The Democrats and the death of SB 562

Over here in California, a considerable wave of excitement was building around SB 562, a bill that would can the current healthcare system in the state and replace it with a single-payer structure. For supporters, there was budding optimism. The current national framework created by the Affordable Care Act seems doomed, either through legislation or executive neglect. Polls indicated strong support, and though support dropped when the prospect of new taxes was raised, studies showed that implementation was probably not nearly as expensive as projected. The Democratic Party holds the governor’s office and has big majorities in both houses of the legislature. And single-payer had been passed twice during the Arnold Schwarzenegger administration.

But it died this week when Assembly Speaker Anthony Rendon shelved the bill. Activists I know are, as expected, absolutely livid. Part of the anger comes from how illogical SB 562’s death was. There was the means, motive, and opportunity to change things, but that didn’t happen. Political paralysis in a one-party state.

There are two ways to look at this. The first, pretty common among lifer Democrats, is that this was a bug in the system- SB 562 should have eventually become law, and there needs to be a couple small changes to make sure the next time (whenever that is) it succeeds.

The second is that this failure is a feature of the political system. A key piece of evidence is that single-payer has gotten through the obstacles that doomed it this time around, but in a different context:

Similar bills passed the legislature fairly easily in 2006 and 2008, only to be vetoed by then-Governor Arnold Schwarzenegger. At a time when premiums were rising and there were few other proposals out there, it was an easy vote for Democrats certain of the governor’s veto.

When legislators craft bills that are guaranteed to receive a veto, what they produce is more marketing than ideology. Republicans and their endless ACA repeals passed between 2010 and the end of the Obama administration were this- political theater. In the theater, the chains of pharmaceutical and insurance influence are invisible. It tells activists that the Democratic Party can be the vehicle of progressive action, even if that never happens when cards are on the table. The California Democrats haven’t lifted a finger on higher education affordability, the housing shortage, and healthcare. The main shift since Brown took office is from purely symbolic action to milquetoast half-measures, which are passed but don’t change the trajectory of any social problems.

The failure of SB 562 will make Rendon a convenient boogeyman. There will undoubtedly be a campaign to remove him from office, or his position of power in the Assembly. It will disguise the truth: that both major parties take cash from the only groups that lose out in single-payer.

The Democratic Party feeds on the dreams of its most active members- it is the fuel that makes everything else happen. SB 562 didn’t die immediately, preserving the idea that the future is within the Party, and that the important thing is the next election. More time, more money, and what was promised will be fulfilled.

 

 

 

People are more important than profits

Thursday evening, I attended a screening of The Healthcare Movie, a new documentary exploring the divergence of the Canadian and American healthcare systems over the past half century. Documentaries like Sicko do rightly point out America’s inferior system- both in financial sustainability and quality of care. The important aspect missing from Sicko is history. Why does the United States not have the same healthcare setup as its economic equals? Why have so many politicians, from Ted Kennedy to Teddy Roosevelt, failed?

There has been historical opposition from the American Medical Association  and in the last fifty years, private insurance companies. The famous Ronald Reagan Speaks Out Against Socialized Medicine (video) was part of an AMA campaign. Since the second Red Scare, connecting universal health insurance with the Soviet Union (or more recently, just saying “socialism” a couple dozen times) has been an effective method of stopping both universal coverage, as well as the initial, much stronger drafts of Medicare, Medicaid, and the Affordable Care Act.

Continue reading “People are more important than profits”