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COLUMNISTS
TODAY'S STORIES
04.02.2008
Health Care Reformers -- Don't Despair!

We're going to take a moment from the debate about individual mandates in health care reform -- a topic to which I shall return soon enough -- to bring you some unambiguously good news.  If, that is, you think universal health care is a good idea.

Today the Service Employees International Union (SEIU) announced it would be launching a $75 million election-year campaign on behalf of universal coverage. According to the union's press release, which doesn't seem to be available online, the effort will feature paid advertising to "draw sharp distinctions between the Republican and Democratic presidential nominess' approach to health care, and what those differences will mean to working families." But it's not just a bunch of television and magazine spots the union has in mind. They're also planning to finance what sounds like a pretty substantial ground effort, including a rolling publicity tour to stage events across the country and an outreach effort designed to collect stories of hardship -- which, surely, will help spread the word about reforms, as well.

I honestly don't knokw whether $75 million counts as a lot of money for this sort of thing.  But, according to this old 60 Minutes story, the entire drug industry spent about $100 million on campaign contributions and lobbying during the fight over the Medicare drug benefit a few years ago.  So $75 million certainly sounds like a lot.

What's more important than the dollar amount, though, is the show of commitment -- and, in particular, the timing of it.  As veterans of the 1993-94 Clinton health care fight know, that effort failed was the fact that the political pressure came overwhemlingly from one side.  When the drugmakers, small insurers, and others opposed to the Clinton bill started running their advertisements -- which, yes, look suspiciously like an advertisement Barack Obama has been using lately -- the administration was largely left to fight back on their own. Expected support from unions and other sympathetic groups didn't materialize until it was too late.

The administration had itself partly to blame for this; a big reason unions didn't fight early was that they had spent most of 1993 fighting with the Clinton administration over the North American Free Trade Agreement (NAFTA).  The resources -- not to mention the desire -- to support the administration immediately afterwards just wasn't there. (For more on this story, see Ezra Klein's article here.)

This time, fortunately, it looks like the interest groups in favor of reform are getting an early start.  Probably no single organization has invested in the cause of health care refrom as much as SEIU.  And few, if any, have the combination of money and grassroots strength to have a serious political impact.  At a time when all of the fighting over universal coverage has many people (myself included) worried that its prospects are suddenly diminishing, this is a reminder the political pressure for it is only going to get stronger in the coming months.

--Jonathan Cohn

Posted: Monday, February 04, 2008 12:50 PM with 7 comment(s)

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Political Animal said:

GEARING UP....Jon Cohn has some good news on the universal healthcare front:Today the Service Employees International Union (SEIU) announced it would be launching a $75 million election-year campaign on behalf of universal coverage....But it's not just

February 4, 2008 1:45 PM

teplukhin2you said:

Great message, but really, the people we need to rally on this issue are not the type who think favorably of SEIU. A better messenger for this would be people with real credibility with the Kiwanis types, sole proprietors and other small businessmen, self-employed contractors and eBay sellers and their ilk. These are the people whom single-payor would benefit most, and they'll listen to a Jack Welch or a Warren Buffett. I don't think they'll listen to SEIU.

February 4, 2008 2:11 PM

Jonathan Cohn said:

tep --

Good point.  VERY good point, actually.   Only I don't think it's either/or.  

We need SEIU out there generating enthusiasm and commitment among people who are sympathetic but not particularly invested in it.  

But -- as you say -- we also need groups who will win over skeptics.  And the small business community would be a great place to start.

- Jonathan

February 4, 2008 2:24 PM

CharlesFosterKane said:

Jonathan (& any health care wonks out there),

I have a question for you regarding Krugman's take on Obama's health care plan. Today he writes, "The Clinton plan is...more explicit about affordability, promising to limit insurance costs as a percentage of family income. And it also seems to include more funds for subsidies." In debates and speeches Obama tempers his anti-mandate position with talk about a greater focus on affordability first. Is Kruman right on this, and if so on what basis is Obama making his claims?

Thanks.

February 4, 2008 3:19 PM

teplukhin2you said:

Why not target the Joel Osteen fundie megachurch types?

They're not ideological Club for Greed zealots; they're media-savvy; and their congregations or markets or whatever you call them overlap nicely with the small-biz/sole proprietor demographic.

In all seriousness, I think liberal opinion leaders should be trying to get in front of the younger suburban megachurches in places like Houston and Colorado Springs instead of preaching to the choir in Berkeley and Madison and the Googleplex.

February 4, 2008 3:35 PM

The Plank said:

Everybody who follows health care policy is talking about an article in the latest edition of The Hill

April 24, 2008 1:20 PM

The Plank said:

Political autopsies of the failed campaign for universal health care in the 1990s frequently focus on

July 3, 2008 8:26 AM