Inventing Controversy

There's nothing the media loves more than a good horse race. A little controversy - or a lot of it - sparks readers' interest and drives up sales. In the absence of actual controversy, though, the media sometimes has to invent some.

The debate over health care reform is a great example.

72% of Americans support a public health insurance option that competes with private insurers, according to a recent poll done by New York Times/CBS News. The poll was taken in mid-June and showed that people of all political stripes support health reform that, in the words of President Obama, "keep[s] insurance companies honest." Almost half of people identifying as Republicans supported the idea of a public health insurance option, as well as over 70% of independents and nearly 90% of Democrats.

Another recent survey of small business owners in Nebraska and Iowa found strikingly similar numbers. Done by the Small Business Majority, 69% of Iowa small business owners and 70% of Nebraska small business owners support the choice of a private or public health insurance plan.

I would hardly call this controversy.

It appears that the Democratic leadership in the Senate, where it's likely much of this debate will take place, is beginning to think that those numbers don't really constitute much controversy either. In an article from the newspaper Roll Call, Senate Majority Leader Harry Reid (D-NV) told Finance Chairman Max Baucus (D-MT) that he should stop trying to put forward a bill that doesn't include a public health insurance option or that taxes health benefits, because doing so could lose the votes of 10 to 15 Senate Democrats.

So why, then, is there the appearance of controversy? Ezra Klein puts it well:

Every interview with members of the administration involved in health-care reform goes the same way: A reporter asks if they support the public plan. They do. Then the intrepid reporters asks if it's non-negotiable. And, like everything else in health-care reform "except for success," the public plan turns out to be negotiable. And that's the headline.

In the U.S. Senate, however, there seems to be actual controversy over whether the average American should have the choice of a public health insurance plan. When asked about the New York Times/CBS News poll showing such overwhelming support of a public health insurance option, one Senator quipped "Poll numbers, as you know, are here today and gone tomorrow. What's going to decide what passes here are votes [of Senators]."

One only needs to follow the money to see where the appearance of controversy in the Senate might be coming from - the $1.4 million dollars per day that the health care industry is spending on lobbying Congress. And it's not enough to have just anyone lobbying for the industry on Capitol Hill - the Washington Post reports:

The nation's largest insurers, hospitals and medical groups have hired more than 350 former government staff members and retired members of Congress in hopes of influencing their old bosses and colleagues, according to an analysis of lobbying disclosures and other records...Nearly half of the insiders previously worked for the key committees and lawmakers, including Sens. Max Baucus (D-Mont.) and Charles E. Grassley (R-Iowa)...At least 10 others have been members of Congress, such as former House majority leaders Richard K. Armey (R-Tex.) and Richard A. Gephardt (D-Mo.)

When a legislator is hearing from scores more well-heeled and well-funded lobbyists than constituents, they may start to think that there is controversy where there largely isn't.

That's why your members of Congress need to hear from you. Right now.

You are the expert in the reasons why you need affordable health insurance, your community needs access to quality medical care, and why a public health insurance option creates competition that will help keep the health insurance companies from exploiting the elderly, the sick, and the self-employed.

Even if you've called before, even if your members of Congress have spoken in support of a public health insurance option before, they need to hear it again. We need to remind members of Congress what rural Americans need. Hearing from you helps them do the right thing and stand up against health industry lobbyists.

We may not have millions of dollars, but rural Americans know how to make a racket. Let's remind Congress who they represent and what we need: Health reform that works for all of us.

Comments

bravo

Thanks for introducing the horse race metaphor into this discussion -- quite appropriate, as far as the manufactured controversy is concerned.

PRIVATE FOR PROFIT HEALTHCARE IS AN OXYMORON

AMERICA’S NATIONAL HEALTHCARE EMERGENCY! It’s official. America and the World are now in a GLOBAL PANDEMIC. A World EPIDEMIC with potential catastrophic consequences for ALL of the American people. The first PANDEMIC in 41 years. And WE THE PEOPLE OF THE UNITED STATES will have to face this PANDEMIC with the 37th worst quality of healthcare in the developed World. STAND READY AMERICA TO SEIZE CONTROL OF YOUR NATIONAL HEALTHCARE SYSTEM. We spend over twice as much of our GDP on healthcare as any other country in the World. And Individual American spend about ten times as much out of pocket on healthcare as any other people in the World. All because of GREED! And the PRIVATE FOR PROFIT healthcare system in America. And while all this is going on, some members of congress seem mostly concern about how to protect the corporate PROFITS! of our GREED DRIVEN, PRIVATE FOR PROFIT NATIONAL DISGRACE. A PRIVATE FOR PROFIT DISGRACE that is in fact, totally valueless to the public health. And a detriment to national security, public safety, and the public health. Progressive democrats the Tri-Caucus and others should stand firm in their demand for a robust public option for all Americans, with all of the minimum requirements progressive democrats demanded. If congress can not pass a robust public option with at least 51 votes and all robust minimum requirements, congress should immediately move to scrap healthcare reform and request that President Obama declare a state of NATIONAL HEALTHCARE EMERGENCY! Seizing and replacing all PRIVATE FOR PROFIT health insurance plans with the immediate implementation of National Healthcare for all Americans under the provisions of HR676 (A Single-payer National Healthcare Plan For All). Coverage can begin immediately through our current medicare system. With immediate expansion through recruitment of displaced workers from the canceled private sector insurance industry. Funding can also begin immediately by substitution of payroll deductions for private insurance plans with payroll deductions for the national healthcare plan. This is what the vast majority of the American people want. And this is what all objective experts unanimously agree would be the best, and most cost effective for the American people and our economy. In Mexico on average people who received medical care for A-H1N1 (Swine Flu) with in 3 days survived. People who did not receive medical care until 7 days or more died. This has been the same results in the US. But 50 million Americans don’t even have any healthcare coverage. And at least 200 million of you with insurance could not get in to see your private insurance plans doctors in 2 or 3 days, even if your life depended on it. WHICH IT DOES! If President Obama has to declare a NATIONAL STATE OF EMERGENCY to rescue the American people from our healthcare crisis, he will need all the sustained support you can give him. STICK WITH HIM! He’s doing a brilliant job. THIS IS THE BIG ONE! THE BATTLE OF GOOD Vs EVIL! Join the fight. Contact congress and your representatives NOW! AND SPREAD THE WORD! God Bless You Jacksmith – WORKING CLASS

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