Healthcare Reform and the Public

Fight disinformation: Sign up for the free Mother Jones Daily newsletter and follow the news that matters.

I guess I shouldn’t care too much about stuff like this, but it bugs me when I get egregiously misquoted. Here is Tevi Troy in the Wall Street Journal today writing about the political disaster of healthcare reform:

Obama told wavering Democrats [that HCR] would suddenly become acceptable or even popular with the American people once it was passed. As Mother Jones’s Kevin Drum put it in March, “once people get a taste of universal healthcare, they like what they see and they don’t stop until the job is finished.”….Alas for Obama and Drum [], it turned out that the more people tasted it, the less they liked it.

And here’s what I actually wrote, in response to a question from Charles Pierce about why I thought passage of PPACA would lead to bigger and better reform down the road:

What’s the argument for longer term progress? This isn’t quite as black and white, but the historical evidence is pretty clear. Look at virtually every other advanced economy in the world. They started off with small programs and grew them over time. Germany spent over a century getting to universal healthcare. France started after World War II and didn’t finish until 1999. In Canada, national healthcare started in Saskatchewan in 1946, spread to the other provinces over the next couple of decades, and became Medicare in 1984. The trend here is pretty obvious: once people get a taste of universal healthcare, they like what they see and they don’t stop until the job is finished.

Obviously I was talking about long-term public acceptance of national healthcare after it starts getting implemented, not public reaction during a midterm election six months after passage. I might, of course, turn out to be wrong about even that, but I said what I said, not what Troy pretended I said.

But hey — there’s more to this than just personal pique. There are also facts, which Troy cherry picks with abandon. I don’t know whether healthcare reform was really responsible for one-third of the 63-seat loss that Democrats suffered in November, as Troy says, but I do know in general terms how public opinion toward healthcare reform has trended during the year. Kaiser has been sampling it monthly and you can see the results on the right. In April, right after PPACA passed, it was viewed favorably by a 45%-40% margin. In November, that had changed to 42%-40%. And, as we all know, attitudes toward most of the specific provisions of PPACA remain even more strongly favorable. That’s not really evidence of a massive turnaround in public opinon.

Other surveys show other things, but in general healthcare reform polls favorably among Democrats and slightly favorably among independents; more favorably among the working age population than the elderly (probably due to the tsunami of Medicare demagoguing during the campaign); and modest majorities favor giving the bill a chance rather than repealing it. And, as always, the individual mandate polls badly.

In other words, the jury is still out on the political impact of healthcare reform. I’d say Democrats made a mistake by delaying implementation of most of it until 2014, and I’d also say (obviously) that Republicans are going to take a stab at repealing/defunding parts of it next year. There’s no telling how that’s going to play out. In the long term, though, if PPACA survives I’ll stick to my prediction: once it’s real and people start benefiting from it, it will become popular and the public will want it expanded. I’ll check back in 2020 to see how my crystal ball panned out.

WE'LL BE BLUNT

It is astonishingly hard keeping a newsroom afloat these days, and we need to raise $253,000 in online donations quickly, by October 7.

The short of it: Last year, we had to cut $1 million from our budget so we could have any chance of breaking even by the time our fiscal year ended in June. And despite a huge rally from so many of you leading up to the deadline, we still came up a bit short on the whole. We can’t let that happen again. We have no wiggle room to begin with, and now we have a hole to dig out of.

Readers also told us to just give it to you straight when we need to ask for your support, and seeing how matter-of-factly explaining our inner workings, our challenges and finances, can bring more of you in has been a real silver lining. So our online membership lead, Brian, lays it all out for you in his personal, insider account (that literally puts his skin in the game!) of how urgent things are right now.

The upshot: Being able to rally $253,000 in donations over these next few weeks is vitally important simply because it is the number that keeps us right on track, helping make sure we don't end up with a bigger gap than can be filled again, helping us avoid any significant (and knowable) cash-flow crunches for now. We used to be more nonchalant about coming up short this time of year, thinking we can make it by the time June rolls around. Not anymore.

Because the in-depth journalism on underreported beats and unique perspectives on the daily news you turn to Mother Jones for is only possible because readers fund us. Corporations and powerful people with deep pockets will never sustain the type of journalism we exist to do. The only investors who won’t let independent, investigative journalism down are the people who actually care about its future—you.

And we need readers to show up for us big time—again.

Getting just 10 percent of the people who care enough about our work to be reading this blurb to part with a few bucks would be utterly transformative for us, and that's very much what we need to keep charging hard in this financially uncertain, high-stakes year.

If you can right now, please support the journalism you get from Mother Jones with a donation at whatever amount works for you. And please do it now, before you move on to whatever you're about to do next and think maybe you'll get to it later, because every gift matters and we really need to see a strong response if we're going to raise the $253,000 we need in less than three weeks.

payment methods

WE'LL BE BLUNT

It is astonishingly hard keeping a newsroom afloat these days, and we need to raise $253,000 in online donations quickly, by October 7.

The short of it: Last year, we had to cut $1 million from our budget so we could have any chance of breaking even by the time our fiscal year ended in June. And despite a huge rally from so many of you leading up to the deadline, we still came up a bit short on the whole. We can’t let that happen again. We have no wiggle room to begin with, and now we have a hole to dig out of.

Readers also told us to just give it to you straight when we need to ask for your support, and seeing how matter-of-factly explaining our inner workings, our challenges and finances, can bring more of you in has been a real silver lining. So our online membership lead, Brian, lays it all out for you in his personal, insider account (that literally puts his skin in the game!) of how urgent things are right now.

The upshot: Being able to rally $253,000 in donations over these next few weeks is vitally important simply because it is the number that keeps us right on track, helping make sure we don't end up with a bigger gap than can be filled again, helping us avoid any significant (and knowable) cash-flow crunches for now. We used to be more nonchalant about coming up short this time of year, thinking we can make it by the time June rolls around. Not anymore.

Because the in-depth journalism on underreported beats and unique perspectives on the daily news you turn to Mother Jones for is only possible because readers fund us. Corporations and powerful people with deep pockets will never sustain the type of journalism we exist to do. The only investors who won’t let independent, investigative journalism down are the people who actually care about its future—you.

And we need readers to show up for us big time—again.

Getting just 10 percent of the people who care enough about our work to be reading this blurb to part with a few bucks would be utterly transformative for us, and that's very much what we need to keep charging hard in this financially uncertain, high-stakes year.

If you can right now, please support the journalism you get from Mother Jones with a donation at whatever amount works for you. And please do it now, before you move on to whatever you're about to do next and think maybe you'll get to it later, because every gift matters and we really need to see a strong response if we're going to raise the $253,000 we need in less than three weeks.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate