Few domestic priorities facing congressional Democrats generate more concern among voters than health care reform, and the challenge is aptly encapsulated in the title of Ezra Klein’s op-ed in today’s LA Times — “Going universal: The American healthcare system is, simply put, a mess, but we may finally be ready to fix it.” Klein succinctly delineates the dimensions of the health care crisis and discusses some of the current reforms being debated. He believes the time is ripe for health care reform to gain some political traction:

Across the country there are unmistakable signs that the gridlock and confusion sustaining our sadly outdated system are coming to an end and that real reform may finally emerge…Nationally, the Democratic resurgence has returned universal healthcare to the agenda and its advocates to power. In the House, Rep. Pete Stark (D-Fremont), a staunch Medicare-for-all advocate, is expected to be chairman of the health subcommittee.

Dems who want to get up to speed on public opinion on health care reform will find no better place to go than Ruy Teixeira’s article “What the Public Really Wants on health Care” at The Century Foundation. As Teixera notes:

The public desire for change in the health care arena is so strong that policy-makers would be well-advised to start concentrating on the issue now, rather than face the wrath of a frustrated public in the next election cycle.

Teixeira cites opinion data showing that nearly twice as many Americans are more worried about health care costs than unemployment and nearly three in ten say someone in their household has not had needed medical care or medicine during the last year because of cost. Teixeira also shows overwhelming majorities in favor of universal coverage and concludes that “The public is ready for change and the next election cycle is likely to punish those who stand in the way.”
Democrats in congress will have to decide whether “big package” health care reform is now tactically as feasable as a step-by-step approach. But when November ’08 rolls around, it is critical for Dems that a significantly higher percentage of Americans feel their health security has improved.

All arguments about party preferences aside, the west and south will likely have a powerful influence on America’s political future as the fastest-growing regions in the nation. So notes Facing South’s Chris Kromm in his article “The Fast-Growing South.” Kromm tales a look at just-released Census data and shows that five of the top ten fastest-growing states in percentage terms are southern states: GA (4th), TX (5th), NC (7th), FL (9th) and SC (10th). Kromm elaborates:

The Northern states hailed as the future of the Democratic Party by some pundits are nowhere to be found on the list. Indeed, as if to answer those who claim the Midwest and Northeast should be the centerpiece of progressive strategy, the Census Bureau observes:
* The Northeast region grew by only 62,000 people. In contrast, the South grew by 1.5 million and the West by 1 million.

Ranking the fastest-growing states in terms of raw numbers, the South looks even more significant, TX (1st), Fl (2nd), GA (4th), NC (6th) and TN (10th).

Jim Grossfield and Celinda Lake illuminate a key challenge facing Democrats and Unions in their American Prospect article “A Union Hearing.” Although the article focuses on new approaches for organizing white collar workers, it includes some fresh insights about how Dems and Labor can help each other grow together. First they outline the problem:

Among Washington’s political cognoscenti it is considered a no brainer that idle chatter about unionism will brand a candidate as a hopelessly unreconstructed “old” Democrat. At the very least, they warn, it would be “off message,” given that voters have about as much interest in labor issues as they do in, say, the Law of the Sea. The upshot of this conventional wisdom is that, today, not many Democrats are willing to step forward to promote unionism. What’s more, few labor leaders even ask them to.

For Dems, this timidity has a price, as Lake and Grossfield note:

That’s too bad, because by speaking out for unions Democrats could not only help to mobilize public support for one of their most effective and most embattled allies, but also speak to the growing economic insecurity of one of their least reliable constituencies: young, educated, white collar workers, particularly younger women struggling with low wages and high prices.

The authors argue that Democrats must talk more about unions, but in different ways. And targeting millions of white collar workers who are experiencing a growing sense of economic insecurity is critical for prospects for both unions and the Democratic party. As they conclude:

There’s no question that it would be in the labor movement’s interest if more Americans knew about this kind of unionism. But it could also help Democrats, if they embraced it as part of their commitment to helping Americans navigate their way through the new economy. It could be one way that Democrats help workers gain the training, health care, and pensions they need, and create more balance between work and family. Democrats ought to speak out for new unions because they believe partnerships between employers and employees are fundamental to keeping American businesses strong and competitive.
Recently, AFL-CIO Legislative Director Bill Samuel said that it would “take a movement” to pass the Employee Free Choice Act and strengthen the right to organize. With new majorities in the House and Senate, Democrats can help build that movement. And they should. But to do that they need to talk less about unions as they are and more about what they can become. It is not enough to persuade young, college educated Americans that unions are a good things for janitors and poultry workers. They need to understand that this is about their future, too.

If sinking deeper roots in the middle class is a priority for long-range Democratic strategy, reading Grossfield’s and Lake’s article is a good place to begin.

Speaker-elect Pelosi has had her share of controversial appointments during the last month. But her choice for the new head of the Democratic Congressional Campaign Committee, Rep. Chris Van Hollen (MD), is drawing plaudits from donkeys of all shades. Naturally, WaPo has the best story on the Van Hollen appointment, since his congressional district borders on the capitol. As Ann E. Marimow reports:

Emanuel, who will chair the Democratic Caucus, praised his successor yesterday as a “political strategist and thinker of the first order” and said Van Hollen’s recruitment of House candidates helped create the first Democratic majority elected in 12 years.
“Throughout this election, I sought his advice and counsel in every critical decision I had to make,” Emanuel said in a statement.

Van Hollen knows something about how to beat popular Republican incumbents, having defeated well-liked Rep. Connie Morella to win his seat in Montgomery County. More importantly, Van Hollen is reputed to be a tireless and shrewd workhorse, as Marimow reports:

Maryland Senate President Thomas V. “Mike” Miller Jr. (D-Calvert) called Van Hollen a hard-working go-getter who should never be underestimated. “He doesn’t take no for an answer. He pursues his goals tenaciously…”
In the past year, Van Hollen worked closely with Emanuel as a leader of the campaign committee’s effort to pick up seats in Republican strongholds. He spent months traveling from Pennsylvania to Ohio and Indiana to identify and mentor candidates, then helped build fledgling campaign and fundraising operations.

It would be hard to top outgoing DCCC Chair Rahm Emanuel’s run-of-the-table on November 7th. But Dems can rest assured that their ’08 House campaign will be at full strength in a few weeks.

Some broad outlines of the mandate voters gave incoming congressional Democrats are delineated in a new NPR survey conducted by Greenberg Quinlan Rosner 12/7-10. Perhaps the most significant finding, in terms of policies voters would like to see implemented with respect to Iraq, is described thusly in the GQR Executive Summary:

Iraq continues to be the leading concern for voters and our survey finds the public skeptical about achieving stability in Iraq. While a sizable plurality of 44 percent say Iraq will be less stable if the US begins to withdraw troops during the first half of 2007, nearly two-thirds favor withdrawing from Iraq during the first half of 2007 regardless.

Another interesting finding of the poll indicates that voters are not “over” their dissatisfaction with the GOP a month after the mid-term elections, according to the Executive Summary:

Opinion of the Republican party has worsened. Currently 46 percent have an unfavorable opinion of the party.

And even better for the Democrats:

The November election helped Democrats improve their standing as this poll records the highest percentage of favorable feelings toward the Democratic party in the past two years.

The poll also found an 18-point advantage for Dems with respect to generic presidential preferences and only one out of four voters saying the country is “heading in the right direction.” The poll also found that 71 percent of voters wanted congressional Democrats “to work together in a bipartisan way with Republicans and encourage more cooperation and compromising to get things done,” although the poll did not indicate how far voters wanted Dems to compromise on specific issues. For more details see the PDF here and the NPR report here.