want to save these changes to the published diary?

Comment Preferences

  •  Good news continues on signups today! (26+ / 0-)
  •  Political headwinds are not the only issue (1+ / 0-)
    Recommended by:
    TofG

    necessitating the compromises that make up the ACA: we simply don't have the infrastructure in place needed to implement single payer. Maybe in ten years, the ACA will assist us to build up both.

    •  Hate To Disagree, But, Medicare For Everyone: (7+ / 0-)

      also, the Veterans Affairs healthcare system is already up and running, neither would have taken four years to implement, if expanded for everyone, IMHO...

      •  We democrats know this, but (5+ / 0-)

        the reality is President Obama never could have made it fly.  They were out to get him from Inauguration Nite, planning obstructionism along with a concerted effort to make him a "one term" president.  Have you forgotten the difficulty in getting anywhere at all?  Have you forgotten the outrageous town halls against the ACA?  From 1/20/2009 to March of 2010, it was touch and go all the way, until it was finally passed.  Still there is the Supreme Courts ruling re: Medicaid and States rights over this law.  Still there are fights against covering all aspects of a woman's health, including reproductive health.

        He got what he could.  Kudos to him and all those who supported the ACA at that time early in his presidency.

        He did what no other President in our history was able to do.  What is telling is the percentage of Democrats who know it needs tweeking and fixing, and are willing to work to make it better.  That's what Democrats do; work to make things better for the people.

        The GOP will not work.  They will not lift a finger to make this better.  Abolishment is their answer.  They shun the work ethic; just look at the 112 days the House will work in 2014.  They won't make the ACA better, they will not work on the American Jobs Act #1 or #2.  All they will agree on is to repeal this monumentous achievement that puts America on the way to a solution for the runaway hospital and medical costs that will plague this country until they roll up their sleeves and support it, work at it, and earn their keep.

        •  During BHO's first two years, plenty of (4+ / 0-)

          legislation was passed without GOP support. Why is so hard to admit that Dems are ones who weakened this bill?

          New Republic: So are the left-wing blogs as bad as the Tea Party ones in this case? -------------------------Chuck Schumer: Left-wing blogs are the mirror image. They just have less credibility and less clout.

          by AlexDrew on Sun Mar 30, 2014 at 04:25:09 PM PDT

          [ Parent ]

          •  First (1+ / 0-)
            Recommended by:
            GleninCA

            Yes, Dems were complicit. Baucus, Lincoln, Landrieu ect. Ben Nelson...

            The Rs just sat there holding their breath like children and let Lieberman run point for them.

            The biggest stupid freakin waste of time is sitting around playing woulda, shoulda, coulda.

            It's 2014, lets get going!

            And daddy won't you take me back to Muhlenberg County Down by the Green River where Paradise lay. Well, I'm sorry my son, but you're too late in asking Mister Peabody's coal train has hauled it away. John Prine

            by high uintas on Sun Mar 30, 2014 at 09:20:23 PM PDT

            [ Parent ]

            •  The Senate Dems have no leadership control (0+ / 0-)

              The Senators are mostly independent, joining the party only to secure leadership posts. But the Senate rules are designed to let every Senator operate as a lone wolf.

              See the idiot Ted Cruz,

              The Republicans are more disciplined because they are the minority party and they need to act together to gain the majority. That's the club over their head.

              The US Supreme Court has by its actions and rhetoric has ceased to be legitimate. Whiskey Tango Foxtrot - over

              by Rick B on Mon Mar 31, 2014 at 02:58:05 PM PDT

              [ Parent ]

          •  The Dems biggest mistake... (1+ / 0-)
            Recommended by:
            leonard145b

            in 2009 was not getting rid of the filibuster (or at least lowering the threshold from 60 votes). Democrats are always going to have a few conserva-Dems in their ranks in the Senate (Baucus, Landrieu, Lieberman, etc.). They should've recognized this and pushed to remove the filibuster as an obstacle to passing tough legislation at that time.

            Had they done that, not only could we have gotten single payer, but we could've had a bigger stimulus package, infrastructure spending, climate change legislation, and a whole host of other bills before the Republicans took over the House in 2010. But hindsight is 20/20 I guess.

            Let's just work to pick up more seats in Congress in 2014 so we can put this country back on the right track!

            •  During President Obama's presidency (0+ / 0-)

              the filibuster has been used the most in the history of this nation.  Do you really believe that in the first year of Obama's presidency their could have been support to stop this?

              You must remember the Dems only had 72 days of a majority.  Senator Ted Kennedy was very sick and could not always be there for votes (although he made it in for the monumental vote on the ACA).  There was the Al Franken delay of almost 9 months before he could take his seat.  And, there was the traitor Lieberman who sided with the Repubs.  And, of course, there were the blue dog Dems whose districts were in the oil business or some such thing.

              Nothing was a slam-dunk.  It was push all the way.

              •  It was passed under reconciliation. (1+ / 0-)
                Recommended by:
                leonard145b

                Simple majority needed.

                New Republic: So are the left-wing blogs as bad as the Tea Party ones in this case? -------------------------Chuck Schumer: Left-wing blogs are the mirror image. They just have less credibility and less clout.

                by AlexDrew on Mon Mar 31, 2014 at 12:57:27 PM PDT

                [ Parent ]

                •  Your remark is welcomed, but I'm not (0+ / 0-)

                  clear what you are replying to.  The remarks I made were in reference to why a single-payer and Medicare for all would not fly.  It was really by the skin of their teeth that a viable ACA was passed in all its entirety. The window of opportunity for getting the ACA was there, but was fraught with problems.  Senator Kennedy's seat was taken by Scott Brown.

                  BTW, the ACA was not passed under reconciliation.  However, there were amendments that were added and reconciliation was used for these.

                  Rememberoon soon after the Senate passed the Affordable Care Act, Scott Brown was elected to take Ted Kennedy’s seat and the Democrats consequently lost their filibuster proof 60 votes in the Senate.

          •  There is real history that you are overlooking. (1+ / 0-)
            Recommended by:
            Rick B

            The Senate had 60 sitting Democrats only from September 24, 2009 to February 4, 2010, the day on which Senator Scott Brown was sworn in.  

            Senate Calendar January 21, 2009 – December 31, 2009
            * 17 days out of session from September 24 thru December 31

            Senate Calendar January 1, 2010 – February 4, 2010
             *12 days out of session from January 1 thru February 4

            From September 24, 2009 to February 4, 2010, the President had a filibuster-proof majority for *72 days.

            Then...there were the blue dogs who were beholden to their special interest groups.

            You say the Dems weakened the ACA, the facts are that even with a dedicated and concerted effort to derail anything and everything Obama, the ACA was passed.

            Now, let's go to work to make it work.  Now, let's go to work on 2014.

        •  Exactly right (1+ / 0-)
          Recommended by:
          doinaheckuvanutjob

          Obama had to take what he could pass.

          All the bells and whistles in the ACA are distractions. The real gold is the fact the people are being placed in a few insurance polls so that illnesses and the costs of care can be statistically compared nation wide, instead of company-by-company where the insurance pools were proprietary information.

          Right now it is still the wild west in insurance-land, so no one knows anything that can be effectively used to predict likely illnesses and costs. Within a year that will no longer be true. It's going to be the ACA pools vs. Medicare/Medicaid vs the VA and the VA is going to give the best band-for-the-buck. That is what will support the final move to a single payer.

          That still will not be soon, though. It will required the old white dinosaurs of the conservative Republicans to die off first. Their children will not follow them into ideological idiocy.  

          The US Supreme Court has by its actions and rhetoric has ceased to be legitimate. Whiskey Tango Foxtrot - over

          by Rick B on Mon Mar 31, 2014 at 02:53:35 PM PDT

          [ Parent ]

    •  So you gradually start extending Medicare (2+ / 0-)
      Recommended by:
      high uintas, GleninCA

      There are good, sound, economic grounds to do this.  There's rampant age discrimination in work that's difficult for individual employees to prove, therefore a high rate of people in their fifties and early sixties in particular who are in deep financial trouble and working jobs with inadequate benefits if they're working at all, and so you gradually extend Medicare, five year cohort by five year cohort, until you have it down to a point where it's realistic to make it universal.

      And all the while, keeping up with insurance regulation and dealing with the 800-pound gorilla of this reform which was the lack of reform of providers, doctors and hospititals in particular, who often gouge and overcharge with impunity.

      •  Which Democratic candidates... (0+ / 0-)

        are campaigning on expanding Medicare?

      •  This is the best post I have seen yet (0+ / 0-)

        I'm glad someone sees the 50 - 60's group and the particular problems you described quite well. The group in particular that you described which gets no help at all from ACA Obominable Care. Especially in no Medicaid Expansion states.

        And that you also see that this "reform" didn't reform providers, doctors, and hospitals (healthcare providers) at all ... who will just use whatever money system is available to charge too much money (gouge) with impunity. They just got a shoot load of more clients (um I mean patients) to gouge and overcharge with impunity. And trust me many of them will come after the clients if they don't get all of what they want on their bills from the insurance, the same way they often do with Medicare and Medicaid.

        So healthcare didn't suddenly get Affordable ... it just got masked behind the insurance that everyone is forced to have now. And that's what the hospitals, doctors, etc. want anyway. People (patients?) to walk in with a blank check (check book) of some sort so they can get CARE. Even if they don't really need it.

  •  "Pragmatic enough to settle?" Really? (7+ / 0-)

    Gad.  Let's not rewrite history just to make ourselves feel less betrayed.  Battered spouse syndrome on the national level.  

    I shall be punished.  Still . . .

    ". . .as singularly embarrassing a public address as any allegedly sentient primate ever has delivered." - Charles P. Pierce

    by Rikon Snow on Sun Mar 30, 2014 at 02:52:53 PM PDT

  •  Yeah& they need people with positive (6+ / 0-)

    Obamacare stories.

    nosotros no somos estúpidos

    by a2nite on Sun Mar 30, 2014 at 02:53:47 PM PDT

  •  Political headwinds are not the only issue (2+ / 0-)
    Recommended by:
    defluxion10, high uintas

    preventing us from adopting single payer in the US. We simply don't have the infrastructure to make it work. Perhaps in a decade, the ACA will help us to achieve both.

  •  "Pragmatic"?!? (10+ / 0-)

    Except that single payer was never even brought up. Obama STARTED with the Heritage Foundation written Republican plan and then ran full speed after the goal posts as the Republicans and their conservadem enablers moved them to the right. Put me down as somebody who wants to repeal it and replace it with an actual liberal plan.

    "Given the choice between a Republican and someone who acts like a Republican, people will vote for a real Republican every time." Harry Truman

    by MargaretPOA on Sun Mar 30, 2014 at 02:58:04 PM PDT

    •  Margaret, wasn't it you that said (1+ / 0-)
      Recommended by:
      leonard145b

      being forced to buy Obamacare is not the same as liking Obamacare? Truer words have rarely been spoken.

      New Republic: So are the left-wing blogs as bad as the Tea Party ones in this case? -------------------------Chuck Schumer: Left-wing blogs are the mirror image. They just have less credibility and less clout.

      by AlexDrew on Sun Mar 30, 2014 at 03:10:03 PM PDT

      [ Parent ]

    •  Living in a fantasy (2+ / 0-)
      Recommended by:
      LeftCoastTom, hbk
      Put me down as somebody who wants to repeal it and replace it with an actual liberal plan.
      Really?

      Well, I'm sure you can find plenty of Republican help on the "repeal" part of the formula, but not so much on the "replace" portion.  

      Seriously, "repeal and replace" is every bit as much a fantasy for the left as it is for the right.  It just ain't gonna happen.  Period.  

      Now those state waivers that another comment mentioned are another matter.  If you want "an actual liberal plan", the best way to get there is at the state level, utilizing the waiver process, as (I believe) Vermont is working to implement.  If single payer is as good as most of us believe it to be, other states will presumably follow in Vermont's footsteps when they see how well it is working there.  And that could eventually lead to a snowball effect that could give us universal single payer.

      But "repeal and replace" is a fool's vision if you actually care about expanded access to medical care.

      Political Compass: -6.75, -3.08

      by TexasTom on Sun Mar 30, 2014 at 07:10:09 PM PDT

      [ Parent ]

      •  This assumes... (1+ / 0-)
        Recommended by:
        doinaheckuvanutjob

        that whoever is President in 2017 will grant those waivers.

      •  Yes, exactly. We've been waiting since the civil (1+ / 0-)
        Recommended by:
        TexasTom

        war for a universal health care proposal to pass Congress. Never happened until Obama. I've been waiting all my lifetime. I'm not going to wait longer when some goofball on the left thinks we're magically going to get Congress to pass single payer. Besides, if you want it so bad, get it passed in your state. Even that can be very hard, case in point liberal CA which has rejected it on the ballot every single time, how many times, at least 3 or 4 in the last 15 years.

        The pie in the sky gang are the only ones who hate Obamacare from the left, and their arguments prompt giant lols.

    •  stop confusing people with the truth (0+ / 0-)

      Put me down too ...

  •  Wasn't the whole point of the Heritage Plan (12+ / 0-)

    that once you have the government pouring trillions into the private health insurance companies, there'd be no reason that Big Insurance would ever permit the emergence of a public plan?  Didn't Obama et als walk into that trap with their eyes wide open, going so far as to publicly reassure the industry that "there will be no public option"?  How do you get corporate America to give up trillions in government subsidies?  I can't even imagine how that's done, short of a revolution.  So how do you "improve" it, then?  Give even more money to Big Insurance?

    Pay no attention to the upward redistribution of wealth!

    by ActivistGuy on Sun Mar 30, 2014 at 03:00:32 PM PDT

    •  Then maybe we should be considering (1+ / 0-)
      Recommended by:
      starduster

      Revolution.

      Or at least we should be seen as contemplating it seriously enough so that corporate America is willing to compromise and give up some money to save the rest.  Corporate America wants stability and predictability and the best way to get them to cave is to promise them that they will have neither.  

      •  Where did you get such weird ideas? Seriously, (0+ / 0-)

        I've never heard that strategy being successful, rather it results in activists being put in jail for violence, and discredited in the media. I think you don't know what you're talking about, talking big but empty.

    •  Yeah I've never understood this either. (3+ / 0-)
      Recommended by:
      Capt Crunch, movie buff, annecros

      We've made the insurance companies even more rich and powerful yet this is the first step towards a single-payer system??

      •  Well, Doug, for the 1st time, ins cos are being (0+ / 0-)

        regulated by the govt. They have to provide a list of the same essential benefits, and compete to offer other benefits in the ACA plans. They are regulated in the ACA by various means, for the first time ever, financial incentives, can't cancel plans, can't do this or that, gotta do this or that, and are reviewed by federal and state govt. panels. But you do not understand this at all.

    •  Except there's limits on profits. (4+ / 0-)

      So whatever the heritage plan wanted, it didn't come out that way.

      Plus, the point of the public option was to provide additional competition to keep premiums down, and the exchanges are already working well there.

      So....

      The dossier on my DKos activities during the Bush administration will be presented on February 3, 2014, with an appendix consisting an adjudication, dated "a long time ago", that I am Wrong.

      by Inland on Sun Mar 30, 2014 at 04:28:12 PM PDT

      [ Parent ]

      •  Additionally... (2+ / 0-)
        Recommended by:
        BentLiberal, doinaheckuvanutjob

        the ACA allowed states to further experiment on ways to improve healthcare now. Take for instance Vermont, which wants to try and implement single payer insurance in their state over the next few years.

        I'm one of the ones that would've loved to have had single payer in '09, but I think that having a few states experiment with it first might be a good option as well. Once a few other states follow Vermont's lead, it will help build a better case for national single payer insurance, as opposed to just going straight from our old healthcare system straight into single payer.

    •  Not really. The ACA REGULATES ins co's for the 1st (0+ / 0-)

      time, with rules, guidelines, financial incentives, policy guidelines, and governance and regulation through state and federal entities.

      Something nobody in the repeal from the left, hating Obamacare crowd understands at all, no comprende.

  •  A question for y'all... (4+ / 0-)
    Recommended by:
    leonard145b, wishingwell, hbk, BentLiberal

    I recently applied for the Medicaid expansion because I didn't qualify for the private exchanges.  Will the govt. know this so I won't be fined?  Thanks.  

    "Really nice, but also very serious about his job." Jackie Evancho on President Obama 6/7/12

    by BarackStarObama on Sun Mar 30, 2014 at 03:04:37 PM PDT

  •  Most humorous part of those poll results... (8+ / 0-)

    11% want a "GOP Alternative", as opposed to "Nothing", when we all know the "GOP Alternative" is nothing.

    So, 10% like Obamacare the way it is, 49% want it improved, and 11% want a "replacement" that will never exist.

  •  The AP poll had an interesting call mix: (5+ / 0-)
    CENSUS REGION:

    Northeast 18

    Midwest 22

    South 37

    West 23

    Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

    by Mike S on Sun Mar 30, 2014 at 03:11:43 PM PDT

    •  I have noticed a few polls that seem to sample (1+ / 0-)
      Recommended by:
      Sherri in TX

      the south more than any other region.  Would that not skew things a wee bit ?  

      Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

      by wishingwell on Sun Mar 30, 2014 at 03:43:37 PM PDT

      [ Parent ]

      •  I have been trying to find a regional (1+ / 0-)
        Recommended by:
        wishingwell

        population breakdown but haven't found a good one yetr. I know that the south does have a higher percentage than the rest but I don't know if 14 points is right.

        Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

        by Mike S on Sun Mar 30, 2014 at 03:51:10 PM PDT

        [ Parent ]

  •  Democrats haven't sold the benefits of the ACA (4+ / 0-)

    Every Democratic ad is either going after the Koch brothers lies, attacking the GOP repealing ACA or talking about how they want to fix the law.

    What is lacking is an ad of an average American talking about how Obamacare helped them.

    The best way to counter all the Koch ads is by presenting positive stories of people benefiting from the law.  It will change the narrative and force Republicans to go on the defensive.

    Have a Republican on TV saying how he hates Obama, but loves how the ACA allowed him to buy affordable insurance that covered his preexisting conditions.

    It is maddening seeing how Democrats are blowing this simple and effective strategy for defending Obamacare.

    •  I do notice WhiteHouse. Gov is collecting success (1+ / 0-)
      Recommended by:
      marykk

      stories and we need more of that being done by candidates running for office this year.  That would help a lot or maybe the White HOuse stories are going to be shared by candidates as the election season rolls on.

      I am in a state where we do not have a primary for another 3 weeks so the only ads we ever see now are some primary ads thus far. I guess for some, election season seems further away than it actually is. Things will gear up more come summer for our nominees and incumbents. .I think.

      Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

      by wishingwell on Sun Mar 30, 2014 at 03:45:51 PM PDT

      [ Parent ]

    •  I am in a state where we are not seeing Koch ads (0+ / 0-)

      or any political ads of any kind except for primary candidates for Governor.  That could be because there is no Senate race in PA this year but Governor is the big one ?

      Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

      by wishingwell on Sun Mar 30, 2014 at 03:47:11 PM PDT

      [ Parent ]

    •  To have those positive stories (0+ / 0-)

      You need to have people who got sick after signing up for health care that they previously wouldn't have gotten.

      "I'm not worried anymore because I have Obamacare" is a boring story.  You need people who can say, "I would have died without Obamacare".  That takes time for those stories to emerge because those people have to sign up, their coverage has to kick in, they need to have trouble, then they need to recover enough to look healthy in an ad.

      •  What about people with preexisting conditions (0+ / 0-)

        Have someone who couldn't buy insurance before because they have high blood pressure talk about their new affordable plan.

        It doesn't have to be all dramatic.  Keep it simple showing real tangible benefits that affect normal people.

  •  I knew the part of this post (2+ / 0-)
    Recommended by:
    wishingwell, hbk

    where you talked about pragmatism would be a focal point. Even though the GOP has proven beyond a doubt that they are opposed to anything this President puts forward and will block it at all costs people here seem to think that single payer would have passed.

    No one even seems to remember Lieberman being for it until he heard that the dirty hippies were for it and then coming out against it.

    Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

    by Mike S on Sun Mar 30, 2014 at 03:19:16 PM PDT

    •  Lieberman never favored single payer (3+ / 0-)
      Recommended by:
      Mike S, wishingwell, hbk

      It was the public option he favored, including while running for Vice President, until he realized liberals might like it.

      •  Thanks for the correction. nt (0+ / 0-)

        Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

        by Mike S on Sun Mar 30, 2014 at 03:43:34 PM PDT

        [ Parent ]

    •  Yes Liebermann, Lincoln, B Nelson saying early (4+ / 0-)
      Recommended by:
      Mike S, Capt Crunch, ahumbleopinion, hbk

      on that they not only opposed single payer and would fight against it..if anything close to single payer was in ACA, they would filibuster with Repubs and vote with Repubs.

      3 that I am glad are gone.

      Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

      by wishingwell on Sun Mar 30, 2014 at 03:48:55 PM PDT

      [ Parent ]

      •  correction those 3 against public option and not (1+ / 0-)
        Recommended by:
        Mike S

        just opposed, but strong opposed and threatening in front of the cameras as often as possible, to vote with GOP is there was public option. That I remember clearly.

        Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

        by wishingwell on Sun Mar 30, 2014 at 03:49:56 PM PDT

        [ Parent ]

        •  It was so much fun watching those 3 lose on (0+ / 0-)

          election night. Especially Joe and Blanche, both vile characters. And egomaniac Ben Nelson who couldn't believe he lost, even though polling for weeks showed he was losing badly. Losing badly by thumbing his nose at us. Good riddance to that trio of la~hoosers.

  •  Have to disagree with the history of the diary (5+ / 0-)

    Obama was elected on a message of change.
    The country was ready for real, substantial change. It was ready for more than RomneyCare - which is what we got.

    Normally I find myself in agreement with Egberto but not in this rewrite of history.

    Could we have gotten Medicare for all? We will never know because this administration never went for it.

    Could we have at least gotten closer than RomneyCare?  Sure looked like it to me.

    Over and over this administration and the Democratic Old Guard screwed up by only pursuing half-ass solutions.

    Health Care
    the Stimulus
    Filibuster

    There was no "genius" involved in getting healthcare reform passed at a time when the country was hungry for change.

    Obamacare is the Democrats' alternative to the status quo.
    Not any more. Obamacare IS the status quo.
     
    •  I remember about 4 Democratic Senators being (1+ / 0-)
      Recommended by:
      Sherri in TX

      against Medicare for all and a public option early on and being loud about it too ...at least 4 and then Senator Kennedy was ill and Franken was not yet seated during a long recount....ie I just remember several Democrats being opposed to it all...long before the President said a word about it.

      Keystone Liberals on Twitter @ KeystoneLibs , Join PA Liberals at http://keystoneliberalsforum.aimoo.com/

      by wishingwell on Sun Mar 30, 2014 at 03:51:34 PM PDT

      [ Parent ]

      •  Four out of 60. About six percent. (0+ / 0-)

        Not enough to stop more substantial change.

        Again - the mood of the country was ripe for substantial change.

        This administration and the Democratic Old Guard screwed up by only pursuing half-ass solutions.

        •  The mood of the country after sandy hook (3+ / 0-)
          Recommended by:
          ahumbleopinion, Tuffie, wishingwell

          Was for more gun control. By your reckoning that should have worked. In case you missed it there is more gun freedom now.

          Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

          by Mike S on Sun Mar 30, 2014 at 06:02:37 PM PDT

          [ Parent ]

          •  That proves my point (0+ / 0-)

            Once again the Old Guard Democrats stood cowering in the corner. Just as they have done with the Surgeon General's nomination.

            Or maybe you think it's "genius" the way Democrats have handled that situation.

            Having opposition doesn't justify half ass efforts.

            •  It's kind of sad how little you understand (2+ / 0-)
              Recommended by:
              wishingwell, doinaheckuvanutjob

              about the political process in this country considering the fact that you appear to be engaged.

              Most of the people taking a hard line against us are firmly convinced that they are the last defenders of civilization... The last stronghold of mother, God, home and apple pie and they're full of shit! David Crosby, Journey Thru the Past.

              by Mike S on Mon Mar 31, 2014 at 12:33:27 AM PDT

              [ Parent ]

              •  Back at ya (0+ / 0-)

                You folks that are willing to settle for half assed efforts have really hurt this country.

                By consistently accepting those tepid efforts as "pragmatic" the centrist wing of the Democratic party has held back real progress. All the while patting themselves on the back in the delusional view that they are the realists.

                Want to know the real reason for low voter turn out in mid term elections? Folks like you. You can't expect to fire up the non-base party members with Republican Lite.

                •  Folks like you who diss any progress at all and (0+ / 0-)

                  only whine are the obstructionists, laughably so.

                  JoeLieberman and his crew of centrist Dems blocked the doors to the school entrance, and now they were rewarded with election losses. What remains is the hard work the President put in getting it done, for the first time since the Civil War, universal health care reform. Had he done what you advocate, it would be like Clinton, Truman, Carter and FDR before him where we got NOTHING because Congress blocked it. You understanding of history is quite poor, and revisionist.

    •  No, the "genius" part (0+ / 0-)

      Was when the supporters of this idea somehow managed to get real liberal people on board with it. I've said over and over that I hope it works because there is such a need but between the fact that this started out as a market based "solution" and the ongoing Republican sabotage, many people in red states are worse off due to this law. These folks are still too poor to buy insurance in the states that refused to expand Medicaid only now they have the government levying fines on them for it. They can't get health coverage anyway and now they've got fines to pay on top of it. Some of them will realize that the Republicans are the authors of their misery but the Republicans are relying on the ignorance and anger of working class people to hand them power.

      "Given the choice between a Republican and someone who acts like a Republican, people will vote for a real Republican every time." Harry Truman

      by MargaretPOA on Sun Mar 30, 2014 at 03:55:31 PM PDT

      [ Parent ]

    •  "The country" doesn't have a Senate vote (0+ / 0-)

      We had a nominal majority with people like the Moaning Scrotum, Lieberman, sabotaging at every turn. In the House, dozens of Blue Dogs.

      Obama could have pushed and would have lost.

      He got what was possible. It's helping millions. It will help millions more in time.

      •  You're wrong (0+ / 0-)
        He got what was possible.
        Sez who? The great Tuffie?

        He, never played hardball with anybody his fist term - on ALL the issues.

        When the Democrats have stood up against the Republicans they're usually won.

        You are quite simply wrong.

    •  The answer to this question... (2+ / 0-)
      Recommended by:
      LeftCoastTom, hbk
      Could we have gotten Medicare for all? We will never know because this administration never went for it.
      ...isn't really much in doubt to anyone who doesn't live in a bubble.  Sorry, but no, we couldn't have gotten "Medicare for all" -- it was never in the realm of the politically possible, and anyone who wants to claim otherwise is living in every bit as much a delusional reality as the conservatives who are convinced that the truth about Bengazi will bring down Obama.

      A question that might have been worth asking is whether "Medicare for all" should have been proposed even though it had no chance of passing.  As a strategic approach, the rationale for this is that the result might have been a better compromise (such as a combination of private insurance exchanges with a public option or optional Medicare buy in as a choice).  Conversely, the argument against this approach is that we could have ended up with absolutely nothing at all, and be stuck with the pre-ACA status quo.

      I'm not sure which of those outcomes would have been the most likely, but that would actually be an interesting discussion, seeing as to how it is based on a recognition of the real world of politics, as opposed to a fantasy of something that would never have stood a chance.

      Political Compass: -6.75, -3.08

      by TexasTom on Sun Mar 30, 2014 at 07:17:09 PM PDT

      [ Parent ]

      •  You're delusional (0+ / 0-)

        If you think you know what could have happened.

        You're simply repeating the tired apologies heard so often for the shortcomings of the Old Guard Democrats and Obama.

        If we had pushed for a better deal we might have wound up with nothing at all? That's just apologist fantasyland chatter. It doesn't have anything to do with the real world.

        The sad thing is that your half-ass delusional approach has crippled the Democratic party for decades.

        •  Actually about 70-80% of people polled at (0+ / 0-)

          dailykos disagree with you. You can look it up. You aren't remotely connected to the real world in anything you're been spewing. Facts mean nothing to you. Neither does actual history, or the facts about Obamacare which you have wrong. You're behaving like a spoiled baby Republican, spouting off unicorn nonsense.

  •  I dunno. This is the kind of ossified stuff of DC (3+ / 0-)
    Recommended by:
    wishingwell, wonmug, hbk

    Conventional Wisdoom 'debates' which leaves most Americans feeling DC is completely divorced from reality.

    Look. It's the Law. Most people are going to see benefits. It's all going to be settled as far as the people are concerned in the next while, they'll have their plan and like it or not.

    Praise and blame ain't really going to make much difference in election outcomes. By November this'll all be taken for granted.

    Except in the DC Bubble conversation, which is pointedly looking backward and offers nothing for the future. I gather because everyone has pretty much written us off in favor of the Corporate Caste business partners.

    If you want a meaningful political issue, one that enthuses the voters enough to turn out, then you've got to talk about Jobs. Jobs and Economy.

    A Massive Federal Jobs Plan, a New New Deal as it were, to get off of fossil and into genuine alternate energies (and no, clean coal [sic] and nuclear are not that) because -- and it's stunning how little this is emphasized by politicians of any party -- well, Jobs and Economy have been the public major concern long before the Banker-induced collapse. And tax breaks and Corporate incentives aren't going to create jobs. A tax break of x% to hire someone at a 100% loss ain't that appealing; Corporations have no incentives whatsoever to make life better for Americans. They're looking to get robot barbers and salespeople one day.

    We need a viable future, not a past to have happy or sad feelings about.

    Want to win elections: talk about our future and the plans to make it work. Not incrementally better; make it work.


    Real fixes, outside the coffin fixes, ain't ever pragmatic says DC Bubble Conventional Wisdoom.

    by Jim P on Sun Mar 30, 2014 at 03:33:51 PM PDT

  •  Am I the only one (3+ / 0-)
    Recommended by:
    wishingwell, Vicky, hbk

    who thinks the first three paragraphs of your article would make a great Democratic ad just as written?

    "There are times when even normal men must spit in their hands, hoist the black flag, and begin slitting throats." - H.L. Mencken

    by rwgate on Sun Mar 30, 2014 at 03:40:24 PM PDT

  •  so, NOW you want to listen to us DFHs who (2+ / 0-)
    Recommended by:
    Dump Terry McAuliffe, TJ

    said all along that ACA was weak and watered down . . . . .

    Too funny.

    In the end, reality always wins.

    by Lenny Flank on Sun Mar 30, 2014 at 03:51:14 PM PDT

  •  The AP-gfk poll is poorly constructed (1+ / 0-)
    Recommended by:
    cocinero

    First they seem ask upfront questions about trust in handling of healthcare, then they get into the law itself.

    The choice of wording differs from that employed by Kaiser (as does the methodology - an online survey, apparently with free AOL for the non-netizenry).

    Of the 62% that report in AP-Gfk they do not support the laws passed in 2010 fully 27% cite as their rationale "Do not know enough about it."

    Ah - what?

    I know nothing of this law - therefore I oppose it!

  •  I'm for single-payer - (4+ / 0-)

    Medicare for all, or national health care - VA care for all.
    I'm also for adopting the metric system, converting keyboards to Dvorak instead of qwerty, and replacing paper dollars with dollar coins. I also recognize that politics is the art of the possible. Many things I would like to see happen are not politically possible at this time (especially with the current GOP-controlled House).

    Obamacare was a great political achievement. I want to see it work. It will help a lot of people. Then, someday, in a better political climate, maybe we can make it better.

  •  What was the purpose of this poll? (0+ / 0-)

    I think the idea that this is on the front page is kind of strange.

    It's a nice piece, but WTF?

    How many other laws get polls to see if we should keep them or not before they even go into effect?

    Democracy - 1 person 1 vote. Free Markets - More dollars more power.

    by k9disc on Sun Mar 30, 2014 at 04:30:58 PM PDT

  •  The Kaiser poll has a big problem. (0+ / 0-)

    "Replace it with a Republican alternative" suddenly makes things partisan. The result may well be, to push people who hate the current law but don't want to take Party sides, to the "just fix it" option - supposedly leftward but not really.

  •  Improve health care...? (0+ / 0-)

    Got to be kidding me, the GOP trying to repeal it for the last four years...x 53 times. The only way Obama Care gets better is if all the Democrats, Liberals, Progressives, women, Latinos, Blacks, and gays vote to replace the entire Republican congress in Nov. Anything short of that goal will only prolong the pain of NOT having a single payer option where to cost to all diminishes. We couldn't get there because of the GOP blocked it at every step. Don't believe their fairy tales of a better Health care plan after the election, they could have made ACA a better plan had they contributed more then and now. Then don't need to elected to make it better NOW, all they need to do is DO IT right now no waiting till November. But we all need to vote against them just like they do every day.

  •  it would be nice (0+ / 0-)

    if the dems would act as if they really believed in their agenda rather than making excuses for their policies and always seeming defensive.

    save america defeat all republicans and conservatives

  •  How to win on the message? (3+ / 0-)
    Recommended by:
    biocon, Kentucky DeanDemocrat, hbk

    Step 1) Find a Senior Citizen in your Congressional District who had been paying extra due to the "donut hole" in Medicare Part D who is now using that money for other things like foor and rent.

    Step 2) Find someone between 22 and 26 in your Congressional District who was on their parents' medical insurance when they broke and arm, got very sick, etc. and were able to maintain their economic situation.

    Step 3) Find someone in your Congressional District with cancer, hypertension or other pre-existing condition who is able to get health care and see a doctor.

    Step 4) Find someone in your Congressional District who could not afford health insurance but signed up for it on the health exchange.

    Put them all on a stage and have them thank Obamacare for their health, and their families health.

    Win the election.

    •  Step 5 (0+ / 0-)

      Your steps are great! I would humbly add Step 5 - remind everyone that they no longer have to worry about being cancelled or being unable to get insurance because of a pre-existing condition.

  •  easy. you go down the list of what's in the ACA (1+ / 0-)
    Recommended by:
    hbk

    and ask if you want to get rid of:
    lifetime limits to benefits.  no?
    pre-existing conditions.  no?
    etc etc

    polling has also shown that all who oppose like what's in the ACA.  just harp on the parts that they like!
    since we know what they hate is the 3% tax on the rich...

    how easy is that!

    I am tired of laughing at the irony of their stupidity.

    by stagemom on Sun Mar 30, 2014 at 05:03:29 PM PDT

  •  He was pragmatic enough to begin the codification (3+ / 0-)
    Recommended by:
    Vicky, Kentucky DeanDemocrat, hbk

    ...of health care as a right.

    Would you love it if, for ONCE--just ONCE!--some enterprising reporter would stand up and ask a Republican: "Do you think health care in this country is a right...or a privilege?"

    Or how about this: "In your opinion, what effect do uninsured people have on the health of our economic system?"

    Can you think of other questions that are never asked by reporters about health insurance but should be? Don't you wonder why they aren't? I sure do.

    It is ignorance which is hopeless.

    by IdeaTipper on Sun Mar 30, 2014 at 06:04:41 PM PDT

    •  Ask them what should happen to a child with (0+ / 0-)

      a potentially fatal disease if his or her parents work minimum wage jobs without health insurance and cannot afford to pay for the needed health care? Pro-life?

      “The future depends entirely on what each of us does every day.” Gloria Steinem

      by ahumbleopinion on Sun Mar 30, 2014 at 07:07:53 PM PDT

      [ Parent ]

    •  I wish they would ask... (0+ / 0-)

      why the ACA is a multi-tiered system based on a person's ability to pay?

      If healthcare is a right, then why do some have more of a right to healthcare than others??

  •  Just change a few words: (1+ / 0-)
    Recommended by:
    TofG

    Change "fix it" to "get the gop out of the way so we can make it better".

    You can't make this stuff up.

    by David54 on Sun Mar 30, 2014 at 06:47:30 PM PDT

  •  For all the people who think the ACA (5+ / 0-)
    Recommended by:
    ahumbleopinion, Tuffie, TofG, Vicky, hbk

    was "just" a sellout, I'd like to say this: If you hadn't had Barack Obama pushing to get the best he could get from the corrupt Senate, you would have had nothing.
    Nuh. Thing.

    You can't make this stuff up.

    by David54 on Sun Mar 30, 2014 at 06:53:28 PM PDT

  •  Many nations have hybrid public+private health... (1+ / 0-)
    Recommended by:
    Kentucky DeanDemocrat

    ...insurance systems. Single Payer (like Canada, Australia, the U.K.) is not the whole show. The others have a two-tier system of government-paid catastrophic and minimum polices (often coupled with an HSA) or they have an insurance mandate - like the ACA.

    The big difference between the ACA and countries like Japan or Germany is price controls.

    That's where America must go next. Single-payer may be too "socialist" for most Americans, but we're all familiar with the concept of a regulated public utility: A fixed rate of return in exchange for prices determined by a public commission. We rely on public utilities to provide essentials like electricity, water and sewers... why not healthcare?

    The 80% Medical Loss Ratio prescribed by the ACA has put that framework in place.  

    “It is useless to attempt to reason a man out of a thing
    he was never reasoned into” - Jonathan Swift

    by jjohnjj on Sun Mar 30, 2014 at 07:25:46 PM PDT

  •  Total now over 6.6M!TOTAL Estimated Exchange-Based (0+ / 0-)

    QHPs: 6,622,107.

  •  Democratic candidates must not be defensively (1+ / 0-)
    Recommended by:
    hbk

    tenuous in their support for Obamacare, as by stating they want to "fix it." They should go on offense and be specific in their advocacy for various aspects of the ACA.

    Democratic candidates should make the following arguments or perform the following actions.

    Argue that Obamacare eliminates the coverage gap (the "donut hole") for Medicare recipients, which this year requires recipients with that coverage gap to pay 72% of the costs of their drugs.

    State that “my opponent wants young adults under the age of 26 to be kicked off their parents' insurance and desires for insurance companies to be able to reject claimants on the basis of pre-existing conditions. “

    Affirm that “my opponent wants insurance company executives to be able to get rich off premiums. In contrast, the Affordable Care Act requires that 80% of the insurance premiums must be used for health care; only 20% can be spent on administrative costs.”

    Declare that the Affordable Care Act has depressed the rise in medical costs to the lowest level in many years.

    Broadcast poignant testimonials of persons in the candidate's district or state who have received life saving care from the Affordable Care Act.

    In districts or states where there is a significant Hispanic population, the candidate needs to expand the electorate. Have conversations with many hosts of Spanish-speaking radio shows, and in some cases, the hosts of national Spanish-speaking television shows. Devote substantial time and effort in advocating the Dream Act and specific aspects of immigration reform. Spend a considerable amount of resources in organizing Hispanic neighborhoods and in providing vans for people in urban areas to be transported to the polls.

    Today, an ample proportion of the U.S. population records television shows in advance of viewing them, and avoids commercials. Consequently, candidates should allocate extensive resources in getting out the vote  (GOTV), particularly because Democratic voters are much less likely than Republicans to vote in mid-term elections.

    Also, candidates should speak on college campuses, focusing on matters such as reducing the interest rate on student loans and diminishing student debt. They must address the needs of women, particularly single women, and be vocal advocates for black constituents.

  •  Do I like ObamaCare? (1+ / 0-)
    Recommended by:
    hbk

    I have always been an advocate of taxpayer supported single payer, but I agree with the diarist. Obamacare is a stepping stone. That is why the GOP fears it, and is trying everything they can to kill it. They can see the handwriting on the wall.

    My prediction: Just as individual states are raising the minimum wage, enacting gay rights legislation, and other progressive policies, they will begin to offer their own mini "government options;" perhaps creating regional networks. (This is similar to how the Canadian system works, each province operates their own single payer network)

    There will be a period of "two Americas," but the GOP will never be able to put this toothpaste back in the tube.

    "The long memory is the most radical idea in this country." Utah Phillips 1935 - 2008

    by Grey Fedora on Sun Mar 30, 2014 at 08:39:03 PM PDT

Subscribe or Donate to support Daily Kos.

Click here for the mobile view of the site