As Congress inches closer towards passage of a comprehensive healthcare package, icyou reflects on the long and winding road that led to the precipice of reform legislation. It’s legislation that will invariably affect nearly every American in the coming years.
Since the early part of the 20th century, politicians have initiated efforts to achieve universal healthcare, beginning with the 1912 Presidential campaign of Theodore Roosevelt. Fast-forward past a New Deal legislation attempt, the establishment of Medicare and Medicaid, and the failure of the 1993 Clinton healthcare plan and you get a broad, if woefully brief, picture of the countless efforts that provide backdrop for the historic turn of events in 2009.
Riding a wave of support and backed by a majority in Congress, President Barack Obama began his term by setting an ambitious timetable (the end of summer) for passage of a comprehensive healthcare reform bill. It’s legislation his campaign focused on heavily during the 2008 election. To kick off the effort, members of his transition team helped organize and encouraged more than 30,000 Americans to participate in healthcare community discussions over the winter holidays.
In March, Mr. Obama held White House Forum on Health Reform where several citizens presented a report that reflected the concerns and suggestions contributed as part of those community discussions. Not surprisingly, the report found that many Americans believe healthcare costs are too high and accessing quality coverage is too difficult.
When the weather heated up, so too did the debate over the direction of reform. Summer 2009 saw both tea parties to oppose democratic healthcare legislation and coffee parties to support those efforts. The debate largely focused on whether to included a government-run insurance, or public option, in the bill. Meanwhile, Mr. Obama went into campaign mode as his initial wish to have a bill on his desk by the end of August came and went.
By fall, Americans saw significant action in the halls of Congress. In November, the House approved its comprehensive healthcare reform plan. The House bill includes a government-run insurance plan, or public option. Abortion proved to be a hotly contested issue and after last-minute negotiation, members voted not to allow health plans bought with any government subsidies to cover the procedure.
The nation quickly turned its attention to the reform battleground of the Senate. It took a number of late-night, early-morning votes and plenty of compromises and deals to pass its version of a healthcare bill, which it did in a climactic Christmas Eve morning vote (60-39). Unlike the House bill, the Senate bill does not include a public option. Also, unlike the House Bill, the Senate Bill would separate payments for abortion coverage so that no federal dollars would cover the procedure.
The close of 2009 brings more than 30 million uninsured Americans significantly closer to coverage than at the start of the year. Yet, there are still plenty of hurdles ahead. The most significant being the Senate Bill and the House Bill are two very different pieces of legislation. In the days ahead, look for the debate to focus on abortion, the “public option”, and how to finance a reform package. These bills must be reconciled before President Obama can set the centerpiece of his domestic policy on the American table. If or when he does, he will have accomplished something that has eluded presidents for decades.