Blunt Rebuke.

“‘Access for kids who have pre-existing conditions, who would be against that?’ Blunt asked a group of health care professionals in Springfield, MO. ‘But access for adults who’ve done nothing to take care of themselves, who actually will have as I just described every incentive not to get insurance until the day that you know that you’re going to have medical expenses–that’s a very different kind of story.‘”

Thanks, Roy! Republican congressman and ostensible chair of the “GOP Health Care Task Force” Roy Blunt actually comes out in favor of repealing the ban on denying coverage for pre-existing conditions, one of the few provisions in the recent health care law that usually garnered bipartisan support. For its part, leukemia declined to comment.

Here’s to our Health.

“As our colleague John Lewis has said, ‘We may not have chosen the time, but the time has chosen us.’ We have been given this opportunity, an opportunity right up there with Social Security and Medicare: health care for all Americans. I urge my colleagues in joining together in passing health insurance reform — making history, making progress, and restoring the American dream.”

So, as you may have heard, the House passed the health care bill 219-212 late last night. It was a long and busy weekend, and a long and busy week is ahead, formulating the death panels and whatnot. Still, we’ve been talking about this bill since I got here last July, so it feels quite good to finally get this done. Now, let’s make it better. (Pic via here.)

Update: Here’s what goes into effect right away, and here’s what it means for you.

Broken-Hearted? Just Make a New One.

“To start with, only simple tissues, such as skin, muscle and short stretches of blood vessels, will be made…[H]owever, that the company expects that within five years, once clinical trials are complete, the printers will produce blood vessels for use as grafts in bypass surgery. With more research it should be possible to produce bigger, more complex body parts. Because the machines have the ability to make branched tubes, the technology could, for example, be used to create the networks of blood vessels needed to sustain larger printed organs, like kidneys, livers and hearts.”

Also in the Brave New World dept. and by way of a friend, The Economist takes a gander at new “bioprinter” technology. “As for bigger body parts, Dr Forgacs thinks they may take many different forms, at least initially. A man-made biological substitute for a kidney, for instance, need not look like a real one or contain all its features in order to clean waste products from the bloodstream.“

Brownian Motion.

So, slow news evening, eh?

Well, first off, thanks, Massachusetts! To my many friends from the Bay State, I say this: Speaking as a son of South Carolina, I never, ever want to get the “you-hicks-are-keeping-us-back” routine from y’all again, thanks much.

So, yes, Scott Brown defeated Martha Coakley for Ted Kennedy’s Senate seat. And thus, in a truly bitter irony, a man who spent his life trying to achieve health care reform for all Americans has now been replaced by a guy sworn to kill the health care bill and armed with the 41st vote(?) that could potentially make it happen. (Yes, Virginia, it’s true. In our system, 41 > 59.) Well, in Brown’s defense, he has a nice truck.

Why did this happen? Well, everybody has a theory. Here’s mine, which boils down to two reasons.

1. Martha Coakley. I didn’t watch enough of the MA race to determine if she was a lousy candidate through-and-through, although I have my suspicions. Nonetheless, Ms. Coakley was undeniably a gaffe-prone standard-bearer. From calling Curt Schilling a Yankee to misspelling the name of the state in a political ad to, weirdly, insulting the very idea of glad-handing in public, Coakley was an out-and-out gaffe machine. Couple that with a lackadaisical campaign and the inexplicable decision to take an extended vacation in the heat of the race, and you have a recipe for disaster. There’s a reason we’ve been telling the story of the Tortoise and the Hare for a couple thousand years now.

2. Change. In fending off Rahm Emanuel’s charge that she’s at fault for this fiasco, pollster Celinda Lake aptly summed up the main problem here: ““If Scott Brown wins tonight he’ll win because he became the change-oriented candidate. Voters are still voting for the change they voted for in 2008, but they want to see it.” Put another way: All across the country, the current occupants of the White House tapped into a deep and strongly-felt yearning for a transformative presidency in 2008…and then spent pretty much the entirety of their first-year in office playing the same old tired in-the-Beltway reindeer games that made people ill in the first place. This is not change voters believed in, and it has made voters angry, or depressed, or both.

Equally demoralizing is the neverending spectacle of a stalled-out health care bill. If I’d hazard a guess, most voters aren’t really delving into the ins and outs of this all-consuming debate, particularly by Month Eight or whatever it is. But they can see just from casually following along that the Democrats are really struggling to get this done, that the White House has been letting the bill get bogged down and eviscerated in the Senate — first in August, and again in November/December — and that, from the Big Pharma deal to the disappearing public option to all of the Lieberman/Stupak/Nelson/Snowe shenanigans on display, the usual Washington rules are in full effect right now. Once again, this is not change people can believe in. With each passing month that the bill has languished, we Dems have looked weaker and weaker. And if you continually force voters to choose between venal and incompetent, they’ll tend to gravitate toward the former.

Now, the good news: 1. First, and this cannot be stressed enough, we have an 18-seat majority in the Senate. It’s 59-41 people…most presidents can only dream of having that kind of majority, Dubya included. So there’s really no good reason — none, zip, zero — that we shouldn’t see more progressive accomplishments from this administration in the year to come. It just takes an act of will. I don’t remember the Republicans getting all kerfuffled about operating with 51 votes. Nor did Hubert Humphrey and the Johnson Senate have any problem with blithely ignoring the Senate parliamentarian when it got in the way of legislation.

2. It’s January of 2010, i.e. almost a full year before the “real” election day. In other words, this Brown victory is really just a shot across the bow. And if the administration course-corrects now, we may even end up gaining a year in time — and several seats we might well have lost — had this lazy centrist drift continued on until next November.

Of course, that’s only good news if the administration and the Democratic Party draw the right lessons from yesterday’s defeat. Suffice to say, this afternoon, it does not look good: Enabled, as usual, by the Serious People™ who comprise the broken-down wreck we once called beltway journalism, all the usual suspects are currently blaming Coakley’s loss on “the Left,” or more specifically the hippie-liberal cast of Obama’s administration thus far. Uh, say what now?

It’s hard to answer this ridiculous charge any better than did the estimable Glenn Greenwald this afternoon: “‘In what universe must someone be living to believe that the Democratic Party is controlled by ‘the Left,’ let alone ‘the furthest left elements” of the Party? As Ezra Klein says, the Left ‘ha[s] gotten exactly nothing they wanted in recent months’….The very idea that an administration run by Barack Obama and Rahm Emanuel and staffed with centrists, Wall Street mavens, and former Bush officials — and a Congress beholden to Blue Dogs and Lieberdems — has been captive ‘to the Left’ is so patently false that everyone should be too embarrassed to utter it.“

Truer words and all that. If we want to stop seeing these sorts of Brownian upsets in the future, the answer is emphatically not to curl up within the usual GOP-lite protective camouflage and hope the flak dies down. People see through that malarkey immediately. (As Harry Truman is rumored to have said, “In an election between a Republican and a Republican, the Republican wins every time.“) No, the answer is to move forward from this point with the courage of our convictions, and to start delivering to American families the real and fundamental change they were promised a year ago. It’s just that simple, folks.

Still Mad as Hell (with Truths to Tell.)

“It’s one thing to recognize capitalism for the powerful economic tool it is and to acknowledge that, for better or for worse, we’re stuck with it and, hey, thank God we have it. There’s not a lot else that can produce mass wealth with the dexterity that capitalism can. But to mistake it for a social framework is an incredible intellectual corruption and it’s one that the West has accepted as a given since 1980–since Reagan…People paid a much higher tax rate when Eisenhower was president, a much higher tax rate for the benefit of society, and all of us had more of a sense that we were included.”

By way of DYFL, Vice Magazine publishes an extended interview with David Simon on The Wire Treme, writing, political economy, health care reform, and other important matters. “Of course it’s socialism. These ignorant motherf**kers. What do they think group insurance is, other than socialism? Just the idea of buying group insurance! If socialism is a taint that you cannot abide by, then, goddamn it, you shouldn’t be in any group insurance policy.“

The Myth of 11-Dimensional Chess.

“Obama supporters are eager to depict the White House as nothing more than a helpless victim in all of this — the President so deeply wanted a more progressive bill but was sadly thwarted in his noble efforts by those inhumane, corrupt Congressional ‘centrists.’ Right. The evidence was overwhelming from the start that the White House was not only indifferent, but opposed, to the provisions most important to progressives. The administration is getting the bill which they, more or less, wanted from the start — the one that is a huge boon to the health insurance and pharmaceutical industry.“

A day after Senate Democrats kill Byron Dorgan’s non-importation amendment in order to preserve the administration’s back-door deal with Big Pharma, the indispensable Glenn Greenwald takes the Obama administration to task for the final Senate product on health care, which, suffice to say, is looking pretty far afield from the House bill. (And all the while, the bought and paid for Joe Lieberman grins like the Cheshire Cat.)

I was going to wait until year-in-review post week to put this up, but now’s as good a time as any: From civil liberties to this Senate health care fiasco, it’s hard to think of any arena where this administration’s first year hasn’t been a tremendous disappointment. (Regarding the former: I didn’t mention this here earlier, but the brazen audacity of this passage from the president’s war-is-peace Nobel Prize speech made me blanch: “We lose ourselves when we compromise the very ideals that we fight to defend. And we honor — we honor those ideals by upholding them not when it’s easy, but when it is hard.” Uh, your Justice Department is not upholding them, remember? Is the president even aware of his own civil liberties record?)

Anyway, I keep being reminded of this line from my Obama endorsement of January 2008: “There’s a possibility — maybe even a strong possibility — that he’ll end up a Tommy Carcetti-like president: a well-meaning reformer outmatched and buffeted to and fro by the entrenched forces arrayed against him.” Well, welcome to the Carcetti presidency, y’all. The only surprise so far for many of us is in how little he’s actually even tried to enact meaningful reforms. But I guess once the president surrounded himself with the exact same GOP-lite people we’d spent months trying to defeat in the Democratic primary, the writing should have been on the wall. This will not be change we can believe in. A New Day is not dawning. And the president is not really with us — We’re going to have to do the heavy lifting for reform next year without him.

The Progressives Made Us Do It.

“‘We’ve spent countless hours over the last few days in consultation with senators who’ve shown a genuine desire to reform the health-care system,’ Reid said. ‘And I believe there’s a strong consensus to move forward in this direction.'” Yer damn skippy. The Senate health care reform bill will include an opt-out public option, mainly because Senate progressives demanded it. “Reid and the leadership faced this basic math: There is only one Snowe and there are 60 members of the Democratic caucus. If just a few Democrats abandoned the bill, it would fall short even with Snowe’s support.“

Also worth reading, Nate Silver’s concise ten-point summation of why a public option made the Senate bill. Note #1: “The tireless, and occasionally tiresome, advocacy on behalf of liberal bloggers and interest groups for the public option. Whatever you think of their tactics — I haven’t always agreed with them — the sheer amount of focus and energy expended on their behalf has been very important, keeping the issue alive in the public debate.” Keep up the good fight, y’all. This ain’t over yet.

Update: To wit, Senator Lieberman is up to his old antics: “I told Senator Reid that…if the bill remains what it is now, I will not be able to support a cloture motion before final passage. Therefore I will try to stop the passage of the bill.” Let’s remember. Lieberman — who played this same game back in 1994 — was allowed to keep his chair last November mainly on the pretense that he wouldn’t hold up important Democratic legislation. One would think this counts.

“I’m a Scorpion, It’s My Nature.”

“From the California Nurses Assoc., the largest nurses union in the country: ‘Our legislators should respond to this bullying and stop coddling a useless industry whose sole function is to make enormous profits from the pain and suffering of patients while providing little in return.’ From the AARP: The AHIP report is not ‘worth the paper it’s written on.'”

Wow, who saw this coming? The insurance industry turns against health care reform — even the middling Senate Finance Committee version put forth by Max Baucus — by publishing an obviously bogus report that prophesies of impending rate-increase doomsday should reform pass. Hmm, well. I’m just gonna throw this out here, but I think it can be reasonably assumed from the start that any industry making money hand-over-fist from a broken system would eventually turn against meaningful reform of that system. So, maybe next time we shouldn’t give away the store to keep these swine at the negotiating table? Just a thought.

Anyway, the insurance industry isnt the only strange bedfellow (inadvertently) making the case for the public option of late. Both Bill O’Reilly and FOX’s Shepard Smith have made impassioned pleas for the public option recently. And — though they’ve been backpedaling like mad ever since — both Bill Frist and Bob Dole have called out their party for desperate and heedless obstructionism in recent days. So, even though we’ve taken the long way to get here for no particularly good reason, I feel confident right now that the public option is very much back in play.

Dog Woof, Cats Meow, Wags Tweet.

Hey all. As we approach the decade mark next month, the readership around here at GitM continues to dwindle, which is primarily my fault for not updating as much as I’d like. Nonetheless, if and when it gets quiet ’round here, I encourage you to also check out my Twitter feed, which is easier to update in the midst of more frantic weeks like last one. (Memo to myself: Columbus Day, and three-day-weekends in general, will mean a lot of speechifyin’ in Congress’ home districts.)

Yeah, I was skeptical about Twitter earlier in the year, but I’m definitely coming around. Within an hour of news of President Obama’s Nobel prize win, for example, (which I’m neither here nor there about — it seems goofy, yeah, but I was already down on Nobel anyway), there were dozens of wry and amusing quips going around the twitterverse. My favorite two were variations on “Obama, I’mma let you finish but Bono has been working his ass off for this!” and “Uh…did the Nobel committee just miss the fact that Obama bombed the f**king moon?!”

Another good example: the Baucus committee tanking the public option in late September brought on a similar flurry of bon mots: “Senators should be required to make the little cash register ‘ka-ching!” noise when they vote.” “Well the insurance Industry is looking forward to its Baucanalian Orgy.” “75% of Americans support #publicoption, but only 35% of the Senate Finance Cmittee support it.” “Health care industry must pay capital gains on Senate Finance Committee members this year as investment is cashed out.” Etc., etc.

Its immediate posting benefits aside, Twitter has definitely grown on me as a fertile hothouse environment for exactly this sort of choice, top-shelf snark.

Outrage, Bought and Paid for.

“The two primary groups — Americans for Prosperity and FreedomWorks — actually grew out of the 2003 breakup of an outfit called Citizens for a Sound Economy that had been integral in the fight against Hillarycare. Indeed, the same ‘Tobacco Strategy’ memo in which Philip Morris boasts of shaping McCaughey’s writings also reveals that the tobacco giant paid Citizens for a Sound Economy to engineer a “grassroots” revolt against health care reform by staging demonstrations in the home districts of key congressmen.“

In Rolling Stone, Tim Dickinson follows the money to expose the Republicans’ recent astro-turfing campaign against health care reform. In short, it’s the “Brooks Brothers Riot” all over again. In fact, “Americans for Prosperity, which has taken the lead in the current fight against reform, is a front group for oil billionaires David and Charles Koch, co-owners of the world’s largest private oil and gas conglomerate…Matt Schlapp, one of the original ‘Brooks Brothers rioters’…now serves as director of federal affairs for Koch Industries, orchestrating the firm’s political efforts in Washington.“