Obamacare’s next real fight comes in 2014

Progressives will need to get new enrollees and their communities to stand by the legislation at mid term elections

Topics: Obamacare, Affordable Care Act, 2014 elections, healthcare, Democrats, Republicans, Next New Deal, ,

Obamacare's next real fight comes in 2014 (Credit: AP/Jacquelyn Martin)
This originally appeared on Next New Deal.

Next New Deal It’s been 100 years since ideological conservatives joined with doctors and insurance companies to kill the first movement in the United States for what was then called “compulsory health care.” Now, on the eve of their epic loss, those who deeply hate the idea that we have a collective responsibility to care for each other are desperately trying to stop history’s clock.

Beneath the tested rhetoric from opponents like the Heritage Foundation and Texas Senator Ted Cruz about a government takeover or Obamacare killing jobs and the economy, we can find expressions of the driving force behind the right’s obsession. One telling quote is from Missouri State Senator Rob Shaaf, who declared, “We can’t afford everything we do now, let alone provide free medical care to able-bodied adults.” Another is the proud statement from Steve Lonegan, the Republican candidate for U.S. Senate in New Jersey, who told me in a debate on Obamacare at the FDR Library, “I only care about me and my family.”

These celebrations of extreme individualism are bald expressions of the “47 percent of Americans are takers” ideology that has become the driving fixation of Republicans, with the latest example being the vote in the House to deny food stamps to 4 million people because they are unemployed.

The right most fears the establishment of another new program based on our common humanity. With her gift for sarcasm, New York Times columnist Gail Collins captured the irony of the Republican’s desperation to stop Obamacare before it starts: “The new health care law is going to be terrible, wreaking havoc on American families, ruining their lives. And they are going to love it so much they will never have the self-control necessary to give it up.”



If this is a defining moment for the right, it is also for the left. As Jonathan Chait wrote this week, in a great retrospective on Republican opposition to the ACA, “The transformative potential of Obamacare is not a conservative hallucination.”

For all its faults, the Affordable Care Act is the biggest expansion in half a century of the progressive belief that we all do better when we all do better. Almost 50 years ago, Medicare was greeted by Ronald Reagan – then a mouthpiece for the American Medical Association –  as a foot in the door to a totalitarian takeover. The right has long understood how high the American view of the role of government would be lifted if people came to rely on government for something as essential to a person’s well-being as health care.

The battleground now shifts to how the public perceives the law’s impact. I would like to believe that Ted Cruz was right about this, at least, when he told The Daily Caller, “President Obama wants to get as many Americans addicted to the subsidies because he knows that in modern times, no major entitlement has ever been implemented and then unwound.”

However, the lesson of the past three years is that the rhetoric has been more powerful than the reality. The most telling data is that the age group that has most definitively benefited from the Affordable Care Act, seniors, has the highest disapproval rating of the law. Thanks to the ACA, some six million seniors have received free preventive care under Medicare and 6.3 million people on Medicare saved over $6.1 billion on prescriptions. Still, the relentless attack messages aimed at seniors, starting with the death panel lies during the legislative debate on the law and accelerating in the 2010 election, have taken their toll.

On its face, opposing Obamacare should not be a winning electoral issue in 2014, if only because it will actually affect so few people. Several million people will get health coverage and very little else will change. But we can be certain that the right will continue to blame every established long-term trend in health care and the workforce – rising premiums, higher deductibles, fewer people getting health coverage at work – on the ACA.

The implementation of the ACA will also give its opponents new ammunition. Not just from the inevitable glitches in signing up people, made worse by Republican sabotage in many states, but from the law’s biggest shortcoming: while millions will gain access to affordable coverage for the first time, others will be asked to pay more than they can afford or pay a fine.

Still, the fact that Obamacare will finally be doing what it was designed to do puts its defenders on higher ground, if we embrace the hard lessons of the past three years. Cementing the Affordable Care Act as a pillar of social security will require that Obamacare’s champions aggressively respond to attacks and tell the stories of people whose lives have been transformed by the law.

Until now, it has been almost impossible to explain to people how the Affordable Care Act will work. It has been a new, complicated concept rather than a real-life gate to getting health coverage. But the millions who will begin to benefit on January 1 will be able to tell a different story: the cancer survivor who can get coverage despite his preexisting condition; the budding entrepreneur who can leave her job to start a small business; the 60 year-old who lost her job but was still able to get health coverage.

With Obamacare a reality, not just a threat, their stories can be added to stories of a senior who is saving hundreds of dollars on Medicare prescriptions and the family whose finances were not wiped out when their 24-year-old son, still on his parents’ health plan, was in an accident.

The debate will be sharpest, and have the most impact, leading to the 2014 congressional elections. Republicans will be pushed by the right to make Obamacare a big issue, regardless of whether their pollsters advise that the failure of the world to implode after its implementation has taken some of the sting out. We can be sure that the Koch brothers will fund attack ads in swing districts and states. In 2010, the failure by Democrats to vigorously defend the law, particularly among seniors who vote most heavily in non-presidential elections, was a big factor in Republican success.

Progressives must engage in the fight now and prepare for 2014. It will not be enough to enroll people in Obamacare. We will need to organize new enrollees, their families, and their communities to be powerful spokespeople for the Affordable Care Act.

The ACA has proven to be the cat with nine lives, surviving near-death experiences during the legislative battle, the Supreme Court ruling, congressional and presidential elections, and the barrage of repeal votes, which are reaching their height now. The new day that the right has feared for a century will start in just three months. But the battle will not end then. The next big test will be November 2014. The stakes for people’s lives and livelihoods, and for the progressive expression of the American values of life, liberty, and the pursuit of happiness, could not be higher.

More Related Stories

Featured Slide Shows

  • Share on Twitter
  • Share on Facebook
  • 1 of 11
  • Close
  • Fullscreen
  • Thumbnails

    Ten spectacular graphic novels from 2014

    Beautiful Darkness by Fabien Vehlmann & Kerascoët
    Kerascoët's lovely, delicate pen-and-watercolor art -- all intricate botanicals, big eyes and flowing hair -- gives this fairy story a deceptively pretty finish. You find out quickly, however, that these are the heartless and heedless fairies of folk legend, not the sentimental sprites beloved by the Victorians and Disney fans. A host of tiny hominid creatures must learn to survive in the forest after fleeing their former home -- a little girl who lies dead in the woods. The main character, Aurora, tries to organize the group into a community, but most of her cohort is too capricious, lazy and selfish to participate for long. There's no real moral to this story, which is refreshing in itself, beyond the perpetual lessons that life is hard and you have to be careful whom you trust. Never has ugly truth been given a prettier face.

    Ten spectacular graphic novels from 2014

    Climate Changed: A Personal Journey Through the Science by Philippe Squarzoni
    Squarzoni is a French cartoonist who makes nonfiction graphic novels about contemporary issues and politics. While finishing up a book about France under Jacques Chirac, he realized that when it came to environmental policy, he didn't know what he was talking about. "Climate Changed" is the result of his efforts to understand what has been happening to the planet, a striking combination of memoir and data that ruminates on a notoriously elusive, difficult and even imponderable subject. Panels of talking heads dispensing information (or Squarzoni discussing the issues with his partner) are juxtaposed with detailed and meticulous yet lyrical scenes from the author's childhood, the countryside where he takes a holiday and a visit to New York. He uses his own unreachable past as a way to grasp the imminent transformation of the Earth. The result is both enlightening and unexpectedly moving.

    Ten spectacular graphic novels from 2014

    Here by Richard McGuire
    A six-page version of this innovative work by a regular contributor to the New Yorker first appeared in RAW magazine 25 years ago. Each two-page spread depicts a single place, sometimes occupied by a corner of a room, over the course of 4 billion years. The oldest image is a blur of pink and purple gases; others depict hazmat-suited explorers from 300 years in the future. Inset images show the changing decor and inhabitants of the house throughout its existence: family photos, quarrels, kids in Halloween costumes, a woman reading a book, a cat walking across the floor. The cumulative effect is serene and ravishing, an intimation of the immensity of time and the wonder embodied in the humblest things.

    Ten spectacular graphic novels from 2014

    Kill My Mother by Jules Feiffer
    The legendary Pulitzer Prize-winning cartoonist delivers his debut graphic novel at 85, a deliriously over-the-top blend of classic movie noir and melodrama that roams from chiaroscuro Bay City to Hollywood to a USO gig in the Pacific theater of World War II. There's a burnt-out drunk of a private eye, but the story is soon commandeered by a multigenerational collection of ferocious women, including a mysterious chanteuse who never speaks, a radio comedy writer who makes a childhood friend the butt of a hit series and a ruthless dame intent on making her whiny coward of a husband into a star. There are disguises, musical numbers and plenty of gunfights, but the drawing is the main attraction. Nobody convey's bodies in motion more thrillingly than Feiffer, whether they're dancing, running or duking it out. The kid has promise.

    Ten spectacular graphic novels from 2014

    The Motherless Oven by Rob Davis
    This is a weird one, but in the nervy surreal way that word-playful novels like "A Clockwork Orange" or "Ulysses" are weird. The main character, a teenage schoolboy named Scarper Lee, lives in a world where it rains knives and people make their own parents, contraptions that can be anything from a tiny figurine stashable in a pocket to biomorphic boiler-like entities that seem to have escaped from Dr. Seuss' nightmares. Their homes are crammed with gadgets they call gods and instead of TV they watch a hulu-hoop-size wheel of repeating images that changes with the day of the week. They also know their own "death day," and Scarper's is coming up fast. Maybe that's why he runs off with the new girl at school, a real troublemaker, and the obscurely dysfunctional Castro, whose mother is a cageful of talking parakeets. A solid towline of teenage angst holds this manically inventive vision together, and proves that some graphic novels can rival the text-only kind at their own game.

    Ten spectacular graphic novels from 2014

    NOBROW 9: It's Oh So Quiet
    For each issue, the anthology magazine put out by this adventurous U.K.-based publisher of independent graphic design, illustration and comics gives 45 artists a four-color palette and a theme. In the ninth issue, the theme is silence, and the results are magnificent and full of surprises. The comics, each told in images only, range from atmospheric to trippy to jokey to melancholy to epic to creepy. But the two-page illustrations are even more powerful, even if it's not always easy to see how they pertain to the overall concept of silence. Well, except perhaps for the fact that so many of them left me utterly dumbstruck with visual delight.

    Ten spectacular graphic novels from 2014

    Over Easy by Mimi Pond
    When Pond was a broke art student in the 1970s, she took a job at a neighborhood breakfast spot in Oakland, a place with good food, splendid coffee and an endlessly entertaining crew of short-order cooks, waitresses, dishwashers and regular customers. This graphic memoir, influenced by the work of Pond's friend, Alison Bechdel, captures the funky ethos of the time, when hippies, punks and disco aficionados mingled in a Bay Area at the height of its eccentricity. The staff of the Imperial Cafe were forever swapping wisecracks and hopping in and out of each other's beds, which makes them more or less like every restaurant team in history. There's an intoxicating esprit de corps to a well-run everyday joint like the Imperial Cafe, and never has the delight in being part of it been more winningly portrayed.

    Ten spectacular graphic novels from 2014

    The Shadow Hero by Gene Luen Yang and Sonny Liew
    You don't have to be a superhero fan to be utterly charmed by Yang and Liew's revival of a little-known character created in the 1940s by the cartoonist Chu Hing. This version of the Green Turtle, however, is rich in characterization, comedy and luscious period detail from the Chinatown of "San Incendio" (a ringer for San Francisco). Hank, son of a mild-mannered grocer, would like to follow in his father's footsteps, but his restless mother (the book's best character and drawn with masterful nuance by Liew) has other ideas after her thrilling encounter with a superhero. Yang's story effortlessly folds pathos into humor without stooping to either slapstick or cheap "darkness." This is that rare tribute that far surpasses the thing it celebrates.

    Ten spectacular graphic novels from 2014

    Shoplifter by Michael Cho
    Corinna Park, former English major, works, unhappily, in a Toronto advertising agency. When the dissatisfaction of the past five years begins to oppress her, she lets off steam by pilfering magazines from a local convenience store. Cho's moody character study is as much about city life as it is about Corinna. He depicts her falling asleep in front of the TV in her condo, brooding on the subway, roaming the crowded streets after a budding romance goes awry. Like a great short story, this is a simple tale of a young woman figuring out how to get her life back, but if feels as if it contains so much of contemporary existence -- its comforts, its loneliness, its self-deceptions -- suspended in wintery amber.

    Ten spectacular graphic novels from 2014

    Through the Woods by Emily Carroll
    This collection of archetypal horror, fairy and ghost stories, all about young girls, comes lushly decked in Carroll's inky black, snowy white and blood-scarlet art. A young bride hears her predecessor's bones singing from under the floorboards, two friends make the mistake of pretending to summon the spirits of the dead, a family of orphaned siblings disappears one by one into the winter nights. Carroll's color-saturated images can be jagged, ornate and gruesome, but she also knows how to chill with absence, shadows and a single staring eye. Literary readers who cherish the work of Kelly Link or the late Angela Carter's collection, "The Bloody Chamber," will adore the violent beauty on these pages.

  • Recent Slide Shows

Comments

Loading Comments...