US healthcare reform needs a shot in the Left

It isn’t that the Right is organized on US healthcare reform, rather that the Left isn’t. But there’s still time to make amends

By Gary Younge  /  THE GUARDIAN

Thu, Sep 03, 2009 - Page 9

A thousand demonstrators gathered at North Carolina’s capitol on Saturday to support US President Barack Obama’s proposals for universal healthcare. In one of four rallies across the state, some carried placards stating “If it’s broke, fix it” and “Insurance profits bad for my health,” while ironic “Billionaires against healthcare” strode the grounds in top hats, carrying fat cigars and glasses of champagne as they mocked their enemy. Across the street stood 50 counter-protesters with signs saying “Socialism is an Obamanation,” “Revolution is brewing: 2010” and “Not ready for Obama’s communist America.”

In between stood a statue of Confederate general Zebulon Vance with the inscription: “If there be a people on Earth given to sober second thought [and] amenable to reason ... it is the people of North Carolina.” Given the fistfight that broke out at a local town hall meeting on healthcare recently, that claim is, at best, debatable.

With Congress about to return to work, the struggle for healthcare reform is reaching its most crucial and intense phase. Opportunities for a Democratic president to overhaul the system while his party has commanding control of both houses of Congress come around once in a generation — if that. Yet over the last few months the momentum has been slipping away. According to an ABC/Washington Post poll shortly before summer, 53 percent of Americans approved of how Obama was handling healthcare reform against 39 percent who did not. Today, 50 percent disapprove and only 46 percent back him. To get through Congress any bill will inevitably contain compromises. The issue is who will need to be placated and what will have to be surrendered.

Faulkner Fox, an organizer for Durham4Obama, knew there would be times like this. From the moment she started campaigning for Obama during the primaries she has provided unstinting but never uncritical support. After Obama took North Carolina by a hair’s breadth in November — the first Democrat to do so since Jimmy Carter — she demanded that the campaign leave its data so the local group could continue organizing.

In January, before the inauguration, she called a meeting to talk about what they should do next. She expected around 40; more than three times that number showed up.

“We had brought together this very diverse brilliant group of people and it was clear to me that this should not stop on 4 November. We could not let those people go back into the woodwork. We had to keep going. We never thought Obama would do all the things we wanted to do and we always knew that we would have to pressure him to get some things done. That’s how politics works,” she said.

When trade unionist and civil rights leader A. Philip Randolph demanded that president Franklin Roosevelt integrate the military, Roosevelt responded: “I agree with you. I want to do it. Now make me do it.”

Here they are, making him do it.

They formed working groups and started organizing. Michael Pearlmutter, who co-chairs the healthcare committee, provides a daily digest of the day’s healthcare stories. One of their principal targets is Senator Kay Hagan, who swept in on Obama’s coattails but has since dragged her feet on all the major votes. A moderate Democrat in a conservative state, she is anxious to find ways to cover her right flank. Ask the pro-healthcare demonstrators at the capitol how they think she will vote and they shrug. But Faulkner, Pearlmutter and their fellow activists have given her little wriggle room.

“We flood her voicemail,” Fox says. “We visit her, e-mail and get people to write her letters. She always knows we’re here. She does the right thing in the end. But we have to make her.”

Currently in the middle of 30 events in a 30-day spurt of activity, last week 75 people showed up to learn about campaigning, including how to peacefully deal with right-wing hecklers.

That is no minor feat. Central to derailing Obama’s reforms has been the high-profile disruption of town hall meetings by conservatives alleging, among other things, that universal healthcare would create death panels that could kill your grandmother.

Small in number but well organized, they captured the attention of the media. It is the silly season, and a lot of these people are quite silly. Like the “birthers” who insist that Obama was not born in the US, most of their claims are not only demonstrably false but downright daft. They have argued that if Steven Hawking were British he would be dead, even though Hawking is British and alive. They insist that under the British tax-funded National Health Service the state decides whether to “pull the plug on grandma.”

But life expectancy in the UK is higher than in the US, meaning that even with our supposed state-sponsored euthanasia our grannies still live longer than theirs. In a blend of the comic and the tragic one protester, who was hospitalized after he got into a fight at a town hall meeting in St Louis, had to have a whip-round to pay for his medical bill as he had no health insurance.

There are legitimate arguments, both philosophical and economic, against the proposed reforms. Antipathy toward government runs deep here, and the national debt was last week forecast to reach US$9 trillion. But that would be a case for different kinds of overhaul — not none.

Sooner or later something will have to be done about healthcare in the US. As a percentage of GDP the US spends twice as much on it as the UK, yet one in six aren’t even covered. According to government figures, life expectancy for women is lower than in Albania and infant mortality is higher than Cuba. This national disgrace conceals a regional outrage: Black infant mortality in Louisiana is on a par with Sri Lanka, while in the very city where the reforms will be decided, Washington, life expectancy is lower than the Gaza Strip.

The right-wing protesters are ridiculous, but that does not prevent them from being effective.

“It’s much easier to turn up at a meeting and yell,” Pearlmutter says, “than to propose something that works. Healthcare is complicated. Even within our own working group there are many different positions.”

The fact that the Right has diminished Obama’s chances does not mean they have boosted their own. An NBC poll shows that while only 41 percent support Obama’s proposals, 62 percent disapprove of the way the Republicans are handling it.

But those who complain that the Right’s intervention has been the work of coordinated activists rather than spontaneous individuals miss the point. The problem is not that the Right were organized but that — with a few exceptions like Durham — the Left has not been. At the very moment when he needed the “movement” that got him elected most, it appears to have largely stopped moving.

The bad news is there are few places like Durham. The good news is there is still time. A big part of the country is desperate to be convinced and the battle for public opinion is finely balanced.

“We’re not going to out-yell them,” Fox says. “So we have to out-organize them.”