NB: I wrote this quickly on March 22, 2010, after reading Obama’s speech. The ACA had just been passed. I couldn’t listen to his speech the previous night. I think I made it to the third paragraph of his speech before I grabbed my “comfort book” (Epictetus, thank you) and went upstairs to read in dim light.
Good evening, everybody. Tonight, after nearly 100 years of talk and frustration, after decades of trying, and a year of sustained effort and debate, the United States Congress finally declared that America’s workers and America’s families and America’s small businesses deserve the security of knowing that here, in this country, neither illness nor accident should endanger the dreams they’ve worked a lifetime to achieve.
This sounds so good, President Obama.
Does this mean that I can get affordable health insurance for some pre-existing
No? Okay, so I guess I can just keep on dealing with these awful migraines because I can’t afford the $500.00 a month it would cost to get a preventative medication that might work. I won’t find out, because, you know, I have to feed my family first. That’s cool, I understand.
Call this me taking one for the American people. Every time I vomit water or plain bile because I’ve been unable to keep food down for more than 24-hours due to a mere migraine, I’ll just think of it as my sacrifice for the Good of the Country.
So, God forbid (you do invoke Him several times) I get sick, my husband and my daughter would be left without me, or we’d be bankrupt, or…?
That’s so comforting.
Tonight, at a time when the pundits said it was no longer possible, we rose above the weight of our politics. We pushed back on the undue influence of special interests. We didn’t give in to mistrust or to cynicism or to fear.
Instead, we proved that we are still a people capable of doing big things and tackling our biggest challenges. We proved that this government — a government of the people and by the people — still works for the people.
I must disagree, politely but vehemently, with any sort of claim that “we” have “proved” that the “government…still works for the people.”
The government works for some of the people. Hurray for some!
And kudos for us to returning to the failed ways of Ancient Greek oligarchies—this bill has proven more than anything that we are ruled by corporations.
All right, though, I will grant that the Supreme Court recently did rule that corporations are people, too.
Maybe I will change my name and incorporate myself. I could start as an S-corp, sell some stock, and let my investors decide what I should do with my life. That does seem to be one way for me to “get ahead” in America, at this date and time.
I want to thank every member of Congress who stood up tonight with courage and conviction to make health care reform a reality. And I know this wasn’t an easy vote for a lot of people. But it was the right vote. I want to thank Speaker Nancy Pelosi for her extraordinary leadership, and Majority Leader Steny Hoyer and Majority Whip Jim Clyburn for their commitment to getting the job done. I want to thank my outstanding Vice President, Joe Biden, and my wonderful Secretary of Health and Human Services, Kathleen Sebelius, for their fantastic work on this issue. I want to thank the many staffers in Congress, and my own incredible staff in the White House, who have worked tirelessly over the past year with Americans of all walks of life to forge a reform package finally worthy of the people we were sent here to serve.
To those of you who struggled with voting yes, go fuck yourselves. Yes, seriously. You have health insurance. Many of us don’t.
What the hell is wrong with you? Do you think we lack health insurance because we don’t want it?
So if you found doing the RIGHT thing was hard, then maybe you should retire from any sort of public life until you’ve gotten in touch with yourself and let go of some of your financial obligations.
And you should also read “Letter from a Birmingham Jail”—it’s mild, but it’ll remind you (maybe) of what we need. Of what true courage and conviction is.
Today’s vote answers the dreams of so many who have fought for this reform. To every unsung American who took the time to sit down and write a letter or type out an e-mail hoping your voice would be heard — it has been heard tonight. To the untold numbers who knocked on doors and made phone calls, who organized and mobilized out of a firm conviction that change in this country comes not from the top down, but from the bottom up — let me reaffirm that conviction: This moment is possible because of you.
I have never felt like more of a failure with my activism work than when I read this paragraph. I haven’t been heard, that’s clear. I’ve been working for single-payer for years. No, I haven’t been heard. And hundreds of others I’ve encountered during my activism haven’t been heard, either.
Most importantly, today’s vote answers the prayers of every American who has hoped deeply for something to be done about a health care system that works for insurance companies, but not for ordinary people. For most Americans, this debate has never been about abstractions, the fight between right and left, Republican and Democrat — it’s always been about something far more personal. It’s about every American who knows the shock of opening an envelope to see that their premiums just shot up again when times are already tough enough. It’s about every parent who knows the desperation of trying to cover a child with a chronic illness only to be told “no” again and again and again. It’s about every small business owner forced to choose between insuring employees and staying open for business. They are why we committed ourselves to this cause.
Tonight’s vote is not a victory for any one party — it’s a victory for them. It’s a victory for the American people. And it’s a victory for common sense.
The only victory I see is that maybe, maybe Rush Limbaugh MIGHT leave the country. [And that didn’t happen, dammit.] But has he not said this sort of crap before and stayed? And honestly, even if he did leave, he’d still go on with his show.
There is no victory, Mr. President and members of Congress. This, if anything, is a time to mourn your failures.
Now, it probably goes without saying that tonight’s vote will give rise to a frenzy of instant analysis. There will be tallies of Washington winners and
losers, predictions about what it means for Democrats and Republicans, for my poll numbers, for my administration. But long after the debate fades away and the prognostication fades away and the dust settles, what will remain standing is not the government-run system some feared, or the status quo that serves the interests of the insurance industry, but a health care system that incorporates ideas from both parties — a system that works better for the American people. <
I don’t give a shit about the frenzied analysis. I want change. I want it NOW. I’m sick and tired of living in fear, Mr. President and members of
Congress. What do I fear? I hate that I live in the shadow of a migraine that will inevitably strike me. I hate that I live in fear of falling down the stairs. How could I pay for a broken bone, never mind something more “serious?”
If you have health insurance, this reform just gave you more control by reining in the worst excesses and abuses of the insurance industry with some of the toughest consumer protections this country has ever known — so that you are actually getting what you pay for.
If you don’t have insurance, this reform gives you a chance to be a part of a big purchasing pool that will give you choice and competition and cheaper prices for insurance. And it includes the largest health care tax cut for working families and small businesses in history — so that if you lose your job and you change jobs, start that new business, you’ll finally be able to purchase quality, affordable care and the security and peace of mind that comes with it.
Wow, great. Our country can pay billions of dollars a day to go to other countries to kill other people, but I have to pay for the basic human right to, you know, live?
This reform is the right thing to do for our seniors. It makes Medicare stronger and more solvent, extending its life by almost a decade. And it’s the
right thing to do for our future. It will reduce our deficit by more than $100 billion over the next decade, and more than $1 trillion in the decade after that.
Anyone else alarmed that extending the life of Medicare by a decade is progress? What the f, people?
So this isn’t radical reform. But it is major reform. This legislation will not fix everything that ails our health care system. But it moves us decisively in the right direction. This is what change looks like.
I cannot argue that this isn’t change. I certainly won’t argue with the first line there, that this isn’t radical reform. It’s not.
Our healthcare situation, as it stands now, is hemorrhaging. And the doctors, the government, have decided a band-aid will do the trick. And I’m not talking decent-sized or even normal band-aids. I’m talking about one of those silly round band-aids that doctors will sometimes put on you after taking blood.
In the end, what this day represents is another stone firmly laid in the foundation of the American Dream. Tonight, we answered the call of history as so many generations of Americans have before us. When faced with crisis, we did not shrink from our challenge — we overcame it. We did not avoid our responsibility — we embraced it. We did not fear our future — we shaped it.
I’ll wait and see what the outcome is, Mr. President. I’ll get back to you in a decade or two.
And maybe, just maybe, I’ll have some sort of health insurance then.