The Chosen One said:
That was me.
But yeah I see your point. I'm actually against a mandate without strong competition to keep insurance costs down. But at the same time I'm thinking it will take some political gamenship to get the ball rolling. At the very least apply some political pressure on Republicans to reluctantly work on the bill, instead of solely trying to kill it.
See, I don't care so much about competition. You always hear about how the market's supposedly good for finding this great price point/quality for the consumer but that's not really true, it's best at finding a great price/quality for a business, therefore competition doesn't mean that prices will be held down or that quality will stay at a certain standard, it just means the industry will more or less follow a trend. In fact, sometimes competition is downright bad, leading everyone towards the lowest common denominator. Competition, therefore, was always the least of my concerns. It works well if we're talking about something equal across the board, like say electricity but health care? So assuming that we escape the really bad scenario of the industry essentially colluding with each other and instead they were fighting tooth and nail for business what would they start cutting? Would people get shittier drugs, what? What exactly gets cut in health care after you've done all that you can administratively that doesn't start to adversely effect peoples coverage?
Health care in my opinion is an industry that doesn't need competition so much as set bars of requirements, regulations and constant oversight and renewed regulation, the standards we set today could be completely shitty 25 years from now.
But I physically can not be against the concept of the mandate, myself, being for single payer essentially champion the exact same fucking thing as a mandate, I'm just terrified of a poor mandate with no true oversight and I don't think competition alone guarantees anything thus barring true oversight and regulation I can not support a mandate.
Further, I really think you give the Republicans too much credit. Their base wants them to be the party of "no" on this, they don't care about expanding coverage to all Americans, 98% of Americans or 1 more American than is currently insured today, they don't care about someone not being able to get insurance because of a condition, they don't want you to sue if someone screws up royally, they don't care and they don't care if everyone knows it. Did you see some of their town halls? I watched one where a Representative basically called a woman irresponsible because she couldn't get it. Basically, the Republicans advice to an American incapable of getting affordable health insurance is to make more money so they can afford it.
The real problem is you have to get the support from the people and the Democrats just have not done that, health insurance wasn't even bad enough yet that most Americans thought it was a problem let alone the defining issue of 2010, so the Democrats really pushed it and brought it to the forefront but totally allowed the Republicans to define the whole debate, it was terrible gamesmanship on the Democrats' part, just terrible. Empty Vessel has it right when he says there needs to be more support from the people, without any real support individual Republicans are safer behind their united wall of obstructionism, the population has to make it known that they want health care reform. Until that happens, it doesn't matter what angle you go at the Republicans they're all going to uniformly oppose whatever you throw at them. Get enough people loud enough and you might scare a Republican or two into abandoning the rest of his party on this vote but until then you can't expect a single vote.
Obama's condescending infantile approach to pandering to the American people by promising everything while paying nothing really let the Republicans get in their and tear that shit apart. I don't know if Obama thinks we're all too stupid to hear the whole truth regarding health care or if he thinks we were all smart enough to where the unsaid was supposed to be understood already by the masses but either way he miscalculated and it cost them dearly.
And the truth is, if they can't pass it now, I don't see how this administration can pass it. They've already set the bar so high for basically bribing each individual vote that I'm not sure they can turn the clock back and play hard ball, nor am I confident there's a single person in the administration capable of selling it to the public cons and all, so if they can't get the House to take the Senate bill as far as I can tell it's dead.
And I still say good riddance if it dies, because I'd rather see the system implode and get completely overhauled instead of moderately patched every 50 years or whatever. Way I see it, killing health care reform is the only way to save health care reform.
But you're spot on about the naming, then and now.