With the American Congress and much of the country’s population debating healthcare reform, people from the outside looking in don’t quite understand what all the fuss is about. Even more so, many look on in disbelief over why things have gone so far off the deep end. Name-calling, racial slurs, accusations of communist or even Nazi like behavior, and above all else, a steady stream of fear-mongering - all inspired by a plan that simply tries to provide medical coverage to more Americans. With enough of the populace now successfully confused or afraid and lawmakers appearing more concerned about saving political face, healthcare reform as it was intended appears over. Why did this happen? Why can’t the wealthiest country in the world come up with a way to provide medical care for all of its citizens? This week RELATIVTY OnLine welcomes American writer Kyle Brady into our humble mix of multiplicity. Our first correspondent to come to us from the United States, each week Brady will take us inside our planet’s most powerful nation. In his first peice, Brady discusses recent attempts at healthcare reform in his country and what he calls the disappointing behavior of his congress.
Congress, it would seem, is hell bent on upsetting and ignoring the American people on a consistent basis, as evidenced by their recent actions within the realm of what is supposed to be healthcare reform.
Even with staunch Republican opposition to any legislation not borne as their own, the House of Representatives passed their version of a healthcare reform bill that stood as a decent start for the legislative process, public option included. While the bill had its flaws, such as a lack of support for abortions within the public option, victory appeared within grasp for the majority of Americans that have been clamoring for such legislation since President Obama proposed this action during his campaign. However promising the bill may have been, the Senatorial half of Congress has proven this so-called reform to be an exercise in futility.
The status of true healthcare reform, the public option, and regulation of insurance companies is quite simple: dead. For all intents and purposes, Democrats, Harry Reid especially, have shown a surprising lack of tactical brilliance by negotiating away any legitimate benefits to the American people almost before it started, all while insisting on a 60-vote passage of the bill, rather than the 51 votes needed for a reconciliation between the House and Senate versions. To many following the issue, the process of reconciliation seemed what the majority party was aiming for after the passage of the House bill, where the bills in each half of Congress could have flaws that would be fixed at a later date with a higher chance of success.
But recent behavior has shown otherwise, as the insistence on 60 votes continues: numerous Democrats have refused to vote for the bill for various reasons that range from the petty to the easily disproved, which has weakened the majority. Furthermore, those in power within the Democratic party have attempted to include Republicans on the making of the bill, despite the last eleven months proving they have no interest in cooperation, only obstruction – this has resulted in the stagnation of the bill and whittling away of any value it once had.
The public option is now considered to be dead, but insurance mandates still exist that would require the purchasing of private insurance by all citizens. There are little to no regulations left to place on the insurance companies. Medicare may be extended to those starting at the age of 55. Insurance companies will still have antitrust protection. How does any of this solve the problem that the legislation was created to address? As it stands, the only real outcome of the Senate’s version of what is decidedly not healthcare reform is a requirement to purchase insurance, and severe penalties for those that do not.
This is as much the Republicans’ fault as it is the Democrats’ – Republican obstructionism forced concessions almost immediately, and the Democrats have shown a considerable lack of spine. It is entirely unacceptable that passing legislation would take an entire year and yet have no tangible, let alone beneficial, results once passed, but this appears to be what Congress prefers. Special interest groups, lobbyists, and corporate pockets have all but prevented progress within the borders of America, and it didn’t even require outside influence by nefarious forces.
When Congress’ finances are at stake, they seem to be willing to take quick and decisive action, no matter how much populist anger it may raise: TARP, the auto-industry, and various other situations have proven this since President Obama’s Inauguration. But when those financial interests do not wish to be disturbed, most Congressional politicians take it upon themselves to make sure nothing gets done within their supposedly venerable halls – Joe Lieberman is a prime example of such shamefully unabashed sellout behavior.
The House moved considerably quicker than the Senate, to much greater success, and for this they should be applauded, but one of the key reasons for this was that the methods by which the House operates allow certain voices to be ignored or limited if necessary. The Senate does not have these restrictions, and therefore the debate drags on endlessly to the great frustration of the American people, all while Senators pretend to be making great progress, participate in showboating, and taking extraordinarily necessary means to make a point that has been made many times over.
Unless there is a grand scheme, such as Senate Democrats secretly organizing a 51-vote reconciliation process that President Obama would be clandestinely involved with, true healthcare reform appears dead in the water and will exist as a shameful black mark on the American record for years to come. If there is no public option, no extension of Medicare to all citizens who wish it, and no regulation of insurance companies, then it is not healthcare reform – it’s corporate expansion masquerading as social progress.
This is not the time to give up, however. The need is now greater than ever for Americans to attempt to make their voices heard by Congress, the Senate especially – the vocal and irrational minority that has hijacked such an important issue must be drowned out with the proclamation that citizens of the United States of America will not suffer being lied to, manipulated, and deceived. If healthcare reform cannot pass because of sabotage from within the Democratic Party by those that masquerade as liberals, progressives, or even moderates, for them there must be a reckoning.
Congress should be aware, Democrats and Republicans both, that many political careers currently hang in the balance due to their disappointing behavior surrounding the healthcare reform process, and that their party affiliation will not save them from being voted out of office in the next election – from this, President Obama is not excluded. In what was to be one of the defining moments of his Presidency, President Obama appears to be willing to accept any sort of legislation so it can be labeled as groundbreaking progress, and this is unacceptable to many of his greatest supporters that range from young to old, progressive to moderate.
Both 2010 and 2012 may end up being more of a race than incumbent Democrats had imagined.
Kyle Brady can be found at his blog, on Twitter or via email at kyle@kyle-brady.com / brady.k@gmail.com



The overall American Psyche will not allow for a universal tax paid healthcare system to take place. No other other country, I feel, represents the Darwinian core of capitalism better than the United States. It’s in our nature as a society. There will never be a public option for healthcare. There never will be a UK or Canada style universal system of medical coverage. Never.
Obama cannot work magic, he cant even convince his own party to get on the same page. A paper tiger of reform is all that will happen in the end. Just like always. Obama is an idealist and a symbol and yes, just another politcian.
America is a country that provides opportunity for all but I for one do not want to be taxed like those in Canada in order to finance someone else’s hospital visits.
The health care system in Canada is a source of national pride yet experts and those working within the system often claim the medicare system is in a state of crisis.
The process took shape in 1950s/1960s but universal coverage regardless of employment, income or health was not guaranteed to all until the 1970s. So, it took awhile….and there is still a great deal of problems associated with this system but so what, anybody can go to the hospital or a clinic and get care. Sometimes the care is not that great, or one has to wait a very long time to access that care (depending on the problem) but still, care is accessible. So, medicare delivers a broadly acceptable level of healthcare but it depends what one wants from the health care system.
A Canadian tax-funded single payer model does restrict expenditure which is why Canada has explored private money to fill in some of the gaps but like the US, there is ideological opposition to the private “intruder” which is a load a crap in my view. Sustainability is key and most citizens have no idea, no matter how schooled they are, what it takes to manage Canada’s health care system.
Amy, I will say that I understand where you are coming from. I very much dislike that almost half of income is taken by the government to universal pension and employment insurance programs combined with Federal and Provincial taxes (and personal deductions like RSPs) but, I will reluctantly admit that I happy to do so if it means my fellow citizens are positively affected. However, I think sometimes Canada gets carried away on its constant need to supplement others, especially regarding social programs, whereby the hand is always “out”, expecting the government to solve all individual problems, but that is another story.
Did you honestly think there would be healthcare reform? Come on. Obama set the bar high only because he knew what would happen. He is nothing if not intelligent and I wouldn’t come him some idealistic bleeding heart either. He sold people on the idea of healthcare reform, knowing full well he would have to accept whatever legislation he could get. Youthful idealism will always lead to dissppointment and if some lawmakers get voted out, a whole pack of wannabees are waiting in the wings to replace them. Rage agaonst the machine, sure, but the machine keeps on running. This is why half the population doesnt even vote.
whatliesbeneath – saying that in Canada half your money is taken for taxes is a gross exageration, unless your making well into the six figures and even then its not 50%. And you “reluctantly” admit that you like when country takes care of its citizens??? We take care of our own, for better or for worse, cost worried about later, no matter what our differences. This is what makes us a humane society. I hope you reluctantly agree with me.
Do you know that thousands of Americans die every year for no other reason except that they dont have healthcare? Yes, thousands of mothers and fathers and children – THOUSANDS. Do you know that some studies suggest nearly a milion Americans have died since 1950 ONLY because they couldn’t afford medical coverage? That’s messed up, that’s why I’m glad I’m not an American (amongst other reasons) and why I’m proud of my troubled, difficult to deal with system here in Canada. Just like my dysfunctional parents did throughout my chilhood, no matter how screwy things are at times, I know me, my wife and my children will be cared for – no matter what. Intellectualize that point all you want, it wont change.