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The Democratic Strategist

Political Strategy for a Permanent Democratic Majority

Ed Kilgore

Reform, Not Revolution, in Health Care

The much-awaited Congressional Budget Office analysis of the Senate Finance Committee’s version of health reform legislation is in, and the initial reports are reasonably positive. CBO says the amended Baucus bill would actually reduce federal budget deficits by a cool $81 billion over the next decade, and far more in later years. It would also cover 94 percent of legal non-elderly Americans. Since the Senate Finance bill is generally considered the most conservative contributor to the ultimate reform legislation, that’s not bad.
But as Ezra Klein ponts out, the Finance Bill reinforces a focus on the uninsured that sells genuine health care reform short:

This bill will change the insurance situation for 37 million legal residents, 29 million of whom would otherwise be uninsured. That’s a big step in the right direction. But most people will never notice it. When I got an early glimpse of the Senate Finance Committee’s bill back in June, I called it “comprehensive incrementalism,” and I stick by that label. It makes a lot of things a bit better, but it’s not root-and-branch reform.

The Obama administration’s decision to avoid disruption of existing health insurance arrangements, reinforced massively by Republican claims that reform would denude seniors of existing coverage, made this outcome unavoidable. Health care reform will be just that: a reform, but not a revolution in the U.S. heath care system.


Watch out Dems — the Town Hall protesters are not accurately described as “racists”. They are xenophobic “nativists” and Dems will shoot themselves in the foot – and screw themselves in 2010 – if they don’t see the difference

In recent weeks, and particularly since the September 12th protests in Washington, a significant number of national commentators have advanced the notion that behind the stated objections raised against Obama by the Tea Bag/Town Hall/ September 12th protesters (and the much larger group that opinion polls indicate sympathize with them) there actually lies a deep undercurrent of racism.
The main evidence that is offered for this view is the deep underlying “us versus them” cognitive framework in which many of the protesters’ objections are expressed – “I want my country back”, “Obama hates white people”, “We are the real America.” It seems almost self-evident that when a group of white people pose issues in stark “us versus them” terms and when the person they are opposing is Black, then racism must somehow be intimately involved.
At the same time, it is also a very easy task to find examples of just about every imaginable form of anti-Black racial prejudice expressed somewhere or other in the vast number of broadcasts of various conservative talk radio commentators or in the comment threads of conservative discussion sites or in the texts of anonymous viral e-mails.
Combine item A with item B and op-ed commentaries accusing the protesters and their sympathizers of racism seem to literally jump out of the keyboard and write themselves.
But before concluding that anti-Black racism is actually a major source of the Tea Party/Town Hall protesters attitudes toward Obama, there are two additional steps that have to be taken: (1) to try to seriously gauge the extent (and not just the presence or absence) of racist attitudes among the protesters and (2) to consider possible alternative sources of deep “us versus them” polarization that might be behind the protesters’ attitudes.
To do this, it is necessary to look specifically at the stereotypes that exist about different social groups. It is group-specific stereotypes that distinguish one kind of prejudice from another — racial prejudice against African-Americans, for example, from prejudice against Mexicans, Moslems, radicals, homosexuals or drug users. These groups all experience hostility, prejudice and discrimination, but the specific stereotypes that define them are entirely different.
In America, there are two main categories of anti-Black racist stereotyping:
The first is older, segregation- era stereotypes of African Americans as “lazy”, “stupid” and/or violent sexual brutes. These segregation-era stereotypes are still widespread in overtly racist web sites like those of the Christian Identity, White Power and Neo-Nazi movements. They occasionally show up in more mainstream conservative sites and have sometimes appeared in e-mails sent by staff members of conservative political candidates and officials – particularly among staffers of the political dynasties in the South that have deep roots in the segregation era. Interestingly however none of these “old fashioned” racist slurs have gone massively viral and gained widespread popularity among conservatives and Republicans in the way that other attacks on Obama have done.
Overlaying the traditional racist images are four new and distinct post-civil rights era negative stereotypes of Blacks – (1) the angry and anti-white “black militant”, based on 1960’s figures like Stokely Carmichael, Malcolm X and Huey Newton (2) the “Welfare Queens” of the 1970’s and 1980’s , Black people supposedly “ too lazy to work” but driving Cadillacs while living off welfare (3) the “racial guilt hustler” (symbolized by African-American leaders like Al Sharpton) and (4) gangbangers and crack cocaine dealers, symbolized by swaggering “gangstas” with 9-millimeter pistols and gold teeth.
These new negative images are more widely disseminated than the segregation-era racist stereotypes. They frequently appear in discussions on the larger conservative web sites and are a staple of commentators like Rush Limbaugh, Mike Savage and others. While it is possible to criticize groups like gangbangers without intending to invoke any racist stereotypes, the context of the remarks usually gives the game away. When former civil rights leader Congressman John Lewis criticizes gangbangers, you know he’s not being racist; when former KKK leader David Duke calls their behavior “typical”, you know that he is.
But when one looks at the roughly 200-300 photos of the hand-made signs attacking Obama at the tea parties and Washington march that have been published on the major news and commentary sites, the striking fact is that attacks on Obama based on these racial stereotypes represent only a minor percentage of the total. Let’s quickly look at the main categories:


The Debates We Are Not Having On Iran

This item was cross-posted at The New Republic.
Today Michael Crowley expresses shock over a new Pew poll finding that 61% of Americans would favor military action to prevent Iranian development of nuclear weapons if other options fail.
I’m less shocked. In the run-up to the Iraq War, the belief that Saddam Hussein had developed or was rapidly developing WMD, including nuclear weapons, was a pretty important factor in the robust majorities that favored military action. And the discovery that he actually didn’t have WMD helped turn Americans against the war once his regime had been toppled. Since evidence of an Iranian nuclear program is far better established, it’s not that shocking that Americans would react now as they did in 2002 and 2003.
But the other big thing that obviously turned Americans against the Iraq War was the immense cost and difficulty of consolidating the initial military victory. In the Pew poll, respondents are asked if they favor “military action.” It’s entirely possible that many of those answering “yes” are thinking in terms of some “surgical strike” that will destroy the nuclear program without a wider war. Should negotiations and/or sanctions fail and we are actually contemplating military conflict with Iran, it will more than likely become apparent that eliminating Iran’s nuclear program will require an actual ground war aimed at regime change. It’s at that point when the lessons of Iraq will truly begin to sink in, and support for “military action” will go down. But we haven’t had that debate yet.
What the Pew poll does show is that Americans don’t seem to buy the argument that a nuclear Iran is deterrable (by the United States or by Israel), just as the regimes of Stalin and Mao–and for that matter, Hitler, who had stockpiles of chemical weapons he didn’t dare to use–were deterrable. Perhaps that means that Americans, like many Israelis, view the current Iranian regime as uniquely dangerous, or at least frighteningly irrational, and capable of inviting unimaginable casualities in a nuclear exchange with Israel or the U.S. Or perhaps they simply think a nuclear Iran would permanently destabilize the world’s most fragile region. But deterrance is inevitably a matter of calculated risks. Had it been possible during the Cold War to “take out” the Soviet Union’s or China’s nuclear capacity without a calamitous war, a majority of Americans would have supported doing just that. Once the costs and risks of war with Iran are fully aired and debated, some Americans now favoring “military action” may decide that Iran is deterrable after all.
The fact remains that we haven’t yet had the full debate that will ultimately shape U.S. policy towards Iran. In the meantime, it’s fine by me if Tehran reads about this Pew poll and reconsiders its current drive for nukes.
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The Palin of Wonk World

Most people outside New York have probably never heard of Betsy McCaughey, and even New Yorkers would mainly remember her bizarre one-term stint as Lieutenant Governor of the Empire State in the 1990s, characterized by constant friction with her supposed boss and running-mate, Gov. George Pataki.
But in the world of policy wonks, McCaughey is notorious for a studious-sounding 1994 piece published by The New Republic that is frequently blamed for undermining support for the Clinton health plan at a crucial moment, via fundamental mistatements of its impact on people who already had health insurance. Indeed, her role in derailing universal health coverage led directly to her short career in Republican politics.
Current TNR editor Franklin Foer apologized for the magazine’s publication of McCaughey’s piece in his first signed editorial. Now that she is back on the same scene spreading disinformation about the current health reform effort, that apology has undoubtedly been made manifest in Michelle Cottle’s definitive smackdown of McCaughey in an article with the same title–“No Exit”–as the 1994 essay.
After listing a variety of highly negative characterizations of McCaughey’s veracity as a policy thinker by other wonks, including many conservatives, Cottle makes this provocative judgment:

What kind of person drives normally staid wonks, including her own ideological teammates, to such stinging public reproof? Part of it is obviously the nature of her commentary. But beyond that, there is something about McCaughey herself that drives her critics wild–and has throughout much of her career. Friends posit it’s her disconcerting blend of brains, beauty, and confidence. Detractors chalk it up to her rank dishonesty, narcissism, and lack of shame. Whatever the cause, the passion McCaughey inflames is familiar. Looking over the sweep of McCaughey’s life, from her swift political rise (and fall) to her humble roots, from her straight-talking persona, fierce will, and blinding confidence to her gift for self-dramatization, head-turning looks, and embrace of the gender card, one sees precursors of a more recent conservative phenom. Replace the East Coast researcher’s political-outsider, stats-wielding, pointy-head shtick with a political-outsider, gun-toting, populist one, and a striking parallel emerges: Betsy McCaughey is, in essence, the blue-state Sarah Palin.

The comparison to Palin is inevitable, since it was McCaughey’s “research” on current Democratic health reform efforts that inspired Palin’s infamous claim that they would lead to government “death panels” withholding health care from seniors and people with disabilities. The big difference between McCaughey’s destructive role on health reform in 1994 and now is, of course, the rise of hyper-ideological media eager to take her think tank credentials at face value and give her a big and continuous platform for her views.
But as Cottle argues, there’s a more direct parallel between McCaughey and Palin: an uncanny knack for turning any and all criticism into an indictment of the alleged biases of critics, a tactic that perpetually evades basic questions of fact and fiction:

[McCaughey] has proved devastatingly adept at manipulating charts and stats to suit her ideological (and personal) ambitions. It is this proud piety concerning her own straight-shooting integrity combined with her willingness to peddle outrageous fictions–and her complete inability to recognize, much less be shamed by, this behavior–that makes McCaughey so infuriating. In this way, perhaps most of all, she resembles the tell-it-like-it-is good ol’ girl Palin, whose scorching self-regard and ostentatious disdain for politics-as-usual infuse even her most self-serving fabulisms. Palin, of course, hawks homespun wisdom, faith, and common sense, in contrast to McCaughey’s figures and footnotes. But both women have an uncanny ability to shovel their toxic nonsense with nary a blink, tremor, or break in those dazzling smiles. People of goodwill and honest counsel don’t stand a chance.

You have to guess that Michelle Cottle will soon experience McCaughey’s tactics first-hand.


GOP’s Great White Hopes–Now and Later

Like a lot of folks, I’ve expressed worries about the likelihood that older white voters will represent a disproportionate share of the electorate in the 2010 midterm elections, creating an unearned GOP advantage. In his latest column, Ron Brownstein meditates on that possibility, but also points out that a Republican message tailored to older white voters could come back to haunt the GOP in 2012.

In midterm elections, the electorate tends to be whiter and older than in presidential elections. ABC polling director Gary Langer has calculated that since 1992 seniors have cast 19 percent of the vote in midterm elections, compared with just 15 percent in presidential years. That difference contributed to the 1994 landslide that swept the GOP into control of both the House and Senate. Seniors had cast just 13 percent of the vote in Bill Clinton’s 1992 victory, but that figure spiked to nearly 19 percent two years later, with voting by the young people who had bolstered Clinton falling off sharply….
In 2008, Obama won the votes of just 40 percent of whites over age 65 (compared with 54 percent of whites under 30). All surveys show that white seniors remain the most resistant to Obama’s health care agenda and the most skeptical of him overall. In the nonpartisan Pew Research Center’s most recent poll, Obama’s approval rating among elderly whites stood at just 39 percent. Surveying all of these numbers, veteran GOP pollster Whit Ayres says that the Republican margin among white seniors could “easily expand to 25 points” in 2010.

Brownstein also notes, however, that the general assumption of low voting in midterms by minorities is based on mixed evidence. Minority voters actually represented a higher share of the electorate in 1994 and 1998 than in the presidential years of 1992 and 1996. These voters did, however, decline slightly as a percentage of the electorate in 2002 and 2006 as compared to 2000 and 2004. Moreover, the bar is higher in 2010 given the strong minority turnout in 2008. A lot will depend on what happens between now and then, and perhaps on the extent to which Republicans are perceived as playing on white racial or cultural fears.
After 2010, though, any Republican focus on older white voters isn’t likely to pay dividends:

In the 2012 presidential election, the young and minority voters central to Obama’s coalition are likely to return in large numbers. The risk to the GOP is that a strong 2010 showing based on a conservative appeal to apprehensive older whites will discourage it from reconsidering whether its message is too narrow to attract those rapidly growing groups.

Even if, says Brownstein, the share of the electorate for minority voters drops from 2008’s twenty-five percent to twenty percent in 2010, it’s like to rise to near thirty percent in 2012. It’s at that point that any Great White Hopes for the GOP could really begin to backfire.


Political Murder-Suicide?

In the ongoing debate over what’s likely to happen in the 2010 elections, a point that I’ve tried to make repeatedly is that the Republican Party is exceptionally weak, and thus not in a great position to harvest discontent with Congress, the Obama administration, or the condition of the economy. A lot of conservatives seem to think the relative unpopularity of the GOP is a temporary “hangover” from the Bush years that will gradually dissipate.
But if you look at the data on party favorability (which can all be found together at PollingReport.com), what’s striking is that the GOP’s bad reputation isn’t getting any better. Pew, which offers respondents a range of options that appears to boost favorability, had the GOP’s total favorables at 40% in August, 40% in April, 40% in January, 39% in May of 2008, and 41% on the eve of the 2006 midterm elections. That’s as flat a line as you will ever see. GOP total unfavorables for that stretch of time oscillated slightly from the high forties to the low fifties; they were at 50% in August. Meanwhile, Fox has Republican favorability actually declining, from a ratio of 45/49 just before the 2008 elections, to 41/50 in April, to 36/53 in July. The same pattern is found by CBS/New York Times, where Republicans had a favorable/unfavorable ratio of 37/54 in October of 2008, then 31-58 in April of this year, and 28/58 in June.
I won’t go through all the polls in terms of Democrats, but unsurprisingly, they show the Democratic Party losing favorability in recent months, but still maintaining significantly more popularity than Republicans. Pew, for example, had the Democratic Party’s total favorables at 49% (versus 41% unfavorable) in August, down from 62% (versus 32% unfavorable) at the beginning of the year.
So you make the case that the recent abrasive behavior of the Republican Party may have helped damage Democrats, but isn’t helping Republicans much, either. Since Republicans have a much tougher climb to make to reach anything like majority status, they are in danger of committing a political murder-suicide.
The current popularity of the GOP, moreover, is low by historical standards, particularly for a party with visions of a big landslide electoral victory just ahead. Both Ezra Klein and Brendan Nyhan have taken a look this week at the favorability ratings of the two parties in 1994, and there’s absolutely no comparison to today’s low ratings for the GOP. As Nyhan summed up the evidence:

Republicans are currently viewed more negatively than any minority party in the previous four midterms in terms of both net favorables and the difference in net favorables between parties:

It’s possible, and perhaps even probable, that the GOP strategy for 2010 is to create a political environment so toxic and voter-alienating that Republicans can win a very low turnout election by whipping their base into a genuine frenzy. That’s obviously not a very good scenario for the country, and it remains to be seen if it’s even good for the GOP.


On-Paper Tiger

This item was cross-posted at The New Republic.
Chris Orr’s post at TNR about the early assembly work on Tim Pawlenty’s 2012 presidential bid is interesting in that he handicaps the Minnesotan primarily in terms of who he is not: not the flip-flopping, health-care-reforming Mormon Mitt Romney, not the disorganized and “goofy” Mike Huckabee, not the divisive and erratic Sarah Palin, and not the non-candidate David Petraeus.
Thus Chris captures the basic problem with Pawlenty ’12: what, precisely, is his positive appeal? Yes, he’s a bona fide cultural conservative; that checks an essential box, but you can’t throw a rock at any Republican meeting these days without hitting ten people avid to end legalized abortion and stop gay people from getting married. Yes, he coined a nice phrase–“Sam’s Club Republicans”–to illustrate the need for a broader GOP base. But absent any real agenda for appealing to these folks, it’s nothing but a slogan, and when two young conservatives, Ross Douthat and Reihan Salam sought to fill out the phrase with actual policies in a recent book, they were generally hooted off the stage by their ideological brethren. Yes, he’s governed a blue state, but has never been terribly popular in Minnesota or had any real national following.
Pawlenty’s rather bland political profile was probably best reflected by the circumstances under which he was passed over for the 2008 vice-presidential nomination. According to Dan Balz and Haynes Johnson’s recently published book on the 2008 campaign, Pawlenty was a finalist along with Palin in the veep sweepstakes after other candidates were eliminated for a variety of reasons (Lieberman and Ridge because they were pro-choice, Romney because McCain forgot how many houses he owned and couldn’t have a rich running-mate). Fully understanding the riskiness of Palin, McCain went with her anyway after his pollsters told him Pawlenty wouldn’t win him any votes.
In other words, Pawlenty was, and remains, a fine “on-paper” candidate who doesn’t have much else going for him. Yes, he seems to be putting together a pretty good campaign team. And yes, he’s made at least one attempt to get into the manic spirit of today’s conservativism by flirting with “tenther” nullification theories. But unless he undergoes both an ideological and personality change of a major nature, he’s never going to be more than a third or fourth choice among the kind of hard-core conservative activists who dominate the Republican presidential nominating process (particularly in Iowa, where familiarity with Pawlenty as the mild-mannered governor of a neighboring state might actually hurt him).
Probably the best case for Pawlenty ’12 is that he’s the kind of candidate you might want to nominate in one of those years where your party can only lose by taking chances. You know, kind of like Bob Dole just after the 1994 elections.


Revolutionary Skepticism

I am flattered that Sean Trende of RealClearPolitics devoted a long column to a point-by-point response to my recent piece on all the predictions that 2010 is shaping up into a reprise of the 1994 “Republican Revolution.” I won’t conduct a point-by-point response to his response, because in many important respects, that misses the whole point I was trying to make.
The meme I was trying to refute was the idea that Democrats are doomed to disaster in 2010 because Barack Obama has “overreached” his barely-existing mandate by trying to implement his campaign platform, inviting a massive rebuke from the electorate that will confirm the country’s enduring “center-right” political character, and retroactively confim that the 2006 and 2008 Democratic victories were an ephemeral response to the incompetence (or according to some Republicans, liberalism) of George W. Bush and his congressional allies. I won’t attribute that pattern of thinking to Sean Trende, but it’s unquestionably at the heart of much of the GOP confidence about 2010, much more so than any close analysis of the PVI of specific House districts.
Given my motives, I should not, in retrospect, have succumbed to the temptation of making my own predictions, suggesting that House losses for Democrats might well come it at about ten. The truth is that I don’t know what’s going to happen in 2010, and nor does anyone else (as Trende admits). And that’s in part because I have no real clue what will happen to the U.S. and global economies between now and then–which, as Trende notes, I didn’t discuss in my own piece–or, of equal importance, the extent to which the Democratic Party will be blamed for bad economic conditions that palpably began during the Bush administration, driven largely by forces closely aligned with the GOP.
But that observation leads to a disconnect between 1994 and 2010 which I did mention, and Trende did not comment on: the exceptional weakness of the Republican Party right now. In 1994, Democrats were the eternal party of the congressional status quo. Anyone seriously desiring “change” in Congress had to seriously hope for a Republican victory, if only to shake things up. Voters today have a very recent experience with GOP rule at both ends of Pennsylvania Avenue, and it’s doubtful that the corruption, extremism and partisanship of the Republican Party at the height of the Bush-DeLay era will be forgotten very soon. That’s why the declining popularity of the Democratic Party this year has largely translated into dealignment, not realignment. And while you can make a credible case that an energized Republican base will dominate a low-turnout election in which the “dealigned” refuse to participate, it’s by no means certain or even probable at this point.
“Wave” elections, much less “revolutions,” depend heavily on these sort of national dynamics. District-by-district analysis of likely outcomes don’t produce “revolutionary” expectations, which is why most of the serious number-crunchers, from David Wasserman to Michael Barone, aren’t predicting a 1994-type result.
There is one specific point Trende makes that I want to talk about: his argument that the relatively high number of Democratic House members in districts with a pro-Republican PVI means that the “ideological sorting out” of the two parties in the 1980s and 1990s, which I cited as a big and nonrecurring factor in the 1994 results, was temporarily “reversed” in 2006 and 2008 by “pro-life, pro-gun” Democrats beating “corrupt or incompetent” Republican incumbents. These Democrats, argues Trende, are now ripe targets for the GOP.
Keep in mind that PVI measures the presidential performance of each party as compared to national percentages. So of the 66 Democratic House members in districts with a pro-Republican PVI, a significantly lower number, 49, are in districts actually won by John McCain (as compared to 34 Republicans representing districts carried by Barack Obama).
While the comparable 1994 numbers were in the same ballpark, they were in fact higher (79 Democratic incumbents in districts with a pro-Republican PVI, and 52 in districts carried by Bush 41, a number that is probably misleadingly low because of Ross Perot’s third-party candidacy). That matters when you are talking about major losses and “revolutions.” But the bigger factor, particularly in the South, in 1994 was the combination of open seats via retirement and redistricting (Trende dismisses the former factor because it’s too early to know if today’s tiny number of Democratic retirements won’t rise, and doesn’t mention the latter). And the “ideological sorting-out” I discussed refers to the irrefutable fact that 1994 marked the end of a decades-long situation where entrenched conservative Democratic incumbents benefitted from habitual ticket-splitting. That era is long gone, which is why I say that today’s Democrats in pro-Republican PVI districts seem to have gained some advantage that their 1994 predecessors (or at least those who didn’t retire or get gerrymandered out of office) didn’t have.
Consider a perpetually targeted southern Democrat, Jim Marshall of Georgia. Marshall’s district carries a pro-Republican PVI of +10, yet he won with 57% of the vote in 2008, and back in 2004, when there was no pro-Democratic “wave,” won with 63% of the vote (as Bush 43 carried the district with 58%) against a celebrated and lavishly financed Republican opponent making his second race against Marshall. Is he an exceptionally large bet to lose in 2010? I don’t think so. At this point, the Cook Political Report does not list his race as competitive. That could change, but then again, so could everything else that analysts are pointiing to as indicating a big Republican year.
One final point: Trende suggests that my notes on the invulnerability of the Senate Democratic majority is “knocking down a straw man,” since no one is specifically predicting a Republican takeover. That’s true, but that’s also why the 1994 analogies need to be tempered considerably. It was the top-to-bottom landslide nature of the 1994 results that made them constitute a “revolution,” however short-lived. Whatever happens in 2010, it’s not likely to constitute a “revolution,” and all the partisan and ideological freight carried by that term–the “center-right nation” meme, the Clinton analogies, and the constant mockery of Obama’s “over-reaching”–should be put back on the agitprop shelf where it belongs.


Obama the Marxist

A week ago I reported that famed right-wing agitator Richard Viguerie was extremely upset with House Minority Leader John Boehner for conceding on Meet the Press that he didn’t believe President Obama was a “socialist.” So Viguerie polled his own readership on the question of the president’s ideology, and got this response:

An online poll conducted by the Web site ConservativeHQ.com found that a near-unanimous 95 percent of respondents disagreed with House Republican Leader John Boehner’s recent statement that he did not consider President Obama to be a socialist….
Only 4 percent agreed with Boehner, with 1 percent undecided.
The poll then asked to evaluate Obama’s political philosophy. Of the 975 respondents, the results were:
Centrist–1%
Traditional Liberal–1%
Socialist–37%
Marxist–59%
Other–2%
Undecided–0%

Now granted, the kind of people who look to Viguerie for leadership tend to come from the hard-core conservative fringe. And I can only guess how they would define the word “Marxist.” But the fact that well over five hundred people, offered the alternative of “socialist,” insisted on the “Marxist” label is pretty bizarre, since it implies they think the President of the United States is determined to seize the means of production on behalf of the industrial proletariat (not, BTW, the most pro-Democratic of demographic groups these days).
No wonder a Newsmax columnist has just published a piece suggesting that the U.S. military might need to launch a coup d’etat to overthrow the U.S. government. With secessionist and nullification views making a big comeback, and plenty of people still believing the president is some sort of foreign Muslim “plant,” it’s no surprise the completely hallucinatory idea of Barack Obama as a Marxist has some purchase in the same precincts of the Right.


Understanding Reconciliation

Now that the Senate Finance Committee has voted down two versions of a public option for health care reform, many progressives will undoubtedly start focusing on the possible use of the budget reconciliation process for this legislation to reduce the threshold for passage (in theory, at least) to 51 votes.
Anyone tempted to say “Reconciliation or Bust!” should give a gander to a post by Mark Schmitt at The American Prospect that reviews the history and purpose of the reconciliation process in some detail.

This wasn’t originally meant to be a grand process for big policy changes. Rather, it was designed to “reconcile” the modern budget process with the arcane congressional process. In 1981, Ronald Reagan’s budget director, David Stockman, figured out that the process could be used to package together and force a vote on the big budget cuts they envisioned. Later that decade, Sen. Byrd created the rule that bears his name to put some boundaries around the process, although it has still been used for both bipartisan (1990 and 1997 budget deals) and single-party bills, including welfare reform and tax cuts. But even in those cases, legislation has been sharply trimmed to accomodate the constraints of the process — for example, that’s why the Bush tax cuts had to be set to expire.
The reason this history is important is because it is a reminder that reconciliation was not designed to create a “50-vote Senate.” It was really a limited scheme intended to connect the old spending process with the new.

In other words, any health reform bill enacted via reconciliation would almost certainly have to be “sharply trimmed to accomodate the constraints of the process.” It’s not just a convenient way to brush aside filibusters.
And for the same reason, as I’ve argued myself on occasion, the decision whether or not to utilize reconciliation for health reform is not just a matter of how bold or audacious or progressive you are. It’s a question of risks and tradoffs.
Schmitt’s even more impatient than I am with the “damn the torpedos” approach to reconciliation, using a rather arresting analogy:

In the lead-up to the Iraq War, there was a saying among neoconservatives: “Everyone wants to go to Baghdad. Real men want to go to Tehran.” Now, among progressives, one might say, “Everyone wants to do health reform. Real men want to use reconciliation” to cut out all Republicans and a few Democrats. But legislative strategy, like foreign policy, is not a test of manhood. It’s a very arcane and limited process that will leave many key provisions behind, and a weak and limited health plan.
One way or another, we’ll have to compromise. We’ll either compromise with the most conservative Democrats and one or two Republicans, or we’ll compromise with the limits of a process that was designed for a totally different purpose. The political question is simply going to be which compromise is worse.

To put it more positively, health reform supporters have several strategic options remaining for getting acceptable legislation through this Congress and onto President Obama’s desk. The reconciliation process is but one of them, and the fact that it would theoretically make it possible to bypass “centrist” opinion, while perhaps emotionally satisfying, doesn’t necessarily recommend it as the best way forward.