13 lawmakers holding health-care reform hostage

For those still clinging to quaint notions of the American ideal, these have been a faith-shaking 10 years. Just as evolutionary science once got in the way of Creationists’ catechism, so has politics now undermined patriots’ naive belief that the United States is a functioning democracy.

The 21st century opened with a handful of Supreme Court puppets appointing George W. Bush president after he lost the popular vote — and we all know the costs in blood and treasure that insult wrought. Now, the decade closes with another cabal of stooges assaulting the “one person, one vote” principle — and potentially bringing about another disaster.

Here we have a major congressional push to fix a health care system that leaves one-sixth of the country without coverage. Here we have 535 House and Senate delegates elected to give all 300 million of us a voice in the solution. And here we have just 13 of those delegates holding the initiative hostage.

In the Senate, both parties have outsourced health care legislation to six Finance Committee lawmakers: Max Baucus, D-Mont., Kent Conrad, D-N.D., Jeff Bingaman, D-N.M., Mike Enzi, R-Wyo., Charles Grassley, R-Iowa, and Olympia Snowe, R-Maine. The group recently announced it is rejecting essential provisions like a public insurance option that surveys show the public supports. Meanwhile, seven mostly Southern House Democrats have been threatening to use their Commerce Committee votes to gut any health care bill, regardless of what the American majority wants.

This, however, isn’t about the majority. These lawmakers, hailing mostly from small states and rural areas, together represent only 13 million people, meaning those speaking for just 4 percent of America are maneuvering to impose their health care will on the other 96 percent of us.

Census figures show that the poverty rates are far higher and per-capita incomes far lower in the 13 legislators’ specific districts than in the nation as a whole. Put another way, these politicians represent exactly the kinds of districts whose constituents would most benefit from universal health care. So why are they leading the fight to stop — rather than pass — reform?

Because when tyranny mixes with legalized bribery, constituents’ economic concerns stop mattering.

Thanks to our undemocratic system and our corrupt campaign finance laws, the health care industry doesn’t have to fight a 50-state battle. It can simply buy a tiny group of congresspeople, which is what it’s done. According to the Center for Responsive Politics, health interests have given these 13 members of Congress $12 million in campaign contributions — a massive sum further enhanced by geography.

Remember, politicians trade favors for re-election support — and the best way to ensure re-election is to raise money for TV airtime (read: commercials). In rural America, that airtime is comparatively cheap because the audience is relatively small. Thus, campaign contributions to rural politicians like these 13 buy more commercials — and, consequently, more political loyalty.

The end result is an amplifier of tyranny: precisely because the undemocratic system unduly empowers legislators from sparsely populated (and hence cheap) media markets, industry cash can more easily purchase tyrannical obstruction from those same legislators. In this case, that means congresspeople blocking health care reform that would most help their own voters.

Of course, there is talk of circumventing the 13 obstructionists and forcing a un-filibuster-able vote of the full Congress. Inside the Washington palace, the media court jesters and political aides-de-camp have reacted to such plans by raising predictable charges of improper procedure, poor manners, bad etiquette and other Versailles transgressions.

But the real crime would be letting the tyrants block that vote, trample democracy and kill health care reform in the process.

David Sirota is a syndicated columnist based in Denver. His e-mail address is ds@davidsirota.com.

Talk to us

> Give us your news tips.

> Send us a letter to the editor.

> More Herald contact information.

More in Opinion

toon
Editorial cartoons for Friday, Dec. 19

A sketchy look at the news of the day.… Continue reading

Water from the Snohomish River surrounds a residence along the west side of Lowell Snohomish River Road on Thursday, Dec. 11, 2025 in Snohomish, Washington. (Olivia Vanni / The Herald)
Editorial: Keep eye on weather and on FEMA’s future

Recent flooding should give pause to those who believe federal disaster aid is unnecessary.

Schwab: What best fits a diagnosis of derangement?

Could it be vile attacks on the victims of tragedy? Vilification of immigrants? Economic denial?

Saunders: A plus for Trump 2.0: Far less firing among his staff

Turnover in the White House in his second term is far lower than his first. The stability is welcome.

Comment: A busy year for Trump, with far more lows than highs

A ceasefire holds in Gaza, and the southern border is quiet, but the economy is not ‘A-plus-plus-plus-plus.’

Comment: Oregon senator has plan to make Senate work better

Sen. Jeff Merkey doesn’t want to end the filibuster; he just wants to return it to its ‘Mr. Smith’ roots.

Comment: AI good at political persuasion; still bad with facts

Chatbots are good at piling on the information, but AI’s accuracy decreases as it floods the zone.

One of the illustrated pages of the LifeWise Bible used for class on Monday, April 14, 2025 in Everett, Washington. (Olivia Vanni / The Herald)
Editorial: Everett Schools can stick with rules for Bible program

LifeWise, a midday religious class, wants looser rules for its program or has threatened a lawsuit.

FILE — Health and Human Services Secretary Robert F. Kennedy Jr. speaks alongside President Donald Trump during an event announcing a drug pricing deal with Pfizer in the Oval Office of the White House in Washington, Sept. 30, 2025. Advisers to Kennedy appear poised to make consequential changes to the childhood vaccination schedule, delaying a shot that is routinely administered to newborns and discussing big changes to when or how other childhood immunizations are given. (Pete Marovich/The New York Times)
Editorial: As CDC fades, others must provide vaccine advice

A CDC panel’s recommendation on the infant vaccine for hepatitis B counters long-trusted guidance.

Customers look at AR-15-style rifles on a mostly empty display wall at Rainier Arms Friday, April 14, 2023, in Auburn, Wash. as stock dwindles before potential legislation that would ban future sale of the weapons in the state. House Bill 1240 would ban the future sale, manufacture and import of assault-style semi-automatic weapons to Washington State and would go into immediate effect after being signed by Gov. Jay Inslee. (AP Photo/Lindsey Wasson)
Editorial: Long fight for state’s gun safety laws must continue

The state’s assault weapons ban was upheld in a state court, but more challenges remain ahead.

THE EMPLOYMENTOF WOMEN ON THE HOME FRONT, 1914-1918 (Q 28030) A woman gaslight worker cleaning and lighting street lamps in Britain. Copyright: © IWM. Original Source: http://www.iwm.org.uk/collections/item/object/205288512
Editorial cartoons for Thursday, Dec. 18

A sketchy look at the news of the day.… Continue reading

Stephens: A shared derangement in accepting Trump’s petty cruelty

Deep damage was done by Trump’s self-centered attack on Rob and Michellle Reiner hours after their murder.

Support local journalism

If you value local news, make a gift now to support the trusted journalism you get in The Daily Herald. Donations processed in this system are not tax deductible.