Did you see Obama's speech to Congress? Did you? I heard that it reinvigorated America and brought fresh life to the cause of health care reform. It was apparently as
if "a real grownup was finally speaking on the issues." Americans now
agree that he's better on healthcare than ever. He "
sounded like a winner." And a girl that I took to a really good Indian restaurant last night said "He just, like, stared them [the Republican Opposition] down."
I'll admit that I did not intend to watch the speech, or pay it much attention. I don't think Obama's a great speaker. All of things he's praised for--honesty, consistency, sounding intelligent--are only so exalted because recent precedent has been so debased. Obama's no RFK, and RFK was no Martin Luther King, etc etc to the time of Moses and Yahweh and the guys who really knew how to get the fear of God into you. Also, while speeches can have a significant upward or downward effect on the polls, I look rather toward performance over the long-term for a gauge of how well a politician can capture the public imagination.
Two things prompted me to change my ways. Both come from my favorite blog, naked capitalism. The first was a link to an
article entitled "Tactical Error: Health Care vs Finance Regulatory Reform," by someone named Barry Ritholtz on a blog called The Big Picture. The title is not at all opaque.
There was a narrow window to effect a full regulatory reform of Wall Street, the Banking Industry and other causes of the collapse. Instead, the White House tacked in a different direction, pursuing health care reform.
This was an enormous miscalculation.
[...]
This was a colossal blunder. Passing reform legislation successfully would have fulfilled the campaign promise of “Change;” it would have created legislative momentum. It could have provided a healthy outlet for the Tea Party anger and the raucous Town Hall meetings. It might have even led to a “throw the Bums out” attitude in the mid-term elections, forcing the most radical de-regulators from office.
It was a bizarre move to shut down financial reregulation completely in the early part of the year. I use the word 'bizarre' not because I don't understand why it happened--we can ask Summers and Geithner about that--but because it was an unbelievably stupid move, politically. Ritholtz is right; and the substance of the reform legislation wouldn't even have been important. Naturally, a good bill would have been the best of all possible worlds. A bad bill, however, would have at least bought Obama credit as the punisher of Wall Street, and would still have made it very difficult for Republicans to pin responsibility for the poor state of the economy on him.
Instead, the Democrats let the Republicans beat their chests and call for a witch hunt against the bankers, effectively severing any link between themselves and finance in the public imagination. Then, the Democrats let the whole thing slide. Stock market not about to collapse anymore? Good, let's move on.
And where did we move onto? It wasn't some small Democratic pet project that could buy some short-term public support in advance of bigger schemes. No, it was the mother of them all, the Clinton-killer: health care reform. I think the results speak for themselves. Health care is a fiasco. You can even hear that in Obama's speech, and this is where the second reason to pay attention to it, a
post on naked capitalism by Martin Auerbach, comes in.
Auerbach wasn't too impressed.
Yet Obama is not prepared to grasp the nettle. His speech was even weaker than the spin preceding the joint address to Congress suggested. I thought the Obama people were lowering expectations with a view toward a big positive surprise and they managed to go even lower than the bar they set. He took caricatured positions on single payer in order to create a false “centrist” option. The President has basically has[sic] reduced the public option to a marginal welfare style program for 5% of the population, rather than seeing it as a way to break the monopoly of the private health insurance companies, thereby helping to reduce costs. He’s basically forcing everybody into a private health insurance run program
For those of who you are wondering, this is the part of the speech he's talking about:
Now, I have no interest in putting insurance companies out of business. They provide a legitimate service, and employ a lot of our friends and neighbors. I just want to hold them accountable. (Applause.) And the insurance reforms that I've already mentioned would do just that. But an additional step we can take to keep insurance companies honest is by making a not-for-profit public option available in the insurance exchange. (Applause.) Now, let me be clear. Let me be clear. It would only be an option for those who don't have insurance. No one would be forced to choose it, and it would not impact those of you who already have insurance. In fact, based on Congressional Budget Office estimates, we believe that less than 5 percent of Americans would sign up.
I'd quote more about the public option, but in a speech of 7500 words, it's mentioned in something like three paragraphs. The rest is about how the program won't cost a lot of money, cutting waste and inefficiency in Medicare, Ted Kennedy, and meeting the challenges of the day. I was under the impression that the public option was the main thrust of reform, and for the very good reason that it's the only real way to tackle the unbelievably high price of health care here. It's only intended to cover 5% of the population?
It's the cost of healthcare, not the availability of insurance, that is at issue. That's Auerbach's point, and it's a damn good one. What good is insurance to anyone if it's gotta be $15,000 a year? No one in my family could afford that. If the government subsidized us, great, but there's no way that that could be sustainable, not with premiums shooting up by 20% a year. Our problem is that nobody in a prominent public position has told the truth, which is that we are being massively gouged by the healthcare sector. They expect enormous rents--doctors being the best paid profession in America--and they do not have any intention of giving them up. The fact of the matter is that healthcare can be provided universally in other countries, whether publicly or privately, because healthcare simply isn't as expensive, unit for unit. The Netherlands does not have a single-payer system, and yet a health care policy averages 400 euros a year per person. Seeing a doctor in New York for ten minutes is $400. Therein lies the problem.
Healthcare reform will be accomplished only as a macro goal, by a sectoral redistribution of capital and rents. The same is true of finance. What is wrong is that income shares have become so distorted by thirty years of Reaganomics that powerful interests have not only crystallized around these distortions, but have acquired the resources to defend them. And if you think that they aren't perfectly aware of what they're doing, consider
this investment report, written by Citigroup, which outlines the 'new' state of affairs:
We will posit that: 1) the world is dividing into two blocs - the plutonomies, where economic growth is powered by and largely consumed by the wealthy few, and the rest. Plutonomies have occurred before in sixteenth century Spain, in seventeenth century Holland, the Gilded Age and the Roaring Twenties in the U.S. What are the common drivers of Plutonomy?
Disruptive technology-driven productivity gains, creative financial innovation, capitalist-friendly cooperative governments, an international dimension of immigrants and overseas conquests invigorating wealth creation, the rule of law, and patenting inventions. Often these wealth waves involve great complexity, exploited best by the rich and educated of the time.
2) We project that the plutonomies (the U.S., UK, and Canada) will likely see even more income inequality, disproportionately feeding off a further rise in the profit share in their economies, capitalist-friendly governments, more technology-driven productivity, and globalization.
[...]
The earth is being held up by the muscular arms of its entrepreneur-plutocrats, like it, or not.
Or not, indeed. Plutonomists don't give up plutonomy easy. As long as it stands, however, healthcare reform will go down in flames, and, from the looks of it, this whole Democratic coup with it.