This week I had a chance to facilitate a meeting at Rep Jan Schakowsky’s Chicago office for a group of her constituents. Organized by Credo and FDL, this meeting was set up with Leslie Combs, Jan’s local chief of staff and 21 constituents showed up – on a workday afternoon – to give voice to their concerns on health care reform.
And their voices are ones that we are not hearing in all the media coverage and so-called debate.
These constituents were quite a group – engaged voters all, thoughtful and sharp – several carried printouts of articles and posts about health care issues that particularly matter to them, all carried their personal stories and each spoke up to tell their story and their concerns. While the age range was broad – young moms to senior citizens – some insured, some not, one former benefits HR person, one former insurance worker – these folks are the backbone of the democratic party and given what I heard, the Democrats better start listening closely to them. They are not happy – and in many ways their confusion and fear at the falling apart reform process is even greater than that shouted anger of the right wing mobs.
All expressed intense insecurity about their current personal health care situation – well, all except one woman who mentioned she has just qualified for medicare and is “so relieved.” Several were uninsured workers, others were self-insured entrepreneurs who cannot afford the $1,000 a month cost of their own coverage. But most striking were the many who have insurance – oftern noting they personally have really good insurance – but who still face serious problems getting and affording essential care. Most moving was the tale told by one mom who brought her 4 year old daughter with her. Her daughter has a severe chronic condition and, while they have very good employer-based insurance, the mom described the struggles required to get basic services approved and paid for her daughter.
As I sat listening to each in turn, I was struck by how strong the fear is – not the crazy fear of the town hall mobs, but the quiet but persistent fear these voters feel day in and day out – that at any moment their lives might be destroyed by the disaster of our current system.
Each asked that Jan protect the public option.
And each expressed so much confusion over what health care reform will mean.
These were voters who follow the media, blogs, news shows – they pay attention and they ask questions, good questions, lots of questions. Yet if pressed not a single person in the room could have really stated where the administration or Jan and her congressional colleagues really stand and what they are really proposing. Leslie was wonderful. She had obviously prepared for this meeting, spent way more than the scheduled time so everyone would have a chance to speak - and she did her best to provide answers based on the current state of play in congress but it was obvious that even she was finding it hard – the latest text of the bill is immense and nothing is clear.
The official position from Jan’s office seemed to be “Jan is a cosponsor of the single payer” bill – and a few participants seemed happy with that. But then Leslie noted that that won’t pass and that “we don’t have the votes” and the fallback seemed to be … well … nothing. Jan shares our concerns, Jan is fighting for the best possible, Jan is trying … but there was no firewall against bad legislaton, no here’s what we do next, no coherent message of “here are precisely the conditions that must be met to get Jan’s vote.”
And this to me was the most shining example of how wrong things have gone. The Democrats – whether administration or progressive leadership like Jan – have not delivered a core message, a list of “must have” or an explanation of precisely what must be done.
And none are responding to what was the most pervasive fear expressed throughout this meeting – the fear that this so-called reform will actually mean that we will be “forced to pass a crappy bill forcing us to pay for crappy insurance that just makes the crappy insurance companies richer.”
What the Democrats don’t seem to realize is that while democratic voters may not be as momentarily loud and visibly angry as the lobbyist’s astroturf mobs, regular voters, voters who form the backbone of the party, are angry and scared and confused. For the moment, they are quietspoken and polite and want to believe their reps will do the right thing. They are looking to leaders like Congresswoman Schakowsky to get it right. They know the price for failing on health care will be enormous in their own lives and any politician who thinks excuses and justifications for a bad bill will be enough to counter that cost should take a closer listen to their real constituents.
The anger of the media show town halls will be nothing compared to the anger of these constituents if the public option fails.
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Neither can I how can we debate stuff if everything is up in the air how can we fight if we don’t really know what we are fighting for?
Jan needs a fall back plan I’m starting to wonder if her and Rahm are really Chicago Politicians. You have to be willing to say NO to a bad deal if you can’t you always end up paying more.
Mr. Gnome and I face the prospect of no insurance after our COBRA coverage runs out next year. We cannot wait until 2013. By then Mr. Gnome qualifies for Medicare, but without insurance before then he will be dead. He has cancer that is controlled through medication. We live in Texas, which has the most expensive and the worst “public” insurance available of any state $2000 a month for 60% coverage. Our most viable option? Moving back to Massachusetts, where they have insurance available for everyone. It is also where his oncologist is.
What is Mayor Daley’s position on this he has the clout to lean on Rahm, Jan and Obama if he wants too. Of course there is a difference between public desires and real ones the difference is da Mayor acts on his real desires.
Thanks Siun this is exactly how many of us feel… Disillusioned with all these loud mouthed asshole at all these so called “Town Halls” Who to me are nothing but shills for big money! They have also been scared and driven to scream and shout at these meetings by the lies of the right. I don’t know how to counter them but we must do it or the can will be kicked down the road and the insurance companies and republicans will win this fight.
Without Single Payer, Government run coverage the majority of the population will lose their medical care! And then where will we all be??
” will be nothing compared to the anger of these constituents if the public option fails”
Yes, they will probably never vote again.
Just where the employers want you. Obedient or dead.
I’m sorry to hear that Gnome. But you made a great point we are in a recession now! We can’t afford healthcare now! How many more people will die before 2013 when they get healthcare who could be saved/
End the wars now and use the cash to give us healthcare. Its not like you are attacking Ossama so why are we there?
Thank goodness these folks are talking directly to their representatives.
Only one process detail matters to me at this point regarding any particular Democrat: Will they promise to vote against any bill that does not have a public option? That’s the only leverage we have.
I’ll vote, but not for someone on the national or congressional ticket. No public option = no vote.
How true! But most Employers need good workers. You would think They would want a Government run Health system so as to take the yoke of the Health Insurance Companies off their back… Seems they are just like most middle class Republicans who consistently Vote against their own best interests!! WTF is with that just plain stupid?? I just can’t understand them!!!
Schakowsky has been a disappointment. She seems content with a cosmetic vote for the rubes, but to actually lead and speak out? Not so much. I continue to think she is angling to replace Burris in Obama’s old Senate seat and is willing to do a fair amount of sucking up to see that happen.
I think there is a large political lesson that the opposition to single-payer and public option is learning here. The opposition is creating a foundation here to take-down Medicare. You think I am joking? You think it would be foolhardy? I think you are naive. If wackos defeat ObamaRahma this time around, they will be emboldened and they will fall back onto the old meme about ALL government healthcare breaking the US budget. They will have a scalp to prove it. This battle is far more serious than the Obama bunglers realize.
OMG, Gnome. The democrats better buck up.
Yup. That is exactly what Dick Armey is all about.
They just want to bargain their vote away at the last minute, so they are all unwilling to draw a line in the sand now. They are afraid that their constituents will remember what they promised, and what they’ve bargained away, when Rahm comes calling with treats or threats.
Great posting — I am in Jan’s district and am very disappointed in myself that I was aware that this was happening as I would have enjoyed attending. With business travel, I kind of fell of the grid so to speak the past couple of weeks.
Which means I am lucky. I have a job that I actually enjoy and I have health insurance — fairly good health insurance. But regardless, I too have a simmering anger. To hear Conrad state that the public option is a wasted effort and Sebelius saying that the public option is not the essential element for reform, I literally become enraged. Not to mention when Senator Durbin (whom I mentioned in another posting that I had to figuratively hold my nose while voting for the wet noodle) said that the public option may not be possible, I about threw my laptop across the room. Someone needs to remind him that the Whip has a specific job to do and that he is not doing it . . . at all.
Once again, big business has hijacked the lawmakers, and the lawmakers put on their “town halls” to convince their constituents about the need of a public option when it isn’t the constituents that need convincing. It is one big staged Kabuki theatre in which they can go back to Washington and say they tried but the public is just not with them. And the brain dead press will dutifully write it down to cover their asses.
And the poor and most of the middle class in this country will continue to suffer because of the greed of a few. But mostly because of the cowards we have in office. It is really, really infuriating.
I am so sorry to hear of your plight. Might Mr. Gnome be eligible for disability insurance? I was approved approximately six months after submitting my application. Typically one has to receive benefits for two years before becoming eligible for Medicare but because my approval was retroactive to January of the previous year I only had to wait about eight months.
Social Security next.
It is important to consider that Obama and Rahm may not be defeated here, that what we see happening is what they want. And re Medicare, Obama is talking about cuts to Medicare but he is couching them in terms of making it more efficient. Compared to private plans it is extremely efficient. And of course one of the areas where Medicare could really save money, drug prescriptions, looks like it has been taken off the table.
This is a telling diary Siun – thanks.
We have been failed by the critters in congress.
This is really a simple problem. We need to deliver health care to the people. We currently spend way way way more per capital doing a bad job for most, a great job for a very few and no care for the rest.
The providers are in place and available to provide the care we are talking about. The money is there because we are already paying 2x per capita and with worse outcomes.
Mandate prices -
Mandate insurance rates and profit margins for insurance companies, drug companies and other providers
If insurers don’t want to make those margins, let the gov pay the providers at the mandated fees.
The “free” market is not working except for the OWNERS of the companies in the game. Working to them is making money.
YOU DON’T MAKE MONEY ON PEOPLE’S SUFFERING, PAIN, FEAR – that’s unamerican. unpatriotic and perverse.
Ding ding ding! We have a winner.
Rahm laughs at progressives.
Obama needs to keep making his point, which he has done, but not much, that reform in health care will help the economy. Forced buying of private care, even called exchanges, is crazy to give the hated private insurers even more power (though without the right to deny or cancel, apparently).
WHITE HOUSE BAILS ON PUBLIC OPTION
In case you haven’t heard yet, the White House has once again had one of its spokespersons declare that the public option isn’t necessary to achieve health care reform. That Emanuel fella was the first to bail. And now Sebelius follows suit. Say good bye to health care reform.
Obama will sign off on what ever bucket of slop Congress tosses on his desk. The slop of course will be ballyhooed as a giant step forward for health care. But this president has a spine as floppy as a strand of overcooked spaghetti and Congress will treat him as the slouch he has shown himself to be.
What a bunch of wusses in his administration. Not a fighter in the lot of them. I voted for Obama because I thought his policies would bring about some genuine change. I thought he had the gumption to fight for them. Instead, Obama has shown himself to be nothing more than a spineless politician.
Democrats who lust for corporate payoff money are fond of calling themselves “centrists.” I don’t know who originated that phony term, but so-called centrists are right-wingers who will do whatever is necessary to promote the Wall Street/corporate agenda in exchange for the payoff money they so desperately covet. Obama is a card carrying member of that right wing group.
It appears Obama simply doesn’t have the backbone to stand up for the people who handed him the presidency, that is, us main streeters. Wall Street reform, bank reform and now health care reform have been thrown overboard like so much refuse on a floundering ship. The captain of that ship and the responsible party is Obama himself. His policies so far represent a betrayal of his supporters. His message to the middle class and to the unemployed of Ohio, Michigan, North Carolina and all of the unemployed and underemployed across the country is “don’t call us , we’ll call you.”
Thanks a lot George W. Obama.
By the way, I thought George Bush was little more than a thug. But he was a loyal thug. Give him credit for that. He gave trillions of dollars of tax cuts to the people who bought him presidency.
Here’s a message to Obama from a disappointed supporter. Liberals may have no place to go during the 2012 election. But independents won’t support a wimp for president.
Thanks for the suggestion Ratfood. We’ve thought about that, but from what we have heard it would take two years to get qualified. Mr. Gnome isn’t completely disabled. He still works as a consultant as his energy allows – we are both self-employed.
I actually think that you are right.
Which is why Democrats better slam a fait accompli through Congress. If it is just as hard to put through the public option as single-payer, maybe single-payer should be slammed through. The public understands single-payer: “Enhanced and improved Medicare for all” The public is frightened of HR 3200 and the HELP Committee plan because nobody has really bothered to explain what is in them. And Conrad has not gone out of his way to explain exactly how his pet co-ops are supposed to work.
I think that the best pre-emptive strike on those who want to undo Medicare is to pass single-payer. But then, I’m not in Congress and not mealy-mouthed enough to qualify for the job.
Since the WH has thrown in the towel, looks like the people who elected Obama have now been abandoned by Obama…This looks like a complete capitulation to the irrational voices and the NeoNut noise machine…
Since Obama bet his presidency on this legislation – he’s done.
You are allowed to work while receiving disability benefits. You are only allowed to keep two thirds of your earnings above a certain threshold. More info available at the Social Security website.
Thank you, thank you, for this post. I am one of those with healthcare that has almost bankrupted my family trying to keep my child alive. I have been doing everything I can possibly do to make my voice heard but I don’t feel like any of my reps or any of the dems for that matter give a shit about people like me and those who are worse off. Why aren’t we being heard? Why aren’t our voices part of the debate?
Maybe it’s time to throw all of the bums out…the folks that vote for anything with out a “robust public option”.
I’m with ChicagoTodd. I have good (Kaiser) insurance. I wish everyone could have what I have…and even though I just retired at 56, I’ll have Kaiser until medicare via union contract.
It’s been over twenty years since I had health insurance. On the rare occasion I see a doctor.. we speak in code so they don’t have to document something which could cause me trouble on an insurance application at a later date. And we talk about all the things the doctor wants to do… but cannot consider because of the cost.
Had I been insured… there would not have been the non checkups I purchased without insurance.
All my friends who are slightly older than myself (currently insured or not).. just pray out loud in one form or another in hope that they live to make it into Medicare.
I don’t agree with the premise of this post. I used to live in Jan’s district and now live very close to Jan’s district in the IL-10, and from my observations, most of her constituents wanted single payer. Jan took a lot of heat for backing off single payer, which she once supported, when she joined Obama and HCAN. I was at an event this past spring in Chicago where Jan said she was still for single payer, but felt the public option was the best we could get. I think that was a mistake because taking single payer off the table made things worse, not better for reformers. With such a complicated bill that failed to show cost savings, they left the door open to all the nonsense we are hearing now. It should have been Medicare for all and we should have made the anti-reformers tell Grandma that they were against her Medicare, not begging Grandma to understand that no one’s trying to kill her.
I wish that I had been part of this meeting. Evaluating the actions of legislators has been like trying to guess my weight in a fun-house mirror.
Witness:
1. Rahm, Messina (of questionable pedigree) cut a deal with Pharma, which all parties walk back this week.
2. Jan does something with Energy and Commerce Blue Dogs which results in their agreement to the bill from that committee.
3. I write Jan on 8/10 about taking the FDL public option pledge and she responds that she does not know which pledge I am asking her to take. I would think that as a member of Progressive Caucus and as Chief Deputy Whip she would know exactly what I am talking about. Did anyone ask here to take the FDL public option pledge? Did she?
4. HHS secretary backs away from public option.
Can someone who was at the meeting help me read the tea leaves?
The people are wrong to put the trust in the congress. The system has been completely compromised by money interests. Government is supposed to make sure the people are not getting screwed by enemies foreign or domestic.
We’re not getting screwed by foreign enemies, but we are by domestic ones – the corporations that employ us, make our food, sell us products, sell us health services, sell us information.
Our enemies are the corporations which we need and which exploit us. We are no better of than slaves.
No one can lead.
The people must take back their government and it will not be at the ballot box. Cheated in 2000, and 2004 and sold a bill of goods in 2008.
Only one person needs to lean on Emanuel. This sure as hell isn’t just a Chicago thing. Rahm needs to STFU, and if he can’t, Mr. Obama needs to curb his dog.
Obama knew what he was getting when he chose Rahm for COS and I don’t believe Rahm is a rogue official. If he is undermining everything we hold dear it is because that is what the CIC wants.
Wow, didn’t know. {{{{GDP/Mr.GDP}}}
PhoenixWoman had a diary up where Gibb was still saying that Obama supported a public option, but with all the different messages coming out of the White House this is increasingly hard to believe. I can’t help thinking that this is another ploy to keep the rubes (us) quiet.
And Social Security.
Gibbs and Obama need to check with President Emmanuel.
We want to provide health care insurance for our employees, but it is getting so expensive that it won’t be long, before we have no choice but to drop it.
If we have to pay an insurance company regardless and they keep raising their rates, it will be a disaster with the CEOs laughing all the way to the bank.
Dude, keep your f___in’ Government mitts off my Medicare.
Employment and health insurance need to be separated. Employers offered health insurance to prospective employees after WWII to attract good workers. There is no reason to keep that forced realtionship. It is one reason that we babyboomers are not as employable to companies because we are aging and our insurance needs are greater.
It’s three years until 2012. We can get some place to go if we’re willing to form a new party.
TarheelDem, what do you mean “maybe?”
Progressive taxation.. single payer.
Murder insurance companies.
What gets me is how anyone could question Obama’s commitment to a public option after this ringing endorsement he made of it yesterday:
http://www.nytimes.com/2009/08…..s.html?hpw
We’d have to throw out the plutocrats first.
Loo Hoo, we’ll have to throw everyone out who doesn’t vote for HR 676 because there’s no robust public option plan on the floor of either House. If you want to threaten Congresspersons, you have to use not voting HR 676, Medicare for All, to do it.
Of course, Medicare for All was a much better message.
Not true, at least half of those “protesting” at these town-hall events are on Medicare. (Didn’t one of them actually say: “Keep your Government hands off my Medicare.”?)
Folks, even wing-nut, low information voters really like Medicare. There’s no way the Republicans can kill it. In fact Dems screwed up but not framing this as an expansion of Medicare. People understand that and those with Medicare protesting against the expansion of it would be put in the position of explaining why others shouldn’t get what they have. They are in that position now, but its not clear enough for the Main Stream Media to understand.
I like what Chris Hays said Netroots this week in explaining HR 3200 – it is a road map of how to get through mountains (insurance companies) It is not about blowing up the mountains. (paraphrased) As you might guess, I want to blow up a few mountains.
You’ve got it Henk. Medicare for All was the way to victory; but Obama blew it, just like the Clintons were also too smart for it in 1993.
And old folks keep voting for Republicans
MS. MADDOW: This is a really important point. The anti-healthcare reform lobby thinks that Medicare is tyranny, OK?
REP. ARMEY: I did-I said…
MS. MADDOW: This is an-I mean, you said in 1995 that “Medicare is a program I would have no part of in a free world.”
REP. ARMEY: Right. Absolutely right.
MS. MADDOW: You said in 2002, “We’re going to have to bite the bullet on Social Security and phase it out over a period of time.”
REP. ARMEY: And I’m going to enumerate exactly what I’m talking about. Medicare…
MS. MADDOW: Americans need to know this is your position and this is the position of the anti-healthcare reform lobby.
borrowed from C & L
As a fellow Illinois voter, I am furious that the Dems are starting to bail on the public option feature of the health care reform. We need to put the screws on any Democrat that does not cooperate on this seminal issue. There is nothing more important for regular Americans than health care that is affordable and effective. We will never have that with the insurance companies running the entire show.
Move back to mass. I dont know why youre in texas, but they will let you die. I face a simillar problem. I am moving home to Vermont. Im leaving Maryland, more money, a 10 year live in Girlfreind and going where i can get good health care. not everyone can just move somewhere to get healthcare. This problem isnt going away no matter what eveil republicans and cowardly democrats do this time
There would be a total boycott. (Maybe Rahm does know what he’s doing.!)
Vermont is one of our considerations, too. We’re in Texas because Mr. Gnome is from here and until he got sick really didn’t want to live anywhere else. I don’t have a “home” to go back to – my parents sold the house and retired to Texas.
I’m not opposed to a new party. Imagine the talent! Both in terms of bloggers and politians.
I agree and support medicare for all. But…the fact of the matter is that our union stepped up for us.
Yup. Take all of our money out of the system for the Democrats. Wonder if anyone has tallied what the netroots have contributed.
Good point. Main Street Democrats for Howard Dean for president in 2012.