Note: I have directly submitted this letter to the White House, details are below the colum.
Reference: To read up on the health care debate, go here.
Mr. President, I want you to understand two things about me. First, I like my current health plan, both the health care itself and the price I pay for it. Second, I am a conservative, which means I fear large government.
I tell you this at the outset so you understand that the current state of health care in this country suits me and my family just fine. Thus, in asking me to support your plan to revolutionize that status quo, you must realize that you’re asking me to jeopardize a good thing I already have and to deny my deepest political instincts about the dangers of large government. I might be willing to do both, but only if you give me the right answers to a few questions. This means that I’m the conservative you want to talk to. And I’ve got to tell you that, so far, I’m not impressed.
All your adamant hand-wringing and bold asserting about the necessity to do something has not convinced me. I’ve heard you talk about the importance of clear, simple language in financial instruments (which I like), but then you offer me a thousand page document and ask me to blindly trust you that’s it’s exactly what we need. You tell me that it’s important to set a civil tone in Washington, but then you accuse pediatricians of being vicious money-grubbers who perform elective tonsillectomies on children. And when I or the people I respect raise what seem like legitimate concerns about your plans, you accuse us of bearing false witness and resisting the Biblical mandate to care for our fellow man.
As I conservative, I should tell you that I do, in fact, want all people to get the best health care they can. If it were up to me, I would probably run a hospital into the ground by giving away too much of everything I have. If it were up to me, I would gladly provide health care to illegal immigrants and even export health care to other countries because I don’t believe that the only people who matter are the ones who happened to be born within our borders. And although I am often accused of the opposite, I care deeply about children and their needs. I have three of them so far myself, and I’m the guy who cries when I hear stories about parents who can’t give their kids everything they need because I can’t imagine what it would be like to suffer that pain myself. Also, I don’t believe health care in this country is perfect. It cost me around $400 to have our first child and $4,000 to have each of the other two, all three of which were perfectly normal without complications. They’re well worth the price, but that price seems outrageous to me.
So with all this in mind, I have a few simple questions for you. If you answer them adequately, I can’t promise I’ll be with you, but I can promise that I’ll feel much less like I’m in a fight to the death to preserve my way of life and the principles that I have long believed this country stands for. In short, I won’t feel like you’re betraying this country any more, even though I may still be hesitant about this particular agenda item. I don’t believe that the only way for my country to be secure is for me to always have my way. I didn’t vote for you, but I did go on the air the day after the election to proclaim that you were my President-elect. But if you want me to continue being the loyal opposition rather than an organizer of the revolution, I need some answers, and I need them fast.
1. Bad ideas to avoid.
First, I want to know whether you think there are any ways government could make health care worse and, if so, precisely what they are in contrast with your plan. See, I’m worried you might actually believe the federal government will make things better in health care merely by getting involved in it, regardless of what it actually does. I get the sense you think government is a magic wand that can fix anything if only we’ll wave it fast enough at the problem. And if you can’t show me you’re aware of the danger areas and unwise options for health care reform, then I’m left thinking you do believe government will improve things no matter what it does.
A big part of knowing how to succeed in anything is knowing what mistakes not to make. This is true in warfare, business, relationships, lawn care, whatever. Show me that you understand the distinction between bad government involvement in a field and good government involvement in a field by telling me the health care changes government intervention must not make. I know you’re convinced the status quo is unacceptable, but please reassure me you understand there are ways the federal government could actually make things worse.
2. Commitment and Criteria
Second, since I believe government is so woefully capable of making things worse than they already are, I need some collateral to secure this loan of my faith in your program. Since I’m not yet convinced you and your idea are a good credit risk, I need something more than just sweet words and heartfelt promises. Here are my two requirements.
I need you to show me you believe in this plan so much that you’re willing to impose it upon yourself and all the members of Congress. The only possible reason not to sign up for it yourselves is that you’re only willing to risk my family’s health care, but not your own. (Ideally, I’d even love to see you try your program only on government employees for a year or two just to be sure you’ve got the kinks out of the thing before you enroll a few hundred million people.) You see, the rule of law requires that the people making the laws be subject to them. Otherwise their personal interest incentives are lost and all we have remaining to impede foolish lawmaking is trust in the nobility of our political leadership. Surely you can understand that I’m not quite that deep a believer in the overall virtuosity of those inside the beltway.
Even more important, I want some criteria so we can measure whether your system is working or failing after we try it out. And I want a guarantee that if these indicators aren’t being met, that your system will go away immediately. See, one of the great lessons this country learned from the war in Vietnam was to have clear, measurable objectives so we can know whether to persist with any endeavor after we’ve started it. If you’re so confident that your plan will make health care better in all sorts of particular ways, then it should be easy to provide a list of the specific numerical criteria we can refer to over the next two or three years to verify that it’s working properly or not.
3. Exit Strategy
Third, since I believe government should always be the solution of last resort, I want to know what sort of an exit strategy you have for the federal government regarding health care. Again, Vietnam taught us very clearly that we not only needed to know how to get into a major entanglement, but we also needed to know how to get out both in defeat and in victory. You have repeatedly said that you don’t want to own a car company and you don’t want to own banks. I believe you.
I presume you think that the auto industry and banking are only temporarily troubled and will eventually become strong enough to stand on their own. In these two cases, you presumably view your interventions like a cast applied to a broken leg. The fracture needs time and protection to heal, but eventually the cast must come off. Based on your argument that the private sector will benefit from some honest competition, you clearly believe that private health insurance is an arena which must not simply disappear into the ocean of government. So, if you can lay out your plan for a government exit of the health care market once the adjustments and healing you think must take place have occurred, that would assure me that you aren’t secretly intending to permanently nationalize one sixth of our country’s economy.
So these are my requests. They don’t cover all the issues raised in the course of the past few weeks, and I’ll probably have other questions along the way. But answering these three simple questions will make me much more willing to live with whatever plan you propose. I will know that you are aware of the dangers to be avoided in government intervention in health care. I will know that Congress must live under its own law and that measurable objectives will definitively show whether their plan is working. And I will know that you have a clear but temporary plan for getting our health care industry back on track. If you can answer these three requests, I might even be willing to forgive your suspicious haste in doing all of this. I understand the importance of timing in politics, and providing these assurances, I’m willing to believe you’re acting in haste for this reason rather than because you know that a thorough inspection of the house will reveal sagging ceilings and foundation cracks.
I am a conservative. I do fear big government. And I do like my health care. But I’m willing to take your health plan more seriously if you can answer these questions the right way.
Correspondence:
On Friday, September 25, I submitted the following email through the contact form at whitehouse.gov If I receive any feedback from the White House, I will post it here.
Text of email:
I am a talk show host on a Christian radio station, and I've written an open letter to President Obama on health care which was published at Crosswalk, Townhall, and on my own website (all three links are below). I did not write it just as a column for editorial readers. I wrote it to genuinely be a letter for the President, and I hope you will read it and recommend it to him. If you would, please email me to confirm that you received this, and I would very much prefer to know who actually read the letter/saw the column in the White House. I know Mr. Obama cannot read most things sent to him, but I would still like to know who did read it, especially if he actually does.
(Here, I included the three links.)
Their form response to the submission on the website reads:
Thank you for contacting the White House.
President Obama is committed to creating the most open and accessible administration in American history. That begins with taking comments and questions from you, the public, through our website.
Our office receives tens of thousands of messages from Americans each day. We do our best to reply to as many as we can, but please be aware that you may find more information and answers to your questions online.
We encourage you to visit WhiteHouse.gov regularly to follow news and updates, and to learn more about President Obama’s agenda for change.
For an easy-to-navigate source of information on Federal government services, please visit: www.USA.gov
Thank you again for your message.
The Office of Presidential Correspondence
2 comments:
Dad's Life or Yours? You Choose
The broader problem is this: Our broken system leads Americans to spend 16 percent of our national income on health care, twice as much as in parts of Europe, yet with maternal mortality rates and child mortality rates twice those of the best-performing countries. Lack of insurance is linked to nearly 45,000 unnecessary deaths a year, according to a peer-reviewed study to be published in the December issue of The American Journal of Public Health.
None of this seems to move members of Congress who oppose health reform. They have first-rate health care for themselves and so perhaps don’t appreciate how their posturing forces people like the Waddingtons into impossible situations. Let’s hope they find it in their hearts to overhaul an existing insurance system that is the disgrace of the industrialized world.
I do not disagree with you that the things you mentioned are heart breaking and people should desire to change them. I do disagree that government is able to fix those problems.
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