A chance for big media to show their worth
If any big news organizations are looking for a way to prove their worth in the face of mounting public skepticism, I have a story for them. And it doesn't even require wading into boring policy details reporters hate so much. It's all about what's really important -- you know, process, and politics.
That probably sounds sarcastic, but this really is an important story. And it dovetails nicely with themes the media have long stressed: The importance of transparency and accountability, and the idea that 60 votes are needed to pass legislation in the Senate.
So, here goes: Some news organization struggling to stay relevant in an ever-changing world (and, really, aren't they all?) should ask all the members of the Senate whether they would vote to sustain a filibuster on health care reform legislation that includes a strong public option. They should report the results and keep a running tally. Their coverage of the health care debate going forward should reflect the premise that the cloture vote is what really matters -- a premise the media have been insisting upon all year. That means not making a big deal of a senator's stated opposition to reform (or to the public option) unless the senator indicates an intention to filibuster reform.
So far this year, news reports about the legislative prospects for health care reform have routinely stressed the need for 60 votes. That's reasonable enough, if Democrats choose not to pursue reform through the reconciliation process. (Though it does introduce a subtle anti-reform skew into the public discourse: by treating the filibuster as routine rather than the extraordinary measure it has historically been, the media make life easier for those trying to thwart reform.)
But when it comes to actually assessing the likelihood of getting those 60 votes, news reports have gone off the rails. They've treated opposition to a specific aspect of reform (the public option) as though it is synonymous with a willingness to not only vote against reform that contains that provision, but also with an intent to actually filibuster such legislation.
Take, for example, this Washington Post article from Wednesday:
A key Senate panel twice beat back efforts Tuesday to create a government-run insurance plan, dealing a crippling blow to the hopes of liberals seeking to expand the federal role in health coverage as a cornerstone of reform."
[...]
Committee Chairman Max Baucus (Mont.) was one of three Democrats who voted no on both proposals. Baucus, who has emerged as the central player in shaping the bill, which is likely to be the main vehicle for debate on the Senate floor, said he supports the principle of a public option as an alternative to private insurance. But he warned that including it could doom the bill to a Republican filibuster.
"No one has been able to show me how we can count up to 60 votes with a public option," Baucus said. "I want a bill that can become law."
The Post article didn't mention a single senator who has so much as hinted at a willingness to filibuster health care reform that includes a public option. Not one. The paper portrayed the opposition of some senators to a public option as a "crippling blow" -- as though opposing a public option on a standalone vote is the same thing as intending to filibuster an entire reform package that contains the provision.
The two are quite obviously not the same thing. For one thing, senators vote for legislation containing specific provisions they oppose all the time. It's pretty much unavoidable, actually. That's quite obvious, so let's not dwell on it here.
The other reason they are not the same thing is that it is harder to vote against cloture than against passage. That is, in fact, implicit in the respective vote totals required. If weren't more difficult for a senator to vote to sustain a filibuster than to vote against passage, there would be no reason to have a cloture/filibuster process -- Senate rules would simply require 60 votes for passage.
All year, the media have focused on how much more difficult it is to invoke cloture than to muster a simple majority. And, in a way, it clearly is: You need 60 votes, not 50. But the other side of the coin has gone unnoticed. A bill's advocates may need to reach a higher number to invoke cloture, as opposed to passage, but the bill's opponents must convince senators to take extreme action in order to prevent cloture. That second point is particularly significant when -- as is currently the case -- one party's caucus contains at least 60 members.
In order to filibuster health care reform that includes a public option, the Republicans have to convince at least one member of the Democratic caucus to filibuster his or her own party's highest legislative priority. They have to convince at least one member of the Democratic caucus to filibuster legislation that enjoys strong and broad public support -- over a provision that would reduce the cost of the bill, something the most conservative Democratic senators say is a priority. They have to convince at least one member of the Democratic caucus to hand a Democratic president, and the Democratic Party, a significant political defeat heading into an election year.
And that assumes they can convince Republican senators like Olympia Snowe and Susan Collins to filibuster health care reform. If they can't, they need to offset any losses with additional Democrats.
Can they do it? Sure, it's possible. But it isn't as simple as it looks from news reports that treat any public option skeptic as someone who will filibuster. That's why Sen. Tom Harkin says there will be 60 votes for cloture even though some of the most conservative Democrats and least conservative Republicans have indicated opposition to a public plan -- he knows it's harder to filibuster something than to vote against it.
Now, is Harkin right that there will be 60 votes, or is Baucus right when he says there won't be? We don't know -- nobody is publicly saying how they'll vote on cloture.
Which brings us to transparency ... and to accountability.
The way the news media have been covering the health care debate -- assuming opposition is synonymous with an intent to filibuster and, as a result, not actually asking anyone if they'll filibuster -- creates the perception that Baucus is right, that such legislation could never get cloture. And so health care reform containing a public option may never come to a vote, not even a cloture vote.
If that happens, a few senators will have killed the very popular public option not by announcing their intent to filibuster it, but by creating the perception that it would be successfully filibustered -- perhaps by others. (Remember: Baucus says he voted against the public option in committee not because he opposes it, but because unnamed other senators will filibuster it.) The public will never know who really killed it. They'll never know who would have filibustered it -- or even who was willing to say they would filibuster it.
Strong health care reform that enjoys widespread public support will, in that scenario, essentially die in a smoke-filled back room. There will be no transparency and no accountability. That, it seems obvious, is just the way some politicians want it. After all, if they were willing to face the consequences for killing reform, they could just come forward right now and announce their intent to filibuster. The fact that they haven't done so is de facto proof that they either aren't willing to filibuster or that they want to avoid accountability if at all possible. That's an understandable desire on their end -- but there's no reason journalists or the public should defer to it.
The good news is that fate is easily avoided. All it requires is one news organization to behave as though it believes what the media have been reporting all year -- that cloture is the vote that matters. If they do, they'll start working to get senators on the record about whether they'll filibuster. Their reporting going forward will focus not on whether senators say they agree or disagree with the public option, but on whether they will filibuster reform that includes such an option. That will go a long way toward showing who is right -- Max Baucus or Tom Harkin.
It may not make a difference in whether health care reform passes, or what it looks like if it does -- but that isn't the media's job. The media's job is to show the public what is happening. To hold politicians accountable rather than allowing them to kill popular reforms silently and secretly, without casting a vote or even making their intentions clear. To demand straight answers rather than making assumptions about how senators will vote.
That's something large news organizations -- like, say, The Washington Post or NBC News -- are perfectly situated to do. They have the resources to ask 100 senators how they'll vote on cloture -- and to regularly report the answers (including which senators won't answer) to large audiences. And to focus public attention on what they've said matters all along -- how many senators will filibuster, and which ones.
That's something the Post or NBC or CNN can do better than any blogger, any independent or ideological media outlet. They have the resources, the reach, and the stature. It's a chance for them to prove they really do still have something to offer that can't be easily replaced by smaller, cheaper, more nimble competitors.
Jamison Foser is a Senior Fellow at Media Matters for America, a progressive media watchdog and research and information center based in Washington, D.C. Foser also contributes to County Fair, a media blog featuring links to progressive media criticism from around the Web as well as original commentary. You can follow him on Twitter and Facebook or sign up to receive his columns by email.
















The quality of life in the U.S. will continue to deteriorate until we prevent corporations from buying Congresspersons, and Congress from peddling influence. The question is, how can we pass such legislation with the legislative process long ago hijacked?
Rod K. Tanner
Attorney at Law
Here is one-half of the equation.
Now let's see how they vote.
ec
So you're accepting the view that since the media don't have a clue about how to put the issue in context, but are experts in covering a horse race, they'll take the bait.
I think Baucus' perspective is inspiring amoral cowards everywhere, 'I won't vote something if I don't think it's going to win.' I'm sure he's frequently invited to give this same inspiring pre-game warmup for the U of Montana Grizzlies sports teams as well as at his fundraising retreats.
But that's the new rule. Democrats are in charge. So it takes 60 now. Right Wolf? You too, Candy?
Jerry Elsea
Having watched The National Parks story by Ken Burns, the power of the executive to do the right thing is pretty compelling. e.g. Even those opposed to Grand Tetons in Wyoming admitted, in hindsight, it was the right thing to do. Having seen the sun set and rise only once there, it was definitely the right thing.
As to health care, I don't know the mechanism for the executive. The current legislative model is broken - they're too easily bought or the fear of loss of power is put into them.
My senator, Bill Nelson (D-FL) has just come out in favor of a public option for the first time. But he probably hasn't changed his actual position, only his publicly stated position. He may have waited so long because he wanted to assure his conservative supporters that he was giving the idea careful consideration. Olympia Snowe (R-ME) voted against the Baucus bill in committee, but she has provided the Democrats with a vote against cloture in the past, most likely to curry favor with her liberal supporters in Maine.
The news media would be wasting their time asking senators how they were going to vote, because politicians from swing states try to keep their options open until the last possible moment. Even hard-nosed Republicans want to appear open-minded and thoughtful. So good luck with asking them where they stand on cloture until the day of the final vote arrives.
Nelson is the same guy proposing 65 votes for passage of health care.
I can anticipate Nelson being for Single Payer once it's obvious any reform is doomed.
"That's something the Post or NBC or CNN can do better than any blogger, any independent or ideological media outlet."
The main stream media has become just another blogger; the only difference is they have more resources and supposedly more listeners. If the main stream media really wanted to report facts, they would copy contraversial paragraphs out of the bills in their articles, not just attack those who make claims based on those paragraphs.
Our main stream media USED to present stories by building a case using facts and possibly THEN present someone's side of the situation. Today they have only one technique, telling us what we are to think. Is a sad day in America when we can't trust our media! (But that is the norm today!!!)
So I await the media to rise above the polical gamesmanship and start presenting cold, hard FACTs. P.S. I am NOT going to hold my breath while awaiting this pipe dream.
Actually, that's not the job description of a good journalist either - to copy controversial paragraphs. Their job actually is to investigate and explain and confront, and yes, sometimes attack the arguments of those who make claims based upon distortions of controversial paragraphs!
We see FoxNews telling their viewers what they should think because they don't present all sides of an argument in a fair and balanced way. Journalists should not just present cold, hard facts. That is a gross simplification of what their job is, and if that's all they do, then they aren't serving the public good.
Our third party payer system is a creation of government. It has came abiout through distortion s in the tax code that incentives employess to rely on theri employers for healthcare. Do any of you think about your employer when you buy home, auto, or life insurance? Of course not. Because a third party(whether it be employer provided health insurance or govt. programs)foots the bill or most of it, many americans pay no attention to cost.
This is the biggest problem. I see nothing in these reform programs to correct this problem. I just see more govt. interference.
Kindly visit your optometrist and have your prescription updated, you're hallucinating.
For someone with big opinions you don't know anything about prior history of reimbursement systems, etc. Prior to gov't involvement (aka Medicare) there were third party firms working for businesses.
The current distortion upward is not due to the actions of Medicare reimbursement, which has a 3-4% overhead rate, but due to the economic power of insurers which have 25-50% overhead. Private insurers operate on a 50-80% "medical loss rate" meaning payments to healthcare providers, drugs, etc. Medicare operates on a a 96% medical loss rate.
I don't care if you're a taxpayer or a billpayer, but I can tell you who I prefer managing my healthcare dollar and it sure isn't private health insurers.
Come on. You gotta give it up for this one. This is classic. I can only hope that WarfareWelfareWorkfairWhatever is doing satire. Because if this post is meant to be taken seriously, it may be time to up the meds.
We have,through this third party payer system(created by the central planners in government), removed people from the costs of their own healthcare. Why would a person care about deductibles or costs when a third party is paying for most or all of it? A market can't be expected to function efficiently under these circumstances.
The only areas of healthcare where the costs have been going down are for cosmetic surgery and procedures like lasik eye surgery. This isn't accidental. These niche areas are outside of the government managed care system. They also aren't mandated by states for inclusion in insurance packages. It is for that reason that people have to pay attention to costs when purchasing these services. That is crucial to understand.
Imagine that we had done to car insurance what we've done to healthcare. Consider what would happen if a third party were paying for all or most of your car insurance. You could buy a more expensive car for one and you certainly wouldn't care about the deductible. But you would also seek to cover everything you could, whether it be the upholstery, the tires, wipers, oil changes, gas fill-ups, etc. The cost for these things would go up dramatically because of the new increased demand, as should be expected. Now imagine that alot of those new things covered were mandated under coverage by state governments.
This is what we've done to healthcare.
Cosmetic, lasik and elective surgery (aside from limited cases such as following accident or birth defect) are not reimbursed by ANY medical plan.
Your uninformed opinions would benefit from rereading Adam Smith's "Wealth of Nations" where he discusses why we should oppose MERCANTILISM, which is literally what we have with health insurers.
Before this governmental system that we have now, the vast majority of people could afford to pay for there own insurance. The costs weren't out of control when we still had something approaching a free market. We didn't have all of these endless mandates and state insurance monopolies(creations of government legislation)then.
Poor people depended on a civil socity made up of charitable hospitals, local Dr.'s who frequetly gave free or diminished cost services to the needy,private charities, fraternal organizations, and local communities. This civil society brought people together and there was no governnment coercion involved.
We've crowded most of that out and replaced it with a cold, inefficient, centrally planned bureaucracy that tends to atomize society. The welfare state(that is to say force) promotes generational warfare. It is on the verge of collapse. We have conditioned people to think that there only responsibility to their fellow man is the completion of a few lines on a tax form.
Now, you guys seem hell-bent on finishing the job. This isn't reform that's coming down the pike. It is incrementalism. It's just getting us a little further down the road we've been on for decades: a government monopoly in healthcare.
Congratulations leftists! Well done!
Your fanciful notion of health care pre-Medicare is naive. In what decade were you born?
For the record, I'm an medical device inventor and entrepreneur and most definitely a capitalist in the Adam Smith original (not the Milton Friedman bastardized version). "Wealth of Nations" defined wealth as the capacity of a nation to produce products and services of value. In short, adding value.
Health insurance firms add zero value, hence they are not engines of capitalism. Literally, they are worse than the socialized government you decry because they not only add an unnecessary middleman, but they pile on costs for marketing, sales, and profits.
As to the insurance monopolies, how do those come into being and survive? Think for a minute before you answer. Are they not the result of unnatural acts between commercial interests perverting the people's governments to provide a sinecure or monopoly? Again, Adam Smith was prescient enough to describe this in Wealth of Nations. His strong warning was that governments needed the ability to resist such mercantilist tendencies and literally control the natural greed. Most of his examples where a weak crown (usually in need of cash for wars) was manipulated by monied interests, as few other examples existed.
* Ross Perot's fortune and EDS was made by building and operating the Medicare billing computer system. This was a contract he won thanks to being a Texan and ally of Lyndon Johnson.
I don't know why you guys get so defensive when people properly identify your ideas as socialism. I didn't identify you as communists or Marxists. Most of you aren't that far to the left, but you are democratic socialists. The democrtic party's platform doesn't differ a wit from the socialist parties in Europe. They can get away with correctly identifying themselves as socialists there. The word doesn't have as many negative connotations to the European ear as it does to the American ear.
I just wish the leftist political class and the statist intellectuals would be more upfront with the American people about what they are being sold. I also found it amusing that my temporary password to this site is "freeedom18going." Yes it is, and has been for a long time. Both major political parties have seen to that.
If the democrats were really concerned about competition, they would address these (near) state insurance monopolies that don't permit individuals to buy health insurance across state lines. These are egregious examples of corporatism. This drives up costs and only encourages states to create even more mandates for inclusion in health insurance packages.
When David Axelrod was called on this by Wolf Blitzer, he just dodged the question, of course. That the left won't address this elephant in the room speaks volumes about what they really think about competition. The rhetoric by the socialists about wanting to assert competition is ,to quote Obama, " Just words, Just speeches."
And if by "regulate" you mean more mandates issued by government, then count me out. These mandates are one of the biggest factors driving up costs. In many states, as an example, you can't buy health insurance policies without them including alcohol/drug rehab. Don't use alcohol or other drugs? Too bad. This will, of course, drive up premiums.
The fundamental role of insurers is that of an unnecessary parasite. I challenge anyone to explain in economic terms the value-add of health insurers (sic).
Yes, anti-trust remedies would help, but why treat the blemish and ignore the melanoma that is killing the patient?