So Much For Health Care Reform

At this point, I think I can officially announce that health care reform in the United States is again dead. It will not happen; millions will continue to lack coverage, with millions more under-covered, and the costs to our nation will keep escalating. And the fault belongs entirely to the majority Democratic Party.

Let's start with President Obama, for it was he who, out of hand, rejected the notion of a single-payer system, thus immediately shifting the debate rightward and eliminating as a possibility the surest method to expand coverage, control costs and improve outcomes.

Mister Obama, as President, has given up thinking big for some hope of bipartisanship. But the Republicans have no interest in being bipartisan; they wish only to muddy the waters and score inside-the-beltway political points. So why give up policy for a pipe dream? And isn't making good policy really what politics is all about?

And then there are the conservative Democrats, the Blue Dogs. Whether you consider it fortunate or unfortunate, as the G.O.P. has devolved into a party at the margins of political thought, the Democratic Party has become the refuge of serious politicians, be they liberal, moderate or conservative. At this point, the debate within the party has come to matter far more than the debate between parties.

And the Blue Dogs are very concerned about the cost of health care reform. What they fail to deal with, though, is the cost of failing to enact serious change. At this point health care eats up over 17% of GDP -- that's more than $2.7 trillion -- and those costs are going to continue rising exponentially if we do nothing. We already pay the costs of health care, and will continue to do so; it is just a matter of how, and how intelligently, we decide to do so.

Also telling is the amount of money that is flowing into our lawmaking process from the health insurance and pharmaceutical industries, and the results that it buys. That political finance in the U.S. is nothing more than a system of legalized bribery can no longer be reasonably argued -- but this is an issue that neither party seems particularly interested in addressing (I guess that is where you can find true bipartisanship in Washington).

This mess, caused by the corruption that is Washington, D.C., means that our elected representatives will essentially do nothing to meaningfully change our current broken system, even if a bill somehow makes it through the process. What I fear is that we will end up with an individual mandate for insurance while failing to control costs or improve care -- in other words, a massive giveaway to insurance and drug providers at public expense.

And if it happens, the fault will lay directly at the feet of the Democrats.