Industry interests are not in their “twilight”

Whether for or against the health care bill, it has bolstered the "way Washington works"

Topics: Healthcare Reform, Washington, D.C.,

(updated below)

The Washington Post‘s Ezra Klein has an amazing post in which he trumpets what he calls the “Twilight of the Interest Groups” reflected by likely passage of the health care bill (h/t).  Why are Interest Groups — once so powerful in Washington — now banished to their “twilight”?  Because, says Ezra, “the Obama administration succeeded at neutralizing every single industry.”  If, by “neutralizing,” Ezra means “bribing and accommodating them to such an extreme degree that they ended up affirmatively supporting a bill that lavishes them with massive benefits,” then he’s absolutely right.  He himself notes what he calls the “remarkable level of industry consensus” in support of the bill:

Pharma supports the bill. Insurers are incoherent on it, but there’s not a ferocious and united campaign to kill the proposal. The American Medical Association has endorsed the Senate bill. The hospitals have endorsed the bill. Labor has endorsed the bill. The business community is split, with larger employers holding their fire.

Indeed, PhRMA is so in favor of this bill that, over the last week, they’ve spent $6 million on an ad campaign aimed at undecided House Democrats to try to pressure them to vote for the bill.  And while the most hackish Obama loyalists (echoing the administration) have been claiming that the health insurance industry is vehemently opposed to and working to defeat this bill, Ezra commendably acknowledges the reality that they have done little in that regard (Marcia Angell — Professor at Harvard Medical School and the former editor of The New England Journal of Medicinesaid a few weeks ago of the health insurance industry:  ”What they’re fighting for is the individual mandate. And if they get that mandate [which the final bill contains], if everyone does have to buy their commercial products, then they’re going to be extremely happy with it“).

Now, if someone wants to argue (as Kevin Drum has) that sleazily bribing these industry interests with secret deals was a necessary evil — a shrewd, pragmatic way to get a health care bill passed, without which it could not have happened  — that’s one thing.  I think that’s debatable  — after all, the central promise of the Obama campaign was that it would circumvent those factions by appealing directly to the armies of citizen-supporters they had lined up –  but at least that’s an honest, rational argument.  Bribing these industries was ugly and sleazy but necessary.

But to pretend that this bill represents the “Twilight of the Interest Groups,” that special interests have been “neutralized,” that this bill is some sort of great victory over the health insurance and drug lobbies, is just hagiography and propaganda.  Being able to force the Government to bribe and accommodate you is not a reflection of your powerlessness; quite the opposite.  Everyone would love to be forced into a “twilight” like that.  It’s one thing for the Obama administration and the DNC to issue self-serving claims like this (we’ve stood up to the insurance and drug companies!), but those who hold themselves out as independent commentators ought to keep their feet on the ground.

As for the related Obama defense that the way this bill was crafted fulfilled his campaign promises because he said he would include these industries “at the table”:  please.  It’s true that Obama did say that, and that this clearly meant he intended to try to accommodate some of their concerns so that they didn’t wage jihad against his bill.  That’s fair enough.  But it’s also true that he repeatedly railed against the Washington practice of crafting bills by negotiating in secret with lobbyists and industry interests, and his whole I’ll-put-these-negotations-on-C-SPAN promise was specifically designed, he said, to prevent a health care bill from being negotiated based on secret deals with the health care and pharmaceutical industries.

You Might Also Like

But that’s exactly how he ended up negotiating this bill — using the exact secret processes that he railed against and which he swore he would banish.  It was only because The Huffington Post‘s Ryan Grim uncovered the secret memo-deal the White House had entered into with PhRMA — a deal they had publicly denied until then and until PhRMA demanded they publicly affirm it — did we know that the administration had agreed to oppose drug re-importation and bulk price negotiations, measures Obama (and the Democrats generally) repeatedly promised to enact.  Indeed, when it came time to vote on drug re-importation, the administration concocted false “safety concerns” about re-importation in order to whip against Byron Dorgan’s re-importation amendment, rather than admit that they really opposed it because they secretly promised they would to PhRMA, which hates drug re-importation because it lowers prices.  And it was only two days ago that we finally had confirmed what (at least to me) was obvious all along:  namely, the White House had agreed in secret with health care industry representatives that there would be no public option in a final bill, even as the President publicly feigned support for it and pretended to be fighting for it.

In other words, this bill was negotiated using the standard, secret, sleazy Beltway lobbyist/industry practices that candidate Obama frequently condemned and vowed to defeat.  And these industries extracted such huge benefits as a result of these secret deals — a bill shaped to their liking and profit objectives — that they are essentially in favor of it.

Again, none of this is proof that the health care bill is a bad idea — it’s possible that a bill which pleases these industries also produces, on balance, more good than harm (by expanding coverage and restricting some industry abuses).  But being in favor of the bill is not a justification for making misleading claims to try to glorify what it achieves or, worse, claiming that it represents a change in the way Washington works and a fulfillment of Obama’s campaign pledges.  The way this bill has been shaped is the ultimate expression — and bolstering — of how Washington has long worked.  One can find reasonable excuses for why it had to be done that way, but one cannot reasonably deny that it was.  And one can truthfully say many things about the political power of industry interests in Washington after this is all done; that they were “neutralized” and are in their “twilight” is most assuredly not among them.

 

UPDATE:  Matt Yglesias also says Ezra Klein’s claims about interest groups are “wrong” and that the reality is the “reverse” of what Klein wrote:  ”interest groups were able to get their way on most key points without needing to seriously attempt to deliver votes in exchange. . . . the interest groups were able to get 85 percent of what they wanted in exchange for absolutely nothing.”  Does that sound like their having been “neutralized” and sent to their “twilight”?  This highlights a primary point I’m making here:  Yglesias is as enthusiastic a supporter of this bill as one can find, yet, at least in this regard, is still able to be realistic about what it actually is and is not.

Glenn Greenwald
Follow Glenn Greenwald on Twitter: @ggreenwald.

More Related Stories

Featured Slide Shows

  • Share on Twitter
  • Share on Facebook
  • 1 of 13
  • Close
  • Fullscreen
  • Thumbnails

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    DAYA  
    Young Daya has yet to become entirely jaded, but she has the character's trademark skeptical pout down pat. And with a piece-of-work mother like Aleida -- who oscillates between jealousy and scorn for her creatively gifted daughter, chucking out the artwork she brings home from summer camp -- who can blame her?

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    MORELLO   
    With her marriage to prison penpal Vince Muccio, Lorna finally got to wear the white veil she has fantasized about since childhood (even if it was made of toilet paper).

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    CINDY   
    Cindy's embrace of Judaism makes sense when we see her childhood, lived under the fist of a terrifying father who preached a fire-and-brimstone version of Christianity. As she put it: "I was raised in a church where I was told to believe and pray. And if I was bad, I’d go to hell."

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    CAPUTO   
    Joey Caputo has always tried to be a good guy, whether it's offering to fight a disabled wrestler at a high school wrestling event or giving up his musical ambitions to raise another man's child. But trying to be a nice guy never exactly worked out for him -- which might explain why he decides to take the selfish route in the Season 3 finale.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    BOO   
    In one of the season's more moving flashbacks, we see a young Boo -- who rejected the traditional trappings of femininity from a young age -- clashing with her mother over what to wear. Later, she makes the decision not to visit her mother on her deathbed if it means pretending to be something she's not. As she puts it, "I refuse to be invisible, Daddy. Not for you, not for Mom, not for anybody.”

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    SOSO
    We still don't know what landed Brooke Soso in the slammer, but a late-season flashback suggests that some seriously overbearing parenting may have been the impetus for her downward spiral.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    POUSSEY
    We already know a little about Poussey's relationship with her military father, but this season we saw a softer side of the spunky fan-favorite, who still pines for the loving mom that she lost too young.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    PENNSATUCKY
    Pennsatucky had something of a redemption arc this season, and glimpses of her childhood only serve to increase viewer sympathy for the character, whose mother forced her to chug Mountain Dew outside the Social Security Administration office and stripped her of her sexual agency before she was even old enough to comprehend it.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    CHANG
    This season, we got an intense look at the teenage life of one of Litchfield's most isolated and underexplored inmates. Rebuffed and scorned by her suitor at an arranged marriage, the young Chinese immigrant stored up a grudge, and ultimately exacted a merciless revenge.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    HEALY
    It's difficult to sympathize with the racist, misogynist CO Sam Healy, but the snippets we get of his childhood -- raised by a mentally ill mother, vomited on by a homeless man he mistakes for Jesus when he runs to the church for help -- certainly help us understand him better.

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    NORMA
    This season, we learned a lot about one of Litchfield's biggest enigmas, as we saw the roots of Norma's silence (a childhood stutter) and the reason for her incarceration (killing the oppressive cult leader she followed for decades).

    The 12 most incredible pint-size look-alikes in "Orange Is the New Black" season 3

    NICKI
    While Nicki's mother certainly isn't entirely to blame for her daughter's struggles with addiction, an early childhood flashback -- of an adorable young Nicki being rebuffed on Mother's Day -- certainly helps us understand the roots of Nicki's scarred psyche.

  • Recent Slide Shows

Comments

0 Comments

Comment Preview

Your name will appear as username ( settings | log out )

You may use these HTML tags and attributes: <a href=""> <b> <em> <strong> <i> <blockquote>