In all the talk about whether Joe Biden should “step aside,” there hasn’t been enough discussion of the rationale he should present if he does so. So I offered one at New York:
The Democratic Party’s semi-public bickering over what to do with Joe Biden needs to come to an end very soon, lest it turn into a horrific party-rending conflict or a de facto surrender to Donald Trump. While he can technically be pushed out of the nomination, it would be nightmarishly difficult to do so given his virtually unopposed performance in the primaries and the lack of precedent for anything like a forced defenestration of a sitting president. It would also express disloyalty to a brave and dedicated leader. But Biden has already lost the united, confident party he needed to make a comeback. He’s trailing in the polls right now. And even more importantly, his own conduct and fitness for office will command center stage for the rest of the general-election campaign, which is precisely what he cannot afford given his poor job-approval ratings and the sour mood of the electorate.
So Joe needs to go of his own accord, and it needs to happen quickly before Republican and Biden-loyalist claims of a “coup” become all too credible. But it’s obviously a humiliating exercise. So if Biden comes to realize the futility of going forward, what can this proud and stubborn man say that will make him something other than an object of derision or pity?
I have a simple answer: He can tell the truth.
The truth is that Biden’s firm commitment to the pursuit of a second term, despite his advanced age and increased frailty, hardened into inflexible determination when Trump made his own decision to launch an initially unlikely comeback. When Biden took office, Trump was a disgraced insurrectionist whose very defenders in his second impeachment trial mostly denounced his conduct, even as they urged acquittal on technical grounds. The 46th president was in a position to serve one distinguished “transitional” term and retire with a wary eye on his fellow retiree festering in anger and self-righteousness in Mar-a-Lago. But as Trump slowly recovered and eventually reemerged as a more dominant figure than ever in a MAGA-fied Republican Party, Biden became convinced that as the only politician ever to defeat Donald Trump, he had the responsibility to do it again and the ability to remind voters why they rejected the 45th president in 2020.
As this strange election year ripened, Biden had a perfectly plausible strategy for victory based on keeping a steady public focus on Trump’s lawless conduct (including actual crimes), his erratic record, and extremist intentions for a perilous second term. The polls were close and Biden wasn’t very popular, but these surveys also showed a durable majority of the electorate that really didn’t want to return Trump to power, particularly as economic conditions improved and the consequences of Trump’s Supreme Court appointments grew more shockingly apparent each day.
Then came the June 27 debate, and suddenly Biden lost the ability to make the election about Trump. He needs to look into a camera and say just that, and conclude that just as the threat posed by Trump motivated him to run for a second term, the threat posed by Trump now requires that he withdraw so that a successor can make the case he can’t make as he’s become the object of endless speculation about his age and cognitive abilities. Biden does not need to resign the presidency, since his grounds for withdrawing his candidacy are about perceptions and politics rather than any underlying incapacity. Biden would be withdrawing as a weakened candidate, not as a failed president.
For this withdrawal to represent a stabilizing event for his administration and his party, it’s critical that Biden not equivocate or complain, and that he show his mastery of the situation by clearly passing the torch to the vice-president he chose four years ago. For all the talk of an “open convention” being exciting (for pundits) and energizing (for the winner), the last thing Democrats need right now is uncertainty. No matter what the polls show and how badly his old friends want him to succeed, it’s the prospect of 100 days of terror every time Biden makes unscripted remarks that is feeding both elite and rank-and-file sentiment that a change at the top of the ticket is necessary. The fear and confusion needs to end now, and Biden effectively made his choice of a successor when he made Kamala Harris his governing partner. The president needs to reassert his agency now, not look like he is abandoning his party and his country to the winds of fate.
A straightforward and honest admission of why Biden 2024 is coming to an end could go a very long way toward enabling Harris and other Democrats to shift the nation’s gaze back to the ranting old man whose acceptance speech at the Republican National Convention showed that he has not mellowed or moderated at all. Of course Biden wants to solidify and extend his legacy over the next four years. But right now, the clear and present danger is that it will be extinguished altogether. He alone can address that threat, not as a candidate, but as a president and a patriot who recognizes his duty.
No doubt the American health insurance industry will oppose rigorous regulation even more fiercely than the public option. It seems almost a silly exercise to even consider the prospect. However, I do wonder whether insurance regulation such as that imposed on auto insurance by California Prop 103 might work. As a counterbalance to mandatory auto insurance, the State exerts control over premiums. When the proposition passed in 1988, the auto insurance industry forecast doom, warning that companies would abandon the California market in droves. 20 years later, there are plenty of choices of auto insurance to choose from and most Californias are pleased with the results. California premium rates have dropped from the second highest in the US to 21st (http://www.consumerwatchdog.org/insurance/articles/?storyId=18988). Note that voters, not legislators, imposed regulation in California. Can you imagine Conrad, Baucus, and Lincoln standing up for stiff regulation? I sure can’t. I’m hanging in there for a public option and wondering whether I could ever support mandated health insurance without either a public option or regulation. I think not.
We can’t even bring ourselves to regulate Wall Street immediately after the biggest meltdown in living memory. They’ve taken the bailout money, thank you very much, and jumped right back into derivatives trading. And you’re pinning your hopes on regulating the insurance and pharmaceutical industries?
aggressive government regulation of private health insurers can accomplish a lot of the same things as competition from a public option
Even mild regulation won’t last a decade, if that long; it will be bound and smothered and neglected in a thousand ways, from under-the-radar ‘relief’ for businesses to race-to-the-bottom ‘federalism’ to outright refusal to enforce said regulations,all accelerating as Republicans gain more power. And because most of the ill effects of this non-regulation will be borne by those under the radar for many years (until we reach another tipping point), people won’t care.
A public option’s big advantage is that it’s, well, public— we can see it and will know others who use it and will all have at least some interest in it not being overly corrupt. And one most likely would grow instead of decaying the way regulations inevitably will. Bottom line: American regulation is a joke, because our political system is not designed to protect the common good, no matter what the founding documents say.
Democrats know perfectly well that whenever they build anything benefiting citizens by GOP blueprints, the foundation will eventually fail, and that’s a feature, not a bug. The right can tinker with cosmetics without doing too much damage, but I will never buy anything they helped design (or even influenced) from the ground up.
My understanding of the Swiss system is not that the insurance companies cannot make any profit on policies, but that they cannot make any profit on BASIC policies. Supplemental insurances, boutique policies, the kind (I surmise) where you get a private room and a private duty nurse, etc., or access to the pricier long-term care facilities, can be sold for a profit. It might not change the willingness of the insurance lobby to fight reform, but it’s a point that perhaps should be made.
The chance of passing real insurance reform, like that in the Netherlands, or Germany or Switzerland, all of which have systems based on private insurance, is probably less than that of a public option.
In most of these countries the insurers are regulated like public utilities, and are generally by law required to be not for profit. What is the chance of current insurers going or that? Right, and slim has left town. If you think they are putting up a fight now, wait for a bill that strictly regulates their coverages, premiums and corporate policies and makes them essentially non-profits. Can you say, “Republicans (and all too many Democrats) screaming Government takeover?” I thought you could.
In this political climate the public option is our only option.