Pollack on passing health care reform, cont'd

Pollack follows up his open letter to congressional Democrats with this post:

If the House and Senate bills are abandoned, we may (eventually) win Medicaid expansions for people who need help, expanded tax credits for people who cannot afford coverage, and other measures to cover the uninsured. We may even see more stringent regulation of health underwriting and other toxic practices in the insurance industry.

We will not soon see serious delivery reforms or cost-control measures. Whether the issue is high-cost insurance plans, bundled payments, comparative effectiveness research, overpayments to medical device makers, drug companies, specialists, and Medicare Advantage plans, there will be very limited political will to match what is in the current bills.

We will not be able to get these things because we will fracture the political coalition required to enact these painful measures, because the operative lesson of last summer will be that death panel demagoguery trumps real policy argument, and because there are fewer policy levers and fewer political incentives to address these difficulties outside a comprehensive bill.

Last Friday, I and others pled with anxious House members to step up in passing comprehensive reform. Senators: Now I am pleading with you.

President Obama: Now is the time for you to step up, too. Some in your administration are starting to send good signals. Others remain unduly tentative. Fight for this thing as if your legacy is on the line--because it is. I believe you have about 48 hours to fix this up. [emphasis is mine]

In its entirety. Not sure I agree 100% here, but close enough. PTFB.

An Open Letter to Pelosi et al. from Pollack et al.

Over at The Treatment, Harold Pollack posts an open letter to House Democratic leaders, signed by 47 health policy experts, entreating them to pass the Senate health care bill:*

The House of Representatives faces a stark choice. It can enact the Senate bill, and realize the century-old dream of health care reform. By doing so, it can achieve a historic milestone while freeing itself to address other national problems such as joblessness and mortgage foreclosure that affect millions of Americans. Differences between the House and Senate bill can be negotiated through the reconciliation process.

Alternatively, Congress can abandon this effort at this critical moment, leaving millions more Americans to become uninsured in the coming years as health care becomes ever less affordable. Abandoning health care reform—the signature political issue of this administration—would send a message that Democrats are incapable of governing and lead to massive losses in the 2010 election, possibly even in 2012. Such a retreat would also abandon the chance to achieve reforms that millions of Americans across the political spectrum desperately need in these difficult times. Now is the moment for calm and resolute leadership, pressing on toward the goal now within sight.

PTFB.

*The best option for the Dems right now, as I argue in this post on Scott Brown's election and health care reform.

Health care reform a fait accompli?

Interesting under-the-radar tidbit from Chait over at The Treatment, channeling a Roll Call piece:

A month ago I wrote that it’s nearly impossible to see health care reform failing because it would entail a Democrat voting to filibuster the central progressive goal of the last sixty years. That proposition was looking shaky for a while because there were some Democratic Senators who acted as if they actually wanted to kill health care reform. (Hi, Senator Conrad.) But they’re all now pretty clearly acting like they really want to pass something.

It’s very strange. We’ve had months of sturm and drang, and massive attention focused on the question, Whither health care reform? It’s just quietly turned into a fait accompli.

I was beginning to wonder if the Dems were aware they have a 60-senator majority.

(Incidentally, fait accompli was my favorite italicized phrase to insert in history papers in college. Hotfoot, you know what I'm talking about. The A, of course, was always a fait accompli.)