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Who’s Afraid of Health Care Reform?

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Posted on Mar 29, 2010
Obamanation
AP / Jae C. Hong

Living in Obamanation: Tea party supporters at the “Showdown in Searchlight” rally in Searchlight, Nev., on Saturday.

By Marcia Alesan Dawkins

After days of protests over reform, the Obama administration has, in fact, created a change that many Americans can now see and feel. The new law, though imperfect, represents progress in a new direction. However, it seems that for this step forward some Americans have taken two steps back. 

The first step back took the form of angry racist and homophobic rhetoric aimed at Rep. John Lewis, D-Ga., and Rep. Barney Frank, D-Mass., on March 20. Lewis was called a “nigger” and Frank was called a “faggot,” as tea party protesters shouted “Kill the bill.” Lewis recalled his experiences as a civil rights activist, saying, “It reminded me of the ’60s. It was a lot of downright hate and anger and people being downright mean.” Frank was unsurprised but “disappointed” by the incivility. In a related incident, Rep. Steve King, R-Iowa, stood on a balcony during the protests and slapped a picture of Nancy Pelosi’s face. Should we be surprised and disappointed? Probably not. We’ve seen this kind of action before: In 1994, then-first lady Hillary Clinton was burned in effigy by Kentuckians who were against reform. 

The second step back came as a fax was sent to Rep. Bart Stupak, D-Mich., Wednesday with a drawing of a noose and gallows, labeled “Bart (SS) Stupak.” Stupak is not alone. House Majority Whip James Clyburn, D-S.C., reported that he has received several faxes of nooses on gallows along with letters filled with racial slurs. Rep. Anthony Weiner, D-N.Y., was sent a package containing a menacing letter and a white powder. These symbolic threats have forced many to ask for an acknowledgment of these actions from the GOP and tea party spokespeople—not to mention the sort of strong condemnation they require. Many more are asking what race and sexual orientation have to do with it. The answer? A great deal.

Even without a public or single-payer option, the reform law represents a disruption of hierarchy, a need for some extremists to place blame and an important form of identification for all Americans. By extending what has been a privilege of only those who work or can pay independently to roughly 40 million “others” as a right, the health care reform law has flattened out a social hierarchy that enables some Americans to feel and behave as though they are superior to others or that they have done something, other than merely being alive, that earns them the privilege of proper health care. Those who feel superior may say, “I or my company can pay for health care, therefore I am.” But now that the reform bill has become law, many more Americans can say, “I am, therefore I have the right to affordable health care.” By making health care available to more people, those who believe it’s a privilege they’ve earned are now placed on the same hierarchical rung as others who they believe don’t deserve or haven’t earned it.

Tied to this sense of hierarchy and privilege is the impulse to place blame. Those who have been fiercely protesting against health care reform may not necessarily see anything wrong with the former status quo. As a result, many, like Newt Gingrich, argue that the U.S. government is guilty of stepping into an arena in which it does not belong, and their response is “hands off my health care.” Some planned to make this position personal by protesting this weekend at the home of Rep. Steve Driehaus, D-Ohio, who has already seen a photograph of his children used in an ad published by reform opponents.

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And there’s more fault-finding to go around. Countering Barack Obama’s inclusive slogan “Yes we can” is House Minority Leader John Boehner’s divisive and condescending response, “Hell no you can’t.” The intent is to make Democrats pay for violating the sanctity of a system that supposedly wasn’t broken and to punish the government for overstepping its bounds. Republican National Committee Chairman Michael Steele echoed this sentiment when he told Fox News that it’s time to start “getting Nancy [Pelosi] ready for the firing line.” Sarah Palin also did her part to raise the rhetorical stakes, telling her Twitter followers, “Commonsense Conservatives & lovers of America: ‘Don’t Retreat, Instead - RELOAD!’ ” Palin continued by referring her supporters to her Facebook page, where she once again makes use of gun imagery and produces a list of 20 potentially vulnerable pro-reform Democrats in Congress. Coincidentally, angry health care reform opponents associated with the Western Rifle Shooters Association are planning an open arms rally to “Restore the Constitution” at Fort Hunt and Gravelly Point parks in Virginia. This rally is scheduled to take place April 19, the anniversary of both the Waco siege and the Oklahoma City domestic terrorist attack.

Finally, there’s the issue of identification. Those who are hurling hateful words, drawing hateful pictures and carrying deadly weapons are also implicitly sending the message that homosexuals and people of color should not be able to walk around feeling safe. Precisely because our president is multiracial the underlying fear is that Obama is out to empower minorities to the point of discriminating against white heterosexuals. Thus, for extremist health care reform opponents the mere presence of people of color and homosexuals with political clout poses a threat—hence the threats of violence coming from the extremes. The threats are real and have been taken to heart by at least 10 members of Congress who have now requested increased security.

So, what should be done? It seems that our current health care debate is making the choice clear. We can seek to eliminate those Americans who do not conform to the status quo—whether actively, through acts of violence and intimidation, or passively, by not giving them access to care that could save or prolong their lives. Or, we can actually create a more perfect union that includes, empowers and involves more Americans and work on healing some old and stubborn scars in our nation’s constitution.


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By Sonia, April 23, 2010 at 3:33 pm Link to this comment
(Unregistered commenter)

As far as I can tell, my disappointment in the medial bill as passed, is insurance companies still exist! So should I be holding up the sign in the picture?

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By tedmurphy41, April 18, 2010 at 3:48 am Link to this comment

A great many of these “protesters” should read up on the history of working people in America around 1900 to 1930 and then try to argue that health care should only be for those who can afford to pay.
I thank God that I was born here in the UK and was able to benefit from universal health care, free at the point of use. NB: Everyone pays into it!
It is about time that America caught up with First World health care; still, better late than never as the saying goes.
The UK health care system is not perfect and is being constantly undermined by selfish individuals(they call themselves progressives with idealistic proposals to introduce market forces on our NHS) similar in outlook to your opponents presently railing against this weak offering of a very basic health service for Americans who have no cover whatsoever.

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By Ebony, April 7, 2010 at 10:19 pm Link to this comment
(Unregistered commenter)

Dr. Dawkins,
Your point about the flattening of the social hierarchy is so on point.  Now that we
“all” have healthcare what differentiates us other than our race and sexual
orientation and politics? Race is always the grand differentiator when class fails. I
am appalled by the behavior of our political leaders and everyday citizens, but
part of me is actually, ironically pleased.  It’s time folks got out of their hope and
change utopias and realize our unresolved the race, class, gender, sexual
orientation issues and begin to do something about them.

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By ForeignAffairs, March 31, 2010 at 12:17 pm Link to this comment
(Unregistered commenter)

So, what should be done?

Whether you love it or hate it, the health insurance reform law is sorely in need of some additional consumer protections. 

Here is a short list of proposed countermeasures to help level the playing field for consumers who are now more than ever at the mercy of the insurance industry that necessitated reform in the first place:

1. Pass HR 4789, Medicare buy-in at cost (http://www.wewantmedicare.com).  Now that we have lost our most basic consumer freedom to opt out, it is not unreasonable to ask for a more competitive, and more cost-effective, menu of insurance options.

2. Prohibit federally mandated insurance purchase.  Let the private sector do their own marketing—that is not the proper role of government.  Selling insurance under color of authority is equally unethical as a patrolman pulling you over and trying to sell you tickets to a charity benefit.  Even if it benefits a worthy cause, it’s an abuse of power.

3. End anti-trust exemptions for the health insurance industry.

4. Allow drug re-importation.

5. Stipulate that any insurance subsidies may be spent only on public option not-for-profit insurance plans – so as to maximize the cost-effectiveness of those subsidies.

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By gerard, March 31, 2010 at 10:15 am Link to this comment

Quote from Dawkins:  “So, what should be done? It seems that our current health care debate is making the choice clear. We can seek to eliminate those Americans who do not conform to the status quo—whether actively, through acts of violence and intimidation, or passively, by not giving them access to care that could save or prolong their lives. Or, we can actually create a more perfect union that includes, empowers and involves more Americans ....”
  Marcia Dawkins:  Don’t you realize that by stating the far-right opinion as the first part of your equation, you strengthen it as though it were a first choice?  The problem is order of importance.
Better:  “We can create a more perfect union etc. etc., or—” and then close with the immoral choice last.  I think, put this way, your piece is more likely to attract positive action.
  And one more question:  How about spelling out briefly the “old stubborn scars of our Constitution”?
Most people will not clearly relate to what scars you are talking about—State’s Rights, Corporations as “people”, equal rights for women, women’s right to choose, the habeas corpus question—there are many Constitutional issues that are unclear or need updating.

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By T. A. Madison, March 31, 2010 at 8:39 am Link to this comment

It seems incredible that the authoritarian Right could legitimize Brownshirt activity by wrapping themselves in the flag.  Citing the Constitution in their warped contexts makes it difficult to refer to the Bill of Rights, the notion of the Common Good, and responsible citizenship to redress the balance.  However deluded the weak minded are that believe health care is a threat or find hate mongering appealing, the main issue is who organizes and finances them. This need to be brought into the light of day.  Beyond that, Americans are sorely in need of ongoing tutorials about Constitutional values and democratic citizenship.

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By Ted Murphy, March 31, 2010 at 7:48 am Link to this comment
(Unregistered commenter)

I don’t think that healthcare is the problem here; it’s the sight of an utter lack of education,  shown by the inane comments made by these individuals, that should worry the rest of American people.

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rico, suave's avatar

By rico, suave, March 31, 2010 at 6:02 am Link to this comment

And now many of the big corporations with employee medical plans have started expensing huge amounts of income to make up for the tax breaks they no longer receive to help their employees with health care insurance.

This of course means less net profit and less revenue for the guvmint. Was this factored into the CBO number of $940 billion?

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By Bethel, March 31, 2010 at 5:46 am Link to this comment
(Unregistered commenter)

Sounds like the Tea Party needs and is going to get some ‘Law & Order.’

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By marta, March 31, 2010 at 3:40 am Link to this comment
(Unregistered commenter)

Most know that Obama was bought by Wall Street and the GOP and being used as the puppet to clean up some of the mess the previous puppet made. Obama will only be allowed to go just so far. Some worry about medicare and Obama cuts of,—but forget Newt Gingrich when speaker of the house tried to force Clinton to make cuts and went so far as to shut down the federal government to bully clinton. The republicans forget Ronald Reagan was a socialist and hated social security, and the unions. To blame and hate Obama for whatever is hating the republicans who did and will do the same. The reason the GOP pushed to have him elected was knowing color would stir up the hate and Palin was the perfect one to stir it up. The Republicans slowly helped create the same to put our country in the mess it’s in,- just like in 1929-30’s The republicans have the most money and the power, and has had at least back since Prescott Bush held the strings. He also wanted to make our country a Fascist State with the backing of the American Liberty League, and the Tea Partiers intend to do just that. Prescott in 1933, the Tea Party movement in 2012. Prescott to oust FDR, Palin/Beck to have Obama. Palin’s wish is to dictate just like the leader of Germany did in 1930.

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By Daniel Almond, March 30, 2010 at 5:09 pm Link to this comment
(Unregistered commenter)

The Restore the Constitution rally is taking place on the 19th of April to commemorate the anniversary of the first shot of the American Revolution in 1775, NOT Waco or Oklahoma City.

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By ofersince72, March 30, 2010 at 2:05 pm Link to this comment

There haven’t been any less young blacks

  dinenfranchised under Holder and Obama’s watch
 
  All they did was reduce from 100 to 1
 
  to   30 to 1….. that’s reform ?????

  about as much as that health care bill was.
  next to nothing…

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By ofersince72, March 30, 2010 at 1:54 pm Link to this comment

The media wants to show us some pictures of racism

Go to Hedges blog this week and get the feeds
  that P.S. SMITH left for us to observe…

  Blast those children’s pictures all over the mainstream
  I dare you !!!!!!!!!!!
  Just who are the racists?????????????

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By ofersince72, March 30, 2010 at 1:46 pm Link to this comment

For those crying racist,

Just about all of the CBC voted for the shock and awe
to Iraq,  just about all of the CBC votes for permanent
occupation of that race in Iraq.

It isn’t about race….... it is about money and who
controls our politics, media and lawmakers.
We proved in 2008 we are not a racist society.
We have always had kooks and nuts.
The Democrat media is emphasizing the kooks and nut cases
to their advantage in order to keep the minority vote
that they don’t deserve.  Funny how Eric Holder’s sting
operation was within days of congressman long’s alleged
incident.

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By ofersince72, March 30, 2010 at 1:38 pm Link to this comment

The Democrat mouthpieces have ALL their cannons
loaded fanning the racist flame in order to try to keep
the minority vote this November,  taking advantage of
some very fringe elements that have always been in this
society.  Who heard who call who what???????

No matter what side of the spectum,  everyone has the
right to be infamed by a trash piece of legislation that
the health ins reform bill is.

It is the CENTRISTS that reek all the destruction and
damage to our society and their are plenty of them both
black and white on Capitol Hill !!!!!!!!!!!!!!!!

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By Steven, March 30, 2010 at 11:09 am Link to this comment
(Unregistered commenter)

@ republicanblack - I think your argument would have “some” merit if it were not the case that to even begin to make it you have to ignore precisely the things that Marcia is pointing out in her argument. You are, if I understand you correctly, attempting to argue that all of the anger is born of a “state’s rights” mentality and ‘really’ against an expansion of the role of government. What Marcia is pointing out is that the narratives that establish our understanding of the U.S. as a nation of individualists and libertarians are rife with presumptions about race, gender, and sexuality and that the re-shuffling of social capital that follows from health care reform not only re-shuffles the amount of control our government has over a ‘private industry’ and the obligations that citizens have vis-a-vis taxation, but also the color, gender, and sexual orientation of the ‘average American’ who pays those taxes and cedes that control to the Federal Government. I don’t think anyone (including President Obama - who today acknowledged that some concerns about the bill are legitimate) is suggesting that these protests are not about the health care bill at all. What is being suggested here and elsewhere is that these protests are also about the other things (race, gender, sexuality) and that it is intellectually dishonest to deny that they are. If they weren’t then why the racial and sexual epithets? Why the symbolic violence against a woman? How do those actions actually lead to a clearer understanding of the ‘legitimate concerns’? What we are seeing is an outpouring of adolescent (in the psychoanalytic sense) frustration and anxiety over perceived threats to the self (not just the political self - “citizen” - but the egos of these people . . . and the id stepping in to defend those egos from the threats). Separate the bill from the identity politics and I’ll listen to anything you want to argue about the bill’s merits. Insist on advancing your claims through hate speech, hyperbole, and histrionics and you limit the ethical choices that I have to choose from as responses to you. If forced to choose between deliberating on health care or defending individuals from inexcusable attacks on their identities, I will choose the latter and live with the escalation in your rhetoric that is likely to follow from that decision. Simply put - why insist on keeping the indefensible ‘crap’ in what might otherwise be a valid argument; unless that ‘crap’ has some psychic value to you that you aren’t willing to set aside?

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By Damiano Iocovozzi MSN FNP CNS, March 30, 2010 at 10:35 am Link to this comment
(Unregistered commenter)

Dear Ms. Dawkins,  The blog waves are filled with silliness, vanity and non-sensical arguments.  Please advocate for the plight of the non-insured terminally ill man, woman or child who cannot receive a hospice placement in this country without money to pay. 
As a provider in Riverside County (CA), I can only get a visiting nurse to provide advice telephonically for a stranded family and ill family member. 
Most often as the condition deteriorates, an ambulance is called and without an advance health care directive, the terminally ill patient will get a code blue, a life support machine, expensive stay in the ICU with round-the-clock treatments, consultations, advanced pharmacy and a host of others rearranging the deck chairs on the Titanic.  After the patient dies of his natural disease process, who pays the bill for this fool’s errand?  The hospital and the US government do. 
The false choice is expensive: either we sanely provide immediate hospice placement for the uninsured terminally ill so a visiting nurse can manage the patient at home, or, we insanely wait till he deteriorates and send him off to the ICU where an inappropriate fool’s errand begins. 
Please contact our foundation at soonerorlaterbook.com to learn more.  Please Ms. Dawkins, interview nurses and physicians.  Why are we still spending 25-30% of our health care dollar on treatments that are futile?  Why are these blogs filled with nonsense that have nothing to do with reality?
Damiano Iocovozzi MSN FNP CNS
The Thomas Edwin Walls Foundation
Palm Springs

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By Mark, March 30, 2010 at 9:57 am Link to this comment
(Unregistered commenter)

Neither the Dems nor the GOP has been honest about the potential impact free trade agreements like the GATS are having on their policies or especially HEALTH REFORM.

There is a very real danger that the American people are walking into a trap designed to prevent our ever being able to change to a single payer or public plan in the future. That trap would come from provisions in the GATS free trade agreement on services. (Link is to a Public Citizen report on how GATS culd derail health care- needs the new data from US Antigua- implications are serious)

Do some research on the impact of GATS on single payer here, PLEASE. (may need to turn OFF javascript on this page to see all the text- this link is to work by Nick Skala, a PNHP.org staffer who died last year)

The so called “ratchet effect” is much more of an imminent threat than many people think, after the lessons of te US-Antigua online gambling case. GATS is the REAL reason they are privatizing everything!! (link is .Doc format- but please read! short, concise)

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Not One More!'s avatar

By Not One More!, March 29, 2010 at 9:30 pm Link to this comment

All this crap from the republicans and still we don’t have health care that most civilized countries have, a single payer health care that covers all people, and not the profits of the insurance companies. Good for Obama, let him take some heat from at least one segment.

I don’t know who is playing more games. Clearly both parties are playing free and loose with the facts. I for one don’t really care if these conservative misinformed people are speaking out, because I’m more worried about the misinformed democrats who are quiet and think that this bill is anything but a giveaway to the insurance companies.

I don’t support the democratic party and they don’t support my principles. If they would have, Guantanamo would have been shut down by now, we would be withdrawing all troops (and not just ‘combat’ troops) from the middle east, and would stop giving these overpriced contracts to blackwater and halliburton. We would stop being the country that is responsible for supporting dictatorial and oppressive countries, even if they are allowing our corporations to operate and marginalize the people and natural resources.

http://www.NotOneMore.US

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By Amanda, March 29, 2010 at 8:24 pm Link to this comment
(Unregistered commenter)

Great article.  It’s nice to see a balanced and educated view on this issue.
 
As a Brit living in the States, I have been appalled by the blatant lies told by the GOP AND the Media while trying to block this important legislation.  Remember the comment about Steven Hawkins, stating he’d be dead if he lived in the UK (??  But he has done all his life!! ). 

It is also disturbing that so many Americans don’t appear to question flawed statistics or require their Politicians to adequately justify their puerile rhetoric.  These lies have aggravated and fuelled the Public anger against this most desperately needed reform.  Interestingly, those fighting against Healthcare Reform purport to be Christian.  How Christian is it to deny healthcare to those in need?

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By gerard, March 29, 2010 at 2:43 pm Link to this comment

Suggestion:  Offer all unemployed Teabagger types and their adult family members jobs in local hospitals as nurses aides, with additional free training toward a valid nursing degree.  If they choose to go on to specialized nursing (surgical etc) ask the American Medical Association to pay for their training and help them get post-degree jobs.  Out of government funds, pay them more than minimum wages, while they train, and at the end of a two-year course employ them fulltime so that they get benefits, pensions etc. etc. Call the program something like American Free Health Care Career Training. For those who cannot qualify by passing a minimum-skills test in reading and math, pay them to go to night school to qualify.

All such measures would be much, much cheaper than
allowing them to run rampant because they are mad at the system which has deprived them first of adequate educations and second of reliable, permanent jobs they can do.  Engage them.  Make them feel like they count and have a future.  Treat them as people with possibilities, undeveloped resources (which they are) and give them the benefits of a humane democratic government.

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By Leefeller, March 29, 2010 at 1:03 pm Link to this comment

As far as I can tell, my disappointment in the medial bill as passed, is insurance companies still exist! So should I be holding up the sign in the picture?

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By American Observer, March 29, 2010 at 12:57 pm Link to this comment
(Unregistered commenter)

These voices were empowered, in part, because the Democrats did not act
boldly enough in terms of a public option, at the very least, not to mention
single payer.  Americans have so overwhelmingly shown their support for both,
but when representatives sold out (as usual) to the corporations, they alienated
a lot of their support for reform, thereby also empowering these lunatics. 
Many on the “left” have thus found themselves in a difficult position - - as
more and more progressive representatives in Congress—culminating with
Dennis Kucinich—and more progressives media voices—culminating with
even Michael Moore—put their support behind this sorry piece of health
reform advancement that gives the health insurance corporations 30 million
new customers, insufficiently controls costs, and fines and penalizes the very
people who need health care if they don’t cough up mandates.  Still, as we
know, the bill expands the safety net with Medicaid and subsidies and takes
the [sarcasm] tremendously bold step [/sarcasm] of outlawing preexisting
conditions and ending lifetime caps on coverage.  Meanwhile the rest of the
civilized world goes about enjoying their single payer, socialized medicine, and
other forms of universal health care which we still don’t have.  One giant step
forward for Congress, one very, very, very small step for humankind (and much
of that step not even taken yet).  Was it worth all this hoopla, Congress?  For all
this hoola, we could have had single payer and a lot more people behind them,
and they might all be home watching t.v. or going hunting for moose.

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By kerryrose, March 29, 2010 at 12:25 pm Link to this comment

Your analysis of Tea Party rage reflecting the leveling of social hierarchies is probably the intelligent and interesting that I have heard.

Thank you.

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By republicanblack, March 29, 2010 at 10:57 am Link to this comment
(Unregistered commenter)

Now would I sound crazy if I said the people who were against integration were staunch state’s rights individuals instead of people who genuinely had a problem with mixing races? Just as the tea partiers are people who really are upset about taxing and the health care law, rather than something else? The difference between yesterday and today is what is socially acceptable. If integration was to happen today these people would be out here screaming, but since prejudicial statements are not acceptable what do you think they would say. Everyone should know by at least April 15th they got a tax cut well at least if you make less than 200k….

http://bit.ly/teapartyhistory

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