As much as I have been following the healthcare debate closely, I haven't been writing about it; I feel bad about it, because it's been ceding the field to a number of people (Jon Cohn and Ezra Klein perhaps most prominently), who tend to offer the establishment views of the left without generally facing or examining the things that call the status quo perspective into question.
But the main reason for not writing has been that very status quo - despite a flurry of blogging and anxious "reporting" of minute developments, in fact, very little has happened; while the House has a bill out of committee (3 committees actually), and the Senate Health Committee (HELP) has passed their part of a Senate bill... there is, still, not a comprehensive, finished proposal to address healthcare reform. All the bills are messy works in progress, and a key piece of reform - the Senate Finance Committee's bill which would be the best guide to what's doable in actually paying for these reforms - is just about nowhere to be seen.
The reason to start writing again, though, is that in the past month, as the possibility of actual reform has begun to take shape, the actual health care debate we've needed all along is actually beginning to surface. Finally, people are waking up to the fact that in order to have a public that understands what's at stake, you have actually discuss what the stakes are, what's working, and what isn't in our national healthcare system (or, more precisely, systems). The start of that discussion, which I find to be the most heartening development, has, of course, thrown a wrench into that "Establishment" plan... but that's probably all to the good. Doing the "healthcare reform" that's been lurching along, and not subjecting it to a "kick the tires" assessment of what's actually being proposed, whether it makes sense, and just how much it will cost, was an unrealistic way to approach reform all along.
And now, as we look at it... this may not be the right reform, and it may not get done at all. And while that would be the worst of all possible worlds... I think we may have the necessary wake up call here to finally think seriously about a different kind of reform - the one where we ask more about the healthcare we're getting, and less about the insurance we use to "pay" for it.
Recent Comments