As you probably know if you’ve been following the presidential campaign news, Barack Obama released his long-awaited health care reform proposal earlier this week, and it’s getting decidedly mixed reviews from the chattering classes. Two progressive blogger/journalists with pretty good street cred on health care issues, Ezra Klein and Jon Cohn, have published quite similar takes, praising many of the details of the plan but decrying its timidity in challenging the health care status quo–most particularly its failure to provide universal coverage (other than for children). On the positive side, it does indeed seem that Obama’s plan represents sort of a greatest hits collection of incremental health care reform ideas. It picks up John Kerry’s underappreciated 2004 proposal for federal reinsurance of catastrophic health costs, which could have a big impact on rising insurance premiums. It adopts the federal employee health plan model for a national insurance purchasing pool, which makes abundant good sense substantively and politically. It calls for a federally-driven shift towards prevention and chronic disease management, along with IT investments to help control costs and improve quality, which ought to be a point of agreement among those who may disagree on financing mechanisms and/or the role of public and private sectors. It includes a direct assault on health care industry abuses through federal regulation, instead of treating such abuses as an unavoidable byproduct of for-profit involvement in health care. It does cover all kids, which makes sense if you aren’t going to cover everybody. And it provides very robust subsidies to make voluntary health insurance affordable to as broad a segment of the uninsured as possible, along with an employer mandate to avoid erosion of existing coverage. Those are a heap o’ positives, but the negatives, most especially the plan’s failure to include a universal individual mandate for health insurance, and its complexity, are likely to get more attention, on both substantive and political grounds. Substantively, the plan obviously fails to fundamentally overhaul the current system, with its patchwork of public and private programs, its heavy reliance on economically damaging and arguably regressive employer-based coverage, and its failure to cover everyone. And politically, the plan will reinforce claims that Obama isn’t quite the transformative, great-leap-forward progressive so many have seen in him. One particular problem for Obama is that his plan superficially resembles the Massachusetts initiative signed by Republican presidential candidate Mitt Romney, with the crucial exception that Massachusetts did include a universal individual mandate for coverage (underfunded, to be sure, but still in place). Another is that Obama’s plan achieves less than universal coverage at a pretty steep price tag, given its lavish subsidies to tempt rather than force individuals into obtaining insurance. Beyond the initial reactions, perceptions of Obama’s plan will be crucially influenced by his rivals for the Democratic presidential nomination. John Edwards is already in a position to exploit Obama’s incrementalism on health care, given his own comprehensive universal plan, which not only embraces an individual mandate for coverage but also provides a stronger Medicare-style public option attractive to Democrats who favor a single-payer system. Given Edwards’ competition with Obama for the support of left-leaning Democrats, this could become an important point of distinction between the two candidates, at least among activists. But the other shoe that will soon drop is Hillary Clinton’s; she’s slowly rolling out a very thorough and comprehensive health care reform proposal, building on her unquestioned expertise in this field. Still under wraps is what she would do to achieve expanded coverage. If she goes for a universal plan (which is quite likely), then Obama will begin to look like an incrementalist outlier among those who care about policy details.
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Editor’s Corner
By Ed Kilgore
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April 19: Will Chaos of Chicago ’68 Return This Year?
A lot of people who weren’t alive to witness the 1968 Democratic Convention in Chicago are wondering if it’s legendary chaos. I evaluated that possibility at New York:
When the Democratic National Committee chose Chicago as the site of the party’s 2024 national convention a year ago, no one knew incumbent presidential nominee Joe Biden would become the target of major antiwar demonstrations. The fateful events of October 7 were nearly six months away, and Biden had yet to formally announce his candidacy for reelection. So there was no reason to anticipate comparisons to the riotous 1968 Democratic Convention, when images of police clashing with anti–Vietnam War protesters in the Windy City were broadcast into millions of homes. Indeed, a year ago, a more likely analog to 2024 might have been the last Democratic convention in Chicago in 1996; that event was an upbeat vehicle for Bill Clinton’s successful reelection campaign.
Instead, thanks to intense controversy over Israel’s lethal operations in Gaza and widespread global protests aimed partly at Israel’s allies and sponsors in Washington, plans are well underway for demonstrations in Chicago during the August 19 to 22 confab. Organizers say they expect as many as 30,000 protesters to gather outside Chicago’s United Center during the convention. As in the past, a key issue is how close the protests get to the actual convention. Obviously, demonstrators want delegates to hear their voices and the media to amplify their message. And police, Chicago officials, and Democratic Party leaders want protests to occur as far away from the convention as possible. How well these divergent interests are met will determine whether there is anything like the kind of clashes that dominated Chicago ’68.
There are, however, some big differences in the context surrounding the two conventions. Here’s why the odds of a 2024 convention showdown rivaling 1968 are actually fairly low.
Gaza isn’t Vietnam.
Horrific as the ongoing events in Gaza undoubtedly are, and with all due consideration of the U.S. role in backing and supplying Israel now and in the past, the Vietnam War was a more viscerally immediate crisis for both the protesters who descended on Chicago that summer and the Americans watching the spectacle on TV. There were over a half-million American troops deployed in Vietnam in 1968, and nearly 300,000 young men were drafted into the Army and Marines that year. Many of the protesters at the convention were protesting their own or family members’ future personal involvement in the war, or an escape overseas beyond the Selective Service System’s reach (an estimated 125,000 Americans fled to Canada during the Vietnam War, and how to deal with them upon repatriation became a major political issue for years).
Even from a purely humanitarian and altruistic point of view, Vietnamese military and civilian casualties ran into the millions during the period of U.S. involvement. It wasn’t common to call what was happening “genocide,” but there’s no question the images emanating from the war (which spilled over catastrophically into Laos and especially Cambodia) were deeply disturbing to the consciences of vast numbers of Americans.
Perhaps a better analogy for the Gaza protests than those of the Vietnam era might be the extensive protests during the late 1970s and 1980s over apartheid in South Africa (a regime that enjoyed explicit and implicit backing from multiple U.S. administrations) and in favor of a freeze in development and deployment of nuclear weapons. These were significant protest movements, but still paled next to the organized opposition to the Vietnam War.
Political conventions are different today.
One reason the 1968 Chicago protests created such an indelible image is that the conflict outside on the streets was reflected in conflict inside the convention venue. For one thing, 1968 nominee Hubert Humphrey had not quelled formal opposition to his selection when the convention opened. He never entered or won a single primary. One opponent who did, Eugene McCarthy, was still battling for the nomination in Chicago. Another, Robert F. Kennedy, had been assassinated two months earlier (1972 presidential nominee George McGovern was the caretaker for Kennedy delegates at the 1968 convention). There was a highly emotional platform fight over Vietnam policy during the convention itself; when a “peace plank” was defeated, New York delegates led protesters singing “We Shall Overcome.” Once violence broke out on the streets, it did not pass notice among the delegates, some of whom had been attacked by police trying to enter the hall. At one point, police actually accosted and removed a TV reporter from the convention for some alleged breach in decorum.
By contrast, no matter what is going on outside the United Center, the 2024 Democratic convention is going to be totally wired for Joe Biden, with nearly all the delegates attending pledged to him and chosen by his campaign. Even aside from the lack of formal opposition to Biden, conventions since 1968 have become progressively less spontaneous and more controlled by the nominee and the party that nominee directs (indeed, the chaos in Chicago in 1968 encouraged that trend, along with near-universal use of primaries to award delegates, making conventions vastly less deliberative). While there may be some internal conflict on the platform language related to Gaza, it will very definitely be resolved long before the convention and far away from cameras.
Another significant difference between then and now is that convention delegates and Democratic elected officials generally will enter the convention acutely concerned about giving aid and comfort to the Republican nominee, the much-hated, much-feared Donald Trump. Yes, many Democrats hated and feared Richard Nixon in 1968, but Democrats were just separated by four years from a massive presidential landslide and mostly did not reckon how much Nixon would be able to straddle the Vietnam issue and benefit from Democratic divisions. That’s unlikely to be the case in August of 2024.
Brandon Johnson isn’t Richard Daley.
Chicago mayor Richard J. Daley was a major figure in the 1968 explosion in his city. He championed and defended his police department’s confrontational tactics during the convention. At one point, when Senator Abraham Ribicoff referred from the podium to “gestapo tactics in the streets of Chicago,” Daley leaped up and shouted at him with cameras trained on his furious face as he clearly repeated an obscene and antisemitic response to the Jewish politician from Connecticut. Beyond his conduct on that occasion, “Boss” Daley was the epitome of the old-school Irish American machine politician and from a different planet culturally than the protesters at the convention.
Current Chicago mayor Brandon Johnson, who was born the year of Daley’s death, is a Black progressive and labor activist who is still fresh from his narrow 2023 mayoral runoff victory over the candidate backed by both the Democratic Establishment and police unions. While he is surely wary of the damage anti-Israel and anti-Biden protests can do to the city’s image if they turn violent, Johnson is not without ties to protesters. He broke a tie in the Chicago City Council to ensure passage of a Gaza cease-fire resolution earlier this year. His negotiating skills will be tested by the maneuvering already underway with protest groups and the Democratic Party, but he’s not going to be the sort of implacable foe the 1968 protesters encountered.
The whole world (probably) won’t be watching.
The 1968 Democratic convention was from a bygone era of gavel-to-gavel coverage by the three broadcast-television networks that then dominated the media landscape and the living rooms of the country. When they were being bludgeoned by the Chicago police, protesters began chanting, “The whole world is watching,” which wasn’t much of an exaggeration. Today’s media coverage of major-party political conventions is extremely limited and (like coverage of other events) fragmented. If violence breaks out this time in Chicago, it will get a lot of attention, albeit much of it bent to the optics of the various media outlets covering it. But the sense in 1968 that the whole nation was watching in horror as an unprecedented event rolled out in real time will likely never be recovered.