Tuesday, January 19, 2010

We're effed

Well: health care reform is dead. Coakley's loss means that the Democrats have one vote short of a filibuster-proof majority, which is giving centrist Democrats an excuse to run for cover. Democratic support for the bill is caving as speak, as Jim Webb volunteers that there will be no more votes on heath care until Scott Brown is seated, and no less a Massachusettes liberal than Barney Frank rules out this possibility as well. Senator Evan Bayh is already acknowledging the election as a rebuke to the Democratic agenda.

But this whole experience proves something more than a failed attempt by Democrats to reform health care insurance: it shows that the United States government is incapable of passing major legislation that will solve our biggest problems. Health care needs to be reformed, one way or another: its costs are spiraling out of control, and the ranks of the uninsured keep growing. If costs continue growing apace, the federal government will go broke paying for Medicare in the next fifty years.

Of course, broadening health care insurance isn't the only way to solve the looming budget problem; you could go the Republican route, and cut entitlements. The problem is: no Republicans are seriously advocating this. Scott Brown ran on a platform of not reducing a penny of Medicare spending, and he supports Massachusettes' own universal health care program. Indeed, the fact that the Dem's reform package would have resulted in Medicare spending cuts was used by Republicans as a talking point against the legislation. And of course, it was a Republican President and Congress that last decade passed Medicare Part D, the largest expansion of entitlements since the passage of Medicare itself--all of it funded with deficit spending (which is to say, none of it was funded at all).

Now, ultimately this failure is attributable to the rules of the Senate--specifically, the recently adopted practice of requiring a 60 vote supermajority to pass any legislation whatsoever. If a simple majority was all that was needed to get something through, the legislation would have passed in the middle of last year. But so long as this supermajority requirement remains, it will be impossible for either party to pass any legislation that is capable of solving our nation's biggest problems. I think it would behoove the leadership in both parties to agree to abolish the filibuster in a set period of time from now (6 years, say, when it is unknown which party will be in power). Otherwise crucial legislation--whether it is coming from the left or the right--will continue to crash on the shoals of arcane procedural votes in the Senate.

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