A Promise to “Redefine the Nation”

Published in Libération
(France) on 9 September 2009
by Fabrice Rousselot (link to originallink to original)
Translated from by Marcus Oda. Edited by Robin Silberman.
The late Ted Kennedy said one day that the person who reforms the American health care system “would redefine the nation.” By making health insurance the priority at the beginning of his presidency, Barack Obama launched much more than the umpteenth political battle in Congress. The new president is testing his own capacity to fulfill the most important promise of his campaign, the promise of a new America: one that is less individualistic, more collective, and ready to reinvent itself.

Numerous people before Obama have ruined themselves over the issue of universal care, notably Hillary Clinton. She was never able to fulfill the mission conferred upon her by her husband, even though she was first lady at the time. The hysterical nature of the debates show the difficulty of convincing the portion of Americans for whom the simple term “public health” is synonymous with an attack on liberties and an unbearable dictum made by the federal government. The extreme right profited from these feelings and the cries of “Obama the Nazi” or “Obama the communist.” The reality is that the current U.S. health care system is an aberration with exorbitant costs, leaving 48 million people without insurance. In August, while evoking the reform that he has already been forced to tone down, Obama spoke of a “moral obligation.” He will need all of his oratory talents to convince Congress and America that health care reform is necessary. If he loses this fight, it will be his own dream that is being destroyed.


Le défunt Ted Kennedy a dit un jour que celui qui réformerait le système de santé américain «allait redéfinir la nation». En faisant de l’assurance maladie la priorité de son début de mandat, Barack Obama a lancé bien plus qu’une énième bataille politique au Congrès. Le nouveau président teste ici sa propre capacité à tenir sa plus belle promesse de campagne, celle d’une nouvelle Amérique, moins individualiste et plus collective, prête à se réinventer. Avant lui, nombreux sont ceux qui se sont brisés sur les écueils de l’accès au soin pour tous, Hillary Clinton notamment qui, alors première dame, n’a jamais pu remplir la mission que lui avait confiée son président de mari. L’hystérie dans laquelle se sont déroulés les débats témoigne de la difficulté de convaincre cette portion d’Américains pour qui le seul terme de «santé publique» reste synonyme d’une atteinte aux libertés et d’un insupportable diktat de l’Etat fédéral. L’extrême droite en a profité pour se requinquer aux improbables cris «d’Obama nazi» ou «d’Obama communiste». La réalité est que le système actuel de santé aux Etats-Unis est une aberration. Avec des coûts exorbitants et 48 millions de personnes sans assurance. En août, Obama parlait d’une «obligation morale» en évoquant la réforme qu’il a déjà été contraint d’édulcorer. Devant le Congrès, dans un contexte de crise économique, il aura besoin de tout son talent oratoire pour convaincre. S’il perd ce combat, c’est son propre rêve qu’il écorne.
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