
Should he win the nomination and the presidency, then on inauguration day in 2013, after all the pageantry has subsided, Mitt Romney will face a key test: does he take aggressive action to roll back Obamacare as he and every other GOP contender has promised? Or will he accede to pragmatic realities and seek detente with Democrats on the issue that has most divided the parties over the past three years?
The amount of money, strategizing, myth-making, and political capital that Republicans have already thrown at the health care law will make it very difficult for Romney or any GOP President not to enter office with guns blazing. But many of the would-be policy makers who have made dismantling the law their top priority haven't given any real thought to how, mechanically, to unwind it. A closer look reveals that chipping away at Obamacare, or even repealing it altogether will be a daunting challenge, and even if successful will leave the Republican party holding the bag politically for the policy muddle they will create in the process.
"It would be a mess," said Donald Berwick, who led the law's implementation last year as Obama's Centers for Medicare and Medicaid Services director. "If I was given the assignment of unwinding the law, I wouldn't know how to do that. I would thoroughly disagree with it but it would be technically very difficult."
PERMALINK | COMMENTS | RECOMMEND RECOMMEND (0)In an encyclopedic new book that sheds fresh light on the defining fight of President Obama's first term, one of the administration's key health care reform allies recalls a thin-skinned, "weak-kneed" White House, strategically unwilling and temperamentally unable to face criticism from progressive reformers, whose toughest tactics were reserved for its natural allies.
Many of the revelations will be unsurprising to those who followed the year-long fight over health care reform closely. But they serve as a thorough reminder of the administration's uneven strategy during the debate, including its horsetrading with private industry, and private dealing with supporters on the left -- particularly those, like the author, who fought a bruising fight for a public health insurance option and lost.
The book is Fighting For Our Health, by Richard Kirsch, who directed the advocacy group Health Care for America Now during the push for reform. HCAN is a well financed umbrella group backed by scores of liberal groups, unions, and other reformers -- making Kirsch a close witness to the entire saga. He confirms that the White House treated the public option like a bargaining chip with powerful industry players, and believes that when his group became most critical of the bill mid-way through the fight, that top White House aides sought to have him canned.
PERMALINK | COMMENTS | RECOMMEND RECOMMEND (0)Ever since Republicans in Congress voted overwhelmingly for Paul Ryan's budget, the GOP has expected its leading Presidential candidates to back a similar Medicare privatization scheme. Most of them have followed suit. Rick Santorum is trying to have it both ways.
During Sunday morning's NBC debate, the come-from-behind winner of the Iowa caucuses talked about his Medicare pitch to voters.
PERMALINK | COMMENTS | RECOMMEND RECOMMEND (0)Here's the Justice Department's brief defending the new health care law's individual Supreme Court.
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