Friday, March 13th, 2009
Healthcare Reform Effort Slaps Elders’ Wisdom: Shame On Us All ...by Donna Smith
WASHINGTON, DC – It was a week of intense contrasts in Washington, DC, and especially with respect to our national effort to reform the healthcare mess. Maybe I shouldn’t use the word respect anywhere near this topic right now because some of what I have witnessed has been the most shameful and disgusting display of disrespect that I could have imagined.
We’ve come a long way from the civil rights riots of the 1960s and the outrage we shared during that time. By God, we’ve elected an African American President, haven’t we? It’s a new day. Indeed.
First, let me say clearly that none of the people I will mention in this piece would ever have asked me to write this and I am fairly certain they might even be embarrassed that I would. But I am witnessing the least classy and most self-righteous arrogance I think I have ever seen in any political arena, and it needs to stop before we allow it to kill not only our better instincts and hopes for the best possible outcomes in healthcare reform but also what had been our cultural norm of showing at least some deference to our elders.
We all read about last week’s White House summit on healthcare and the carefully crafted invitee list and the shrewd or rude – depending on your viewpoint – decision not to invite Rep. John Conyers of Michigan to the gathering. Conyers is the author and chief co-sponsor of HR676, the National Health Care Act, and it would create a publicly financed, privately delivered, single payer healthcare system. It is also co-sponsored by 64 other members of Congress, as of this writing, and in the 110th Congress it had 94 co-sponsors. But, we all know that it’s hard to get traction in the press or in some other circles in Washington for the single payer point of view – even with 15 percent of the House sponsoring the legislation.
John Conyers, 79, is also the only member of Congress ever endorsed by the late Rev. Martin Luther King, Jr. He was there when the horrible and the unthinkable played out in America’s streets and neighborhoods. He was there for the fight to honor the late Dr. King with a national holiday. And Conyers was certainly there 100 percent with team-Obama through this election cycle.
Conyers was eventually invited to Obama’s White House summit on healthcare – begrudgingly and reluctantly -- after protests grew and folks argued that the summit was a bit biased against single payer (I am being kind when I say that). And as I watched the coverage on C-SPAN last week, I saw Mr. Conyers, but he never spoke. Whether he chose not to speak and not to rock the Obama healthcare boat or he was asked to stay quiet, we’ll never know. He is the consummate gentleman and a loyal man. He would never tell us that.
But what concerns me most about that scenario is not that the single payer message was being squelched and was not at the infamous table, it is that one of our elder-statesmen with all due respect to him was not seated at the very head of the table. John Conyers is a man who knows the long arc of this nation’s history as a Congressman since Lyndon B. Johnson was our President, and Conyers is a man I could argue has more class in his little finger than the whole lot of wonks I heard this week could hope to muster.
So, I asked myself last week, was I being blinded by my admiration of Conyers and of his vision of healthcare justice and fiscal responsibility in delivering that justice? Maybe, I thought. He was after all the man who allowed me – an average, middle class (or used to be) American grandmother – to testify about going bankrupt while carrying health insurance and getting cancer. I am still the only American citizen to testify under oath to Congress about the financial devastation this broken system is doling out to middle class folks who trust health insurance to deliver on its promises. That speaks volumes too.
So, I didn’t write last week about how angry it made me to see him disrespected – not just his point of view, but him as a man and as a champion of the very civil rights fight that allowed President Obama to build on the dreams of many fathers who never thought they’d see the day we all rejoiced in this past January 20th. I thought I should just wait.
But then it happened again. Some of us were invited to attend a meeting held by Senator Ted Kennedy’s staff to update people on the progress in the Senate on healthcare reform. This time, I knew another champion of healthcare justice was attending, so I was proud to take a seat next to Dr. Quentin Young, who once treated Dr. King, and who has devoted his life to not only practicing medicine but also to the right of every person to have access to healthcare. Conyers had asked for Dr. Young to be invited to the White House summit, but that request was denied, so I suppose the invitation to the Kennedy staff briefing was something of an olive branch.
Dr. Young is from Chicago – Hyde Park to be specific. And he has known President Obama for a long time. In fact, just last week at a special event honoring Young, a letter from Obama was read. The good doctor is also in his mid-80s and after retiring from more than 60 years in private practice, he devotes full time attention to Physicians for a National Health Program, the 14,000 member single payer advocacy group for docs.
So, there we sat. Fourth row back and watching the presentation made by several people who have been involved in the much more tightly controlled Kennedy-stakeholder meetings. Among those addressing us was Karen Ignagni, the CEO of America’s Health Insurance Plans, the industry group for the for-profit, private health insurance industry. She’s at the front of the room and the front of the table in this nation’s discussion of healthcare reform. Her position in the discussion is an elevated one.
During the meeting’s questions and answer period, Ms. Ignagni sat up front with the Senate Committee staff, while even the other “stakeholders” addressing the group sat in the audience front row. Called out by President Obama at the summit last week and now embraced quite specifically in this week’s briefing, I’d say her position within this health reform effort is very secure indeed. She often whispered to Senate staff, worked on her Blackberry and then almost seemed to quietly direct some of the flow of the question and answer effort.
Dr. Young waited politely to ask a question. When he did, he asked why in the world if we are still in the discovery process in taking input from a broad range of groups – why would any plan, such as a single payer plan, be taken “off the table” by Senator Max Baucus or anyone else? Senator Kennedy’s staff member stood and answered dismissively. He said the last time Sen. Kennedy offered a piece of comprehensive healthcare legislation it was single payer and that at that time Kennedy had no co-sponsors standing with him in the Senate. (Mind you, that was 1971. Thirty-eight years later I’d say the situation has changed a bit.) But the staff made it clear this day, and he was meant to put Dr. Young in his place – certainly not at the table. Ms. Ignagni was pleased with the Kennedy staffer’s rapid response to yet another of this nation’s elder leaders.
I am ashamed today of all of us who have decided to allow these marvelous gentlemen in such diminished roles in this effort. Even if we were to ultimately opt for some system reform other than the one they advocate, what in the world are we doing by disrespecting them now? How did we get to this place of dishonoring our elders? And how in the world does President Obama suppose that makes both of these champions of civil rights feel at this stage of their lives? It is shameful beyond what I can comprehend.
We seem to get it that Senator Kennedy has earned some measure of respect for his years of service and commitment. Why not these lions in their own rights? It’s not as if they were our crazy uncles sitting in a drunken stupor drooling after Sunday supper.
I have often heard it said that our children learn how to treat us from watching how we treat our parents and other elders. Wow, we are headed for a world of hurt in this nation if our kids model just a bit of the arrogance and disrespect we are seeing in the healthcare discussion.
Reset the darn table, folks. Put the elder leaders at the head. Bring in the young, wiz-kids and the powerful interests if you must. But don’t you ever again call on Karen Ignagni to speak or allow her to smirk in smug defiance when the healthcare of this nation is being discussed. Never.