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The historic vote on health care reform legislation in the House of Representatives was one I will never forget. As a young elementary school student, I remember the battles over the Clinton health care plan and its defeat in the mid-1990s. I did not want to see the first president-elect I voted for, President Barack Obama, to share in the same fate.
The Affordable Health Care for America Act (H.R. 3962) is a good bill for a number of reasons AND a bad bill for just as many reasons. After taking a few days to look over the reasons why one might support the bill and why one might oppose it, I came to this conclusion:
Those (among progressives) who support the bill are right. Those (again, among progressives) who oppose it are right.
Congressman Eric Massa's vote has been scrutinized more than any. Even when he gives his reasons why, people aren't willing to forgive him. Such is life as a representative in D.C.
But here is the reality: Massa is right on a lot of points, at least as they pertain to the public option and expanding access to health care. We fought for months for what has been called a "strong robust public option." After Firedoglake and CREDO Mobile created their public option resolution, I joined them in passing that petition around to the Democratic committees and groups I was familiar with. To my knowledge, every committee and group I submitted the resolution to passed the resolution. And not only did they pass it, they did so unanimously.
The public option in the House bill is a weak public option. This is NOT what we fought for, worked overtime on and told our readers and fellow progressives we needed. Now, there are those among this same group of progressives saying that any public option at all is better than no public option at all. While there is truth in that statement, there is also a misguided definition of what "better" means and what "reform" means.
Let's make this about the Progressive Caucus versus the Blue Dogs for a paragraph. The Progressive Caucus was obviously for the public option. The Blue Dogs were in opposition (some of them were in favor of a watered down public option, but others share the opinion of Senator Joe Lieberman that ANY public option should not be permitted) to the public option. Then came the Stupak Amendment, which was allowed a vote by Speaker Nancy Pelosi apparently as a way to gain supporters for the overall health care reform bill. The Stupak Amendment is worse than the Hyde Amendment. The Hyde Amendment applies only to federal funds from the Department of Health and Human Services and prohibits these funds from being used on abortions. What the Stupak Amendment does is expand on those prohibitions and applies them to private health insurance. That is because part of the health care reform package are subsidies for those who can't afford to pay for their insurance. If you are a woman and you receive a subsidy to pay for your private health insurance, you cannot get an abortion because the Stupak Amendment says so and the 221 men (of the 240 votes cast in support of the amendment) said so. This amendment also applies to anyone covered by the public option inside the health insurance exchange.
The fact remains that the conservaDems got their vote on the Stupak Amendment and it passed. Progressives did not get their vote on single-payer - a bill that certainly didn't have enough votes to pass.
Blue Dogs 1 Progressive Caucus 0.
A weak public option (Massa's estimate was that the public option in this bill would only cover two percent of the uninsured) and an amendment that expands anti-choice provisions? That's not very progressive, nor can it be considered true reform.
Like any legislation we see, however, even though there are a tremendous amount of flaws there is a tremendous upside. You cannot build a house without a foundation and this foundation and that's what this bill can be considered. It is a stepping stone or starting point. It's not perfect, but it is something. I believe the individual mandates are a good thing. I do think a stronger public option would help these mandates be less punitive but the mandates will work. Allowing young people to stay on their parents insurance until they turn 27 years old is very important. Ending the exemption from anti-trust laws is no doubt huge. The Prevention and Wellness Trust Fund is important to address in a proactive manner childhood obesity and obesity as a whole in order to make us a healthier society.
The reforms included in the bill are important. And while there is a weak public option and an assault on women's rights we must address, there are many aspects of the bill that are strong and necessary.
I was disappointed by Massa's vote at the time, but his vote was acceptable. I can see how this decision was tough. There are good things about this bill (as Massa has said). But there are also flaws. My problem with the bill is that individual mandates alone aren't a solution to the problems faced by the uninsured. The uninsured need more. Mandates and a weak public option won't do it. The Stupak Amendment needs to go. The Hyde Amendment is bad enough. Having this on the books in a reform bill would be devastating.
In the end, however, we don't vote for perfection. The flaws in this bill are nothing that can't be improved upon in conference. So voting in favor of the bill would have been ideal for anyone, including Massa.
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