On Thursday, President Obama held a health summit with Republican and Democrat Congressional leaders to try to resolve differences between bills passed by the House and Senate. Before national television, a roundtable debate took place for six hours that was not only good theatre, but highlighted major philosophical differences on health care reform as well as between the parties in general.
On the health care issues, the President tried to find common ground while Republicans insisted that the reform process should start all over again. Differences were evident concerning covering the uninsured, guaranteeing coverage for people with pre-existing medical conditions, and having a public option beyond private companies. The object of keeping costs down was constantly juxtaposed with improved, efficient coverage.
While there were no major breakthroughs at the meeting, with Democrats threatening to move ahead without Republicans through a complicated, technical process called reconciliation, there were clearly stated differences between the two parties.
And with more and more voters declaring themselves independent, it is worthwhile to remember that Democrats do believe in bigger government as a safety net and that Republicans are the party of deregulation and individual choice. The President tried to find common ground, but there was no evident sign of conciliation.
President Obama has made reform of the health care system a major part of his domestic agenda. Ignoring the difficulties of previous presidents, he thought that with his election victory and majorities in both chambers he could move forward with a more efficient, more just, and less costly reform. That has not happened.
The Republicans have sensed that big government is an issue they can run on, and the Democrats have been divided on what exactly they want. The fact that Scott Brown won the Senate election in Massachusetts on a platform against health care reform has sent shivers up the spines of Democrats before the November 2010 elections.
President Obama wants to reform the health care system in the United States. For the moment, the Republicans do not. The summit showed the differences on this issue and the profound philosophical differences between the two parties. Positively, it also showed a vibrant democratic process with leadership on both sides fully engaged in the details of health care.
Unfortunately, the process will not help the millions of Americans who are uninsured or those who cannot afford decent coverage as well as limit the explosive costs of an inefficient system.
