By Robert M. Goldberg on 8.20.09 @ 6:07AM
A Yankee reports from Atlanta's triumphant town hall.
Last Saturday I was in Atlanta where I was part of what is likely
to be a turning point in American politics. The event was billed
as America's Health Care Town Hall. It started with a
conversation at a fast-food restaurant a month ago between Allen
Hardage, who owns an ad agency, and his friend Stephen
Northington, an insurance agent, about ways to share their
concern and opposition to the current health care proposals
making their way through Congress. They decided on a rally that
would do two things that were not taking place inside the
Beltway: bring together people to express their own concerns
about the lost of control over medical decisions and present
alternatives that gave individuals more control over the cost and
character of healthcare
Without any money, Hardage and Northington sent out emails to
friends, neighbors, talk show hosts and many free market
organizations inviting speakers, putting together panels, and
going about the task of organizing an event that hoped would
attract up to 20,000 people to Atlanta's Centennial Park. Hardage
and Northington assembled a long list of speakers including Ralph
Reed, former House Majority leader Dick Armey, George state
officials, and conservative talk show hosts Herman Cain and Joel
Aaron. Country music singer John Berry performed a new song he
wrote for the event, "Give Me Back My America."
Let me dispense with the now standard disclaimer about the
civility of the crowd that did gather. The people who attended --
about 12,000 in all if you go by the number of wrist bracelets
handed out as a security measure -- were more than civil, they
were fun, friendly and warm. They came with signs and in costumes
that ranged from silly to ironic. One woman was dressed as the
Grim Reaper coming to kill medical innovation under
government-run health care. Many were dressed as soldiers from
the War of Independence. Another guy was dressed
as a superhero ready to save America from socialized healthcare.
And people were informed. Do you know the current total unfunded
liability for Medicare? Lots of people at the rally did. It's $89
trillion. Do you know if comparative effectiveness will be used
to determine what doctors get paid in Medicare and health
exchanges? The answer is yes.
People knew aspects of the legislation inside and out. They
believe -- rightly in my opinion -- that the legislation has
nothing to do with addressing the issue of affordability, of
choice or quality. The legislation, as one young woman put it to
me, "has more to do with freedom than health care. "
There was anger. But there was no uncontrollable rage aimed at
any elected official or policy. Rather it was the passion to
fight back against being disenfranchised twice: first by watching
the political system craft a health care bill that ignored the
choices and concerns of most Americans and secondly giving
government control over those choices: Even without a so-called
public plan, the legislation gives government bureaucrats
significant control over the future direction of medicine and
power to ration care, delay innovation, and reshape the
doctor-patient relationship.
As a result, individuals are now engaged in health care as never
before. They do not trust Washington to solve the problems or
even define them. Whether or not a bill is passed or not matters
in only one respect: a vote to increase the government's role in
health care will increase the speed, size, and intensity of what
is clearly a health care self-determination movement.
Its aims are specific, substantive and policy oriented. First,
stop the shift towards health care centralization. (That might
require political change if the bill passes.) Second, adopt
solutions that promote choice, encourage personal responsibility
and accelerate the of use medical innovations to enhance the
doctor-patient relationship. At the rally I was part of a group
discussing specific ways of accomplishing such goals: allowing
people to buy health care across state lines, get reduced
premiums for healthy behavior, allowing doctors and consumers to
form networks outside of existing regulations.
I went out on a limb twice. I told the crowd I was a Yankee fan
to stress how "bipartisan" the event was. I was booed. Then I
talked briefly about how poor farmers in India are part of group
health plans they have designed themselves and where their
payments go down when they seek early treatment. "If it can done
in India using American technology, why not in America?"
That drew lots of applause. Not for me. For the idea and for what
inspired the rally, and what ultimately has redefined the health
care debate: the insistence that health care requires not a
public plan but innovation and self-determination. Health care is
not a crisis. It is an opportunity to improve America's health,
increase its prosperity, and renew its promise.
topics:
Health Care, Grassroots