A few months ago, I was skeptical of all the talk that health care was coming together in a more positive way than in the 1990s. You remember all the chat from this spring: Everyone was involved, Congress and not some secret Hillary task force was writing the bill, the president knew what he was doing. I'm sorry I seemed to have been proven right, at least thus far, but I always thought the fundamental facts were the same as in the 90s: powerful interests like the status quo and they won't easily budge. No matter how suave the president, that fact remains.
Maybe he can turn it around with a primetime speech--and that's assuming the networks all take it live, which I think they will. Somehow I doubt it.
I fear we're heading back to the CHIP model, the Children's Health Insurance Program where we bring more groups of the uninsured into the expensive, bloated system rather than fix the system. Hey, it's better than nothing. But it's not universal coverage and it's not the entitlement fix everyone knows our long-term fiscal outlook demands.
Would be very curious to know what my colleague, Jim Fallows, former presidential speechwriter, thinks should go in such an address. Paul Glastris? Mike Gerson? Walter Shapiro? Any other presidential speechwriters of the past want to weigh in on what Jon Favreau has ahead of him?
This article available online at:
http://www.theatlantic.com/politics/archive/2009/09/what-obamas-speech-needs-to-do/24438/
