Eugene Robinson: Winning Ugly - Democratic Underground

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Tue Dec-22-09 06:07 AM
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Eugene Robinson: Winning Ugly

http://www.truthdig.com/report/item/winning_ugly_20091221/

Winning Ugly

Posted on Dec 22, 2009
By Eugene Robinson

When all is said and done—and, yes, there is a bit more saying and doing to endure, which means that anything can happen—the health care reform legislation that President Barack Obama now seems likely to sign into law, while an unlovely mess, will be remembered as a landmark accomplishment.

The bill making its way through the Senate by the slimmest of margins is imperfect, to say the least. But before listing its many flaws, let’s consider the measure’s one great virtue: For the first time, we will enshrine the principle that all Americans deserve access to medical care regardless of their ability to pay. No longer will it be the policy and practice of our nation to ration health according to wealth.

When you blow away all the smoke, that’s what this fight is about. The Senate bill lacks a public health insurance option, the House bill is burdened by gratuitous abortion restrictions, and the final product of a House-Senate conference will probably have both those failings. But once the idea of universal health care is signed into law, it will be all but impossible to erase. Over time, that idea will be made into reality.

The loose ends are so many and varied, in fact, that it will probably be necessary to revisit the health care issue sooner rather than later. Even if it takes years to get it right, eventually is better than never. History suggests that major new social initiatives have to be perfected over time—and that basic entitlements, once established, are rarely taken away.

Progressives who argue for killing the Senate bill and starting over should explain their position to the 30 million Americans without health insurance who would be covered under this insufficiently progressive legislation. They should recall that when Obama and the Democratic leadership in Congress began this crusade, public opinion was solidly in favor of reform. With polls now showing widespread wariness, with Republicans having confused and frightened many voters who already have adequate health insurance, why would anyone think that beginning from scratch is likely to produce a more progressive result?

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So this isn’t the end of a process that leads to a rational, sustainable, more efficient health care system. It’s the beginning. But when a reform bill passes, as now seems likely, Obama and congressional leaders will have achieved a goal that progressives have sought for decades. They will have established that quality health care should be for all, not just for those who can afford it.

We have a system now in which Americans go bankrupt trying to pay doctors and hospitals to keep them alive. When you have the opportunity to change this, you take it—even if it means winning ugly.