Sunday, August 23, 2009

The President Needs to Provide Real Leadership in the Healthcare Debate

I am not impressed with President Obama’s leadership of late. For the second time in a matter of great national concern, he has stepped back from the front lines of crafting challenging legislation and left things to Congressional Democrats. He first did this on the stimulus bill, letting House Democrats craft the legislation. That was a mistake. He is doing it again with respect to healthcare legislation and this time it has been a disaster.

During the Democratic primary campaign, Obama at one point compared himself to President Ronald Reagan as a transformational president. Obama was not endorsing Reagan’s policy preferences but, rather, seemingly embracing Reagan’s leadership style which Obama saw as providing overall policy guidance while leaving the details to others. This seems to be precisely what Obama has been doing.

President Obama has continued to articulate abstract principles regarding his approach to healthcare but has avoided the nitty gritty. Yet, it is precisely this nitty gritty that many of us are searching for. We want a clearer picture of Obama’s healthcare approach. How is a public option going to function? How will it be financed? Will it drive the private healthcare sector to extinction? Is it the precursor to a single payer system? Is a public option consistent with the President’s assurances that those who are content with their current healthcare insurance can keep it? How will Obama’s approach actually save money while expanding coverage to so many who are uninsured? Will Medicare pay even less to physicians and hospitals than at present and will that endanger the Medicare system, something of particular concern to seniors?

The talk of death panels is a distraction. But the fact that some critics have come up with absurd arguments should not cloud the fact that many remain legitimately confused about the specifics of President Obama’s healthcare plan. The President needs to do more than shed his tie. He needs to roll up his sleeves and delve into the nitty gritty of healthcare reform, and take ownership of his own plan. He must stop looking toward Congressional Democrats to lead the charge in crafting essential legislation. The President, albeit in consultation with legislative leaders, needs to talk in specifics, not merely in generalities, and explain the details of his healthcare program. If he refuses to do that, he may fail even if the Democrats pass legislation. For he will leave the American people bewildered and that will not help Obama or the Democrats.