Thank You John Edwards for Changing Health Care Politics

After the defeat of "Hillary Care" in the 1996 election Bill Clinton ran for reelection on an tempered and incremental health care plan plan. In 2000 Al Gore had a tempered and incremental health care plan.  In 2004 most of the major Democratic candidates including the eventual nominee, John Kerry, ran on tempered and incremental health care plans.  

Such was the state of timidity around health care in the wake of "Hillary Care" that for three election cycles in a row the Democratic nominee did not offer anything approaching universal health care.  As Paul Krugman reports in the New York Times this morning at first it looked like Hillary Clinton was set to follow the same timid course as she tried for the nomination this year.

To see how much things have changed, consider Hillary Clinton>'s evolution. Just 15 months ago, The New York Times reported that "her plans to expand coverage are tempered and incremental," and that "she continues to shy from the ultimate challenge: describing what a comprehensive Democratic health care plan would look like."

Indeed, when she was asked how costs might be controlled, she demurred: "It depends on what kind of system you're devising. And that's still not at all clear to me, what the body politic will bear."

Then things changed.  John Edwards stepped up with a bold and well thought out plan delivered universal health care helped control costs and that was credible politically.  He challenged his rivals to do the same.  Krugman again:

John Edwards broke the issue of health care reform open in February, when he proposed a smart and serious plan for universal health insurance -- and bravely announced his willingness to pay for the plan by letting some of the Bush tax cuts expire. Suddenly, universal health care went from being a distant progressive dream to something you could actually envision happening in the next administration.

Now, thanks to John Edwards leadership, as Krugman notes all three of the leading Democratic candidates have credible universal or near universal health care plans.  But the political fight is not over.  The Republicans will demagogue to their last breath to scuttle a new social safety net plan that they fear will be too popular for them to dismantle in the future. One part of the political fight is over, the Democrats are engaged, the real battle is still to come:

That's why the long delay before Senator Clinton announced her health care plan made supporters of universal care, myself included, so nervous -- a nervousness that is not completely assuaged by the fact that she finally did deliver. It's good to know that whoever gets the Democratic nomination will run on a very good health care plan. What remains is the question of whether he or she will have the determination to turn that plan into reality.

(Emphasis Mine)

Any thoughts as to who that might be?

Cross Posted at Boston for Edwards

[editor's note, by MassEyesandEars] Corrected typo in title.

Display:


Re: Thank You John Edwards for Changing Health Car (2.00 / 2)

Well, one difference for sure is that Edwards is not going have food at the table when sitting with the big lobbyists from pharma and insurance companies, or else they will try to snatch it all!


by benny06 on Fri Sep 21, 2007 at 01:52:51 PM EST

you are just making shit up (none / 0)

and people are going to start troll rating you for it.


DON'T COUNT THE VOTES, DON'T COUNT THE VOTES.... Obama and the Obamaettes... spring 2008
by TeresaINPennsylvania on Fri Sep 21, 2007 at 05:42:31 PM EST
[ Parent ]

Re: (2.00 / 1)

I find this contention overwrought.  Here is why.

1. Clinton is quite obviously a pioneer when it comes to UHC.  She championed it when nobody else did.  It has always been THE most important issue to her, whether Edwards runs or not.

2. She co-developed S-CHIP, which aims to cover all children with Universal Care.  S-CHIP was designed with loopholes to allow states to turn it into a defacto Universal Health Care plan for all.  For instance, in Minnesota S-CHIP primarily covers adults (to the tune of 87% adults) with many of the other states expanding S-CHIP coverage to adults as well.   Clinton's work on S-CHIP has been ongoing for many years, and her recent bill (currently in Congress) aimed at expanding S-CHIP to more and more adults, triple the budget, and expand maximum wage requirements for coverage to four times the poverty line (approx. 80,000/family of four.)  Edwards has no bearing on this program, which in essence is the ongoing effort by Clinton to bring UHC to more and more citizens (kids and adults) and expand it further and further until it essentially becomes a de-facto UHC system for many states and all its citizens.

3. The timing is absolutely smart.  I personally find it curious and low-effect to release a plan or program early on in the campaign.  Should it not be released for maximum impact when most people pay attention?  We are not criticizing Edwards or Obama (or Clinton) for not having many of the new plans they are unveiling on a weekly basis as we speak sometime in February or March.  You generally release your major plans in fall to capture as large an audience as possible.   That is just how it has always been.

However, I DO agree that anyone who jumps into the health care debate can only strengthen the debate and make eventual passage of a UHC system a reality.  In that sense, win or lose, I hope Edwards sticks around to help get UHC through Congress.   I am looking for him in a possible Dept. of Labor or HUD capacity, tie him back into government.  


by georgep on Fri Sep 21, 2007 at 01:59:26 PM EST

Re: (none / 0)

She was laudable in her efforts in 1993-1994, but since then the entire Democratic Party has been silent on UHC, including the Clintons.  We can't know for sure what she would have done without the Edwards plan, but she certainly wasn't stepping up.  And it was clear after he announced his and Obama followed she had no choice but to be at least as ambitious.


by MassEyesandEars on Fri Sep 21, 2007 at 03:57:30 PM EST
[ Parent ]

Re: (none / 0)

except SCHIP worked to that goal... are you just going to ignore SCHIP?


vote blue in 2008
by sepulvedaj3 on Fri Sep 21, 2007 at 04:50:42 PM EST
[ Parent ]

Re: (2.00 / 1)

Adults are people too.  SCHIP is fine, and laudable.  But it is in no way shape or form a substitute for UNIVERSAL health care.


by MassEyesandEars on Sat Sep 22, 2007 at 08:55:45 AM EST
[ Parent ]

wrong (none / 0)

DK has been for single payer for years as has Gore since 2002. Edwards plan will kill single payer. You are right when you say that we don't know what Clinton would have done barring Edwards coming out with his plan, so why does Krugman and your diary try to make the case that Clinton was influenced by his plan?


DON'T COUNT THE VOTES, DON'T COUNT THE VOTES.... Obama and the Obamaettes... spring 2008
by TeresaINPennsylvania on Fri Sep 21, 2007 at 05:46:03 PM EST
[ Parent ]

How would the Edwards plan kill (none / 0)

single payer?
by edgery on Fri Sep 21, 2007 at 06:23:22 PM EST
[ Parent ]

Re: wrong (none / 0)

Because Edwards is a real threat to win, Gore isn't running and Clinton doesn't think DK has a chance of winning.  She was influenced because Edwards forced the issue back into the mainstream, especially after Obama followed him.


by MassEyesandEars on Sat Sep 22, 2007 at 08:59:18 AM EST
[ Parent ]

Re: (none / 0)

When the UHC failed in 1993/1994 Clinton set out to bring about UHC in incremental steps.  The idea was to start off with a program that covers children (who would oppose that?) and expand it in steps until it essentially was the same as having UHC.  The title of that program was "Kids first," which was the model for S-CHIP.  As you can see when you do the research, S-CHIP has been expanded to cover many adults in addition to children in 14 states already, many other states were getting ready to plug into it the same way those 14 states had been (covering many needy adults in addition to children.)  Clinton's proposed expansion of S-CHIP was a huge step towards that goal, as it triples in size, extends the coverage age to 25 yrs. (plus the loophole exemptions) and increases elegebility to people with incomes up to 80,000/family of 4.

Iniitially "Kids first," then S-CHIP was the way Clinton saw to turn the defeat of the massive UHC overhaul into an "incremental step program" to make UHC a reality, by covering kids first, showing the program's efficiency and simplicity, then expanding it step by step until all uninsureds are eventually covered.  That effort is still ongoing, but will obviously make way and be incorporated into any new UHC program, should Clinton win.  


by georgep on Fri Sep 21, 2007 at 06:30:58 PM EST
[ Parent ]

Re: ENEVITABILITY (none / 0)

wHAT ARROGANCE, cLINTON IS ALREADY THE NOMINEE.


by BDM on Fri Sep 21, 2007 at 04:59:42 PM EST
[ Parent ]

Re: ENEVITABILITY (none / 0)

Please don't flame, BDM.  Whatever you have to say can be said with a lot more respect for your fellow blogger.  Thanks for heeding the clarion call for better communication (as per Todd Beeton) in the future.  

BTW, writing an entire post in ALL CAPS is akin to yelling, another thing that is not very nice when engaging in a discussion.  


by georgep on Fri Sep 21, 2007 at 05:13:05 PM EST
[ Parent ]

huh? (none / 0)

WHAT ARE YOU YELLING ABOUT?


DON'T COUNT THE VOTES, DON'T COUNT THE VOTES.... Obama and the Obamaettes... spring 2008
by TeresaINPennsylvania on Fri Sep 21, 2007 at 05:50:46 PM EST
[ Parent ]

Re: (none / 0)

"1. Clinton is quite obviously a pioneer when it comes to UHC.  She championed it when nobody else did..."

Um....yeah. How about FDR, Truman, Johnson, and freakin' Nixon?


by adamterando on Sat Sep 22, 2007 at 10:35:33 AM EST
[ Parent ]

Re: I remember (none / 0)

No - her husband ran on universal health care, promised that everyone would be covered. He asked his wife to head up a task force. Bill Clinton never did submit a health care bill to congress for a vote. There was no health care bill. I disagree that Sen. Clinton is an expert, disagree that she or her husband are fighters for health care, or any other populist plans. They say they "fight" but their kind of fighting includes losing. What Clinton really did fight for was NAFTA. Now that was a full-court press.


by mrobinsong on Sat Sep 22, 2007 at 06:28:30 PM EST
[ Parent ]

interesting (none / 0)

that Krugman sees them as similar.


McCain - a serial Opportunist, from marriage to policy positions
by TarHeel on Fri Sep 21, 2007 at 02:22:29 PM EST

not really (none / 0)

since he has been pimping Edwards for months.


DON'T COUNT THE VOTES, DON'T COUNT THE VOTES.... Obama and the Obamaettes... spring 2008
by TeresaINPennsylvania on Fri Sep 21, 2007 at 05:49:59 PM EST
[ Parent ]

Re: not really (none / 0)

Probably because he sees who Edwards surrounds himself with versus who Hillary and Obama surround themselves with. Based on that it's pretty obvious who would have the most progressive administration if they were elected. And Krugman, being a strong progressive, made the obvious choice.


by adamterando on Sat Sep 22, 2007 at 10:39:57 AM EST
[ Parent ]

Krugman, Leadership, History and New Questions (2.00 / 2)

I agree with Krugman's analysis.

As I have previously indicated, and Krugman essentially notes, American history will show that John Edwards was the first top tier candidate for President of the United States to propose a detailed, truly universal health care plan to the voters. His leadership was a game changer. Both Obama and Clinton, the other top tier candidates, were forced to respond, and then chose to offer their own detailed plans.

History will also show that Hillary Clinton in particular started the presidential race with a different approach, a cautious approach, an "end of my second term" approach. At the very first presidential candidates' forum on February 21, 2007 in Carson City, Nevada, Hillary Clinton told the nation:

Well I want to have universal health care coverage by the end of my second term. And with everybody working on that. I think we can do it.

Speaking to the overflow crowd in Carson City, immediately after her appearance (preempting the crowd's ability to watch the other candidates), Hillary Clinton repeated her "second term" formulation:

We're going to have universal health care by the end of my two terms.

The unmistakable conclusion to be drawn from her public position was that Clinton was NOT planning to release a detailed plan for universal health care, and run for president in 2008 with that detailed plan.

At some point, she and her campaign changed their collective mind on this. They decided it was going to be a first term thing.  I find her/their decision very interesting...unexpected even...and also a game changer.  

The terms of the universal health care debate (at least for the fraction of America that is actually paying attention to all of this...10%?) will now shift to:

a) Whose plan is the best?  
b) Which of the three candidates has the best approach to ensuring that universal health care will actually be passed in 2009?  
c) Which of the three candidates is the least likely to compromise with their veto power and bully pulpit, such that the universal health care legislation that finally passes is what the people and principle demand, rather than what lobbyists and wiggle room allow?

The debate on the first question has yet to really be joined.  But on the second and third question...

History will again show that Edwards is the first top tier candidate for President of the United States to throw down the gauntlet, to really address, to tackle head on, questions "b" and "c."  This presidential candidate is serious.

In a speech given on September 17, 2007, before the Laborers Leadership Convention in Chicago, Edwards explained to the nation his proposal for ensuring that universal health care will be passed in 2009:

on the first day of my administration, I will submit legislation that ends health care coverage for the president, all members of Congress, and all senior political appointees in both branches of government on July 20th, 2009 - unless we have passed universal health care reform.

I have noticed that partisans from other campaigns have criticized Edwards for being so bold as to offer an actual approach to ensuring passage in 2009. But the irony is that this single Edwards proposal is perhaps the greatest game changer in the whole universal health care debate.  

Yes, Congress would have to pass such legislation, and Edwards would then sign it, but think about Edwards' approach here. If Edwards becomes the nominee, it is virtually assured that every Democrat running for Congress will adopt Edwards' position.  Universal health care passage by July of 2009 would become the de facto position of the Democratic Party.

Still a naysayer?  For you naysayers...even if you assume that a handful of Democrats running for Congress would be shy about explicitly promising this when they run in 2008, if Edwards explicitly and repeatedly tells the voters that this is what he, and the country will do if he is elected, and he wins the election of 2008, it is highly unlikely that Congress will be able to resist his explicit mandate. If the American people want universal health care in 2009, they will get it.

Lastly, on the issue of compromising, and settling for "a watered-down, sausage universal health care", Edwards has again laid down the gauntlet in that same speech:

I will not compromise on universal health care - not on coverage, not on quality, not on cost. I'll fight for it with everything I've got.  ... There are four principles that have to be met: it must be truly universal. Anyone who has health care must be able to keep it, but they should pay less for it. Anyone who doesn't have health care must get it, with help if they can't afford it. Doctors and patients, not insurance companies and HMOs, must have control of health care decisions.

It's going to take some time, and probably some expensive polling by Clinton and Obama to fish out the voters, (to determine if the MSM has reached them about Edwards' positions), but I predict today that both Obama and Clinton will again follow Edwards' lead, and substantially adopt John Edwards' positions on questions b and c.


by Demo37 on Fri Sep 21, 2007 at 08:06:54 PM EST


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