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Obama's option play

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POSTED: August 26, 2009 9:01 a.m.
One of the few strictly accurate things that President Barack Obama routinely says about his health-care reform is that it’s much bigger than just the so-called public option. Yet when his administration signaled that the public option could be dropped, the left threw a collective tantrum.
Why the uproar over what Obama at his recent Colorado town hall called a “sliver” of reform? After all, the left should be delighted about the movable feast of statism in the congressional bills: new mandates on employers and individuals, $1 trillion in new spending over 10 years, heavy regulation on insurers, a vast accretion of new bureaucratic power, and higher taxes. What’s not to like?
But nothing offers the near-term promise of moving toward a single-payer government-controlled system quite like the public option. A few Democrats are occasionally unguarded enough to speak about it publicly. A single-payer activist confronted liberal lion Barney Frank with a camera, demanding to know why he didn’t support single-payer. Frank shot back that he favors such a system, only he realizes ObamaCare’s public option is the best way to get from here to there.
Indeed, Obama says at his town-hall meetings that moving to single-payer would be “too disruptive” — too many people now get insurance through their employers. By beginning to tip people out of private coverage, ObamaCare’s public option would conveniently remove that prudential obstacle to a government-run system.
The public option is a laughably ill-disguised Trojan horse. The left is emotionally vested in it for exactly this reason. It’s the proxy for the long-cherished goal of socialized medicine. If it can’t be achieved by a new, young, liberal president with sizable majorities in both houses of Congress, what’s the use? Even without the public option, ObamaCare will effectively transform the private insurers into public utilities and set the predicate for more government intervention later. But it won’t hold the same ideological romance.
The question is whether Obama has already waited too long to dump it. He’s poisoned the well with Republicans who are disinclined to sign on to anything big, and he may have ruined his health-care brand with the center. If so, he’ll get little credit for modifying his plan, only blame from his agitated base. And he’ll need all the political juice he can muster if he’s really going to march congressional Democrats through a party-line vote for an expensive bill partly paid for by cutting a half-trillion dollars from Medicare and Medicaid.
It’s not inconceivable that the entire effort could collapse. Obama learned every lesson of HillaryCare except the essential one. Hillary wrote a bill in the White House; Obama gave Congress free rein. Hillary got savaged by the special interests; Obama bludgeoned them into cooperating. And Obama probably figured he is smarter, defter and more persuasive. So he managed to avoid all of Hillary’s tactical mistakes while repeating her central error of proposing a frighteningly sweeping takeover of health care. Ain’t arrogance grand?
 

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