From the New Deal to the BFD

Obama pelosi You had to laugh. When Joe Biden introduced the President at the White House health care bill signing today, he leaned over and quietly reminded Obama that "this is a big fucking deal". His comment was off color but on target. 

Health care reform is a watershed. Not only did the federal government finally grant tens of millions of people access to basic health care. It heavily regulates private health insurance — something every other civilized country has done for decades. It is testimony to the tenacity of Obama, who was willing to get his hands very dirty, and to Nancy Pelosi, who did an amazing job making the sausage. I herewith retract my previous snarky comments about Madame Speaker. She seriously rocked on health care. There are few speakers in our history with the skill to make this bill happen. Also, we owe a debt of thanks to those in Congress who tool serious risks with their political careers for this bill (credit a brilliant and moving speech to them from Obama). 

Pelosi health care Health care reform may set the high water mark for traditional liberalism. In the twentieth century, liberalism stood for expanding rights and benefits. The rights agenda granted new legal protections to women, racial minorities, workers, and consumers. The economic agenda provided a basic level of benefits to the poor, sick, and retired. Social Security, Medicare and Medicaid, Food Stamps, and Housing allowances represent the American federal safety net. Health care reform expands both citizen's rights (an end to lifetime exclusions and exclusions for preexisting conditions) and economic benefits (subsidies to enable low income Americans to buy health care).

Today's triumph likely spells an important step in a transformation from a liberal focus on rights and benefits to a focus on the fundamentals of progress and opportunity. This transformation is gradual, not sharp: gays, lesbians, and immigrants have a case for civil rights for example. But increasingly the job of protecting civil rights, labor rights, women's rights, and environmental rights is done by devoted civil servants and the courts. Likewise, once every American is guaranteed basic food, shelter, education, health care, and retirement income, the case for increasing state welfare provisions gets weaker. More fundamentally, the politics or rights and benefits is no longer the basis an enduring political coalition. 

This will be confusing to liberals who have focused for the past century on rights and welfare. Many lack the vocabulary to understand or advocate for the fundamentals of human progress and opportunity. As a result, new leaders will come to define successful Democrats. They will focus on five areas, none of which grant new rights or benefits.

In short, health care reform is a BFD not simply because it helps people who need help but because it will force Americans and especially Democrats to grow politically. Twentieth century liberalism was built on new rights and new benefits for citizens that had been denied the ability to participate fully in American life. Twenty first century liberalism is much more likely to focus on creating economic opportunities that make participation worthwhile.

Obama, Politics, Reform

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