President Obama calls on Senate Republicans to stop filibustering campaign-finance legislation, July 2010 (AP/J. Scott Applewhite)
The voters often surprise us, but this fall's midterm election seems nearly certain to have at least one consequence. For the next two years, Congress will be unable to make any significant headway on the great challenges facing our country. The Republicans may win one or both houses, or they may fall a bit short, but their gains will be enough to stymie substantial legislation to deal with climate, immigration, the economy, and long-term fiscal challenges. A majority of the electorate may think those problems need urgent attention, but when the votes are tallied, they will likely add up to paralysis.
Las perspectivas de una nueva campaña para la reforma de salud -- en esta ocasión para llevarla a cabo-- pueden sorprender a algunos que pensaban que la batalla había terminado cuando el Congreso votó. Lo imperativo, sin embargo, es claro para los líderes de las organizaciones que lucharon por la promulgación de la ley y a los funcionarios claves en la administración del Presidente Obama. Ellos se están preparando para defender las reformas y ayudar a hacer realidad su promesa en los 50 estados.
When health insurance developed in the United States in the 1930s, it covered hospital and later major medical bills, not preventive services. Insurance also had nothing to do with public health. And when Medicare was enacted in 1965, it too made no provision for preventive and public-health services.
The Affordable Care Act is different. Culminating a long shift in thinking, it incorporates preventive care into health insurance and seeks to promote public health through provisions aimed at reducing obesity and smoking and encouraging participation in wellness programs.
Carrying out health-care reform presents challenges far beyond those of ordinary legislation or even such landmarks as Social Security and Medicare. After a law establishes a new program, the next steps are usually a bureaucratic process of policy implementation. But the legislation passed by Congress last March, the Patient Protection and Affordable Care Act, will need to run a gauntlet of treacherous hurdles and be politically implemented.
President-elect Bush meets with Vice President Al Gore, Dec. 19, 2000. (AP Photo/J. Scott Applewhite)
It's months before the November elections, and Republicans have practically broken out the champagne to celebrate their coming victories, while many liberals are chalking up prospective losses to the failure of the president and congressional Democrats to be ambitious enough. Excuse me if I don't join in the "precriminations." The elections may turn out badly, but the achievements of the administration's first year and a half have been more than respectable, and I doubt that more progressive policies could have borne fruit quickly enough to alter the results in November. Nor do I believe that Democrats have overreached, only to suffer the predictable reaction from a "center right" society.