Obama Achieves His First Victory in Congress

Published in La Nación
(Chile) on 9 November 2009
by (link to originallink to original)
Translated from by Norma L. Colyer. Edited by Alex Brewer.
In the eyes of the average citizen and of the world, Obama has proceeded too slowly during the first phase of his term when it is expected that he take initiative.

In the same week that marked the first year since his election, U.S. President Barack Obama won his first major legislative victory in Congress. At dawn on Sunday the 8th, the House adopted health care reform by a narrow margin, an issue that is now the main subject of his domestic policy agenda.

The initiative aims to provide medical insurance to almost 40 million people who are not covered, thus making access to health care universal through a system that incorporates new and increasing demands on private providers and state subsidies. The cost of the plan reaches $1.1 billion for the next ten years and will be financed by an increase in taxes on wealthier citizens, reducing exemptions for companies and a tax on medical technology.

One of the deepest and most specific fracture lines in the U.S. is organized around changes to the health system: the deeply ideological contradiction between the role of the federal government, and personal and economic freedom. This is an outdated argument in other developed states and in “middle class” countries such as Chile, more on the basis of technical and pragmatic reasons than on principle, but one that in the northern country divides its population into two ideological camps.

In fact, ex-President Bill Clinton already tried an amendment similar to Obama’s at the beginning of his term of office, which he commissioned to his own wife, now-Secretary of State Hillary Clinton. It ended up crashing against the powerful medical-industrial, pharmaceutical and insurance lobbies as well as opposition from Republicans and the most conservative sector of the Democratic party.

Obama has, of course, considered such lessons and is trying to build on the momentum of his first months to get this done quickly, especially before mid-term elections for Congress in 2010. He is also trying to engage in a personal way in the legislative process: ratification of the draft took place hours after the leader appeared on Capitol Hill and demanded support from representatives, putting at stake his political base and his image. However, although it is a step forward, the vote is only a first step because the Senate needs to approve the bill and the risk of stagnation will persist.

This victory on Capitol Hill is very welcome to the president. Almost ten months after taking over, his first major policy move threatened to get bogged down, his popularity has experienced a noticeable decrease, the economy has yet to take off completely and market reform seems to have less than the required intensity. In the eyes of the average American, Obama has been too slow in the still inaugural phase of his term, a phase in which it is expected that the resident of the White House take the initiative. This somewhat disappointed feeling also prevails abroad, where the perception is becoming that it is not proving easy for the president to dismantle the warmongering, interventionist and unilateral means deployed by his predecessor.


A ojos del ciudadano medio y del mundo, Obama ha ido demasiado lento en la fase inaugural de su mandato, cuando se espera que controle la iniciativa
En la misma semana en que se ha cumplido un año desde su elección, el Presidente de Estados Unidos, Barack Obama, obtuvo su primer gran triunfo legislativo en el Congreso. En la madrugada del domingo 8 la Cámara de Representantes aprobó por un estrecho margen la reforma de la salud, materia que constituye hoy el principal asunto de su agenda de política interna.
La iniciativa apunta a dotar de cobertura médica a casi 40 millones de personas que no la tienen, haciendo así universal el acceso a esta garantía, a través de un sistema que incluye nuevas y mayores exigencias a los prestadores privados y subsidio estatal. El costo del plan alcanza a 1,1 billones de dólares por los próximos diez años y se financiará con un aumento de impuestos a los ciudadanos más ricos, la reducción de exenciones a empresas y una tasa a la tecnología médica.
En torno a la modificación del régimen sanitario se organiza una de las líneas de fractura más profundas y específicas de EEUU: la contradicción profundamente ideológica entre la función del gobierno federal y la libertad personal y económica. Se trata de una disputa superada en los otros estados desarrollados y en las naciones de “clase media”, como Chile, sobre la base de razones más técnicas y pragmáticas que de principios, pero que en el país del norte escinde a su población en dos campos de ideas.
De hecho, una enmienda parecida a la de Obama ya la intentó a principios de su mandato el ex Presidente Bill Clinton, quien se la encargó a su propia esposa, la hoy secretaria de Estado, Hillary Clinton, pero que terminó estrellándose contra el poderoso lobby industrial médico, farmacéutico y asegurador, y la oposición republicana e incluso del sector más conservador del Partido Demócrata.
Desde luego Obama ha considerado tales lecciones, antecedente que lo ha empujado a aprovechar el impulso de sus primeros meses -antes, además, de la renovación del Congreso el año próximo- y a involucrarse de manera personal en el trámite legislativo: la ratificación del proyecto ocurrió horas después de que el Mandatario se presentara en el Capitolio y demandara apoyo a los representantes, poniendo en juego su base política y su imagen. Con todo, aunque es un avance, la votación supone sólo un primer paso, pues falta el trámite en el Senado y el riesgo de empantanamiento persistirá.
Al Presidente le viene bien esta victoria en el Capitolio. A casi diez meses de haber asumido, su primera gran oferta programática amenazaba encallar, su popularidad ha experimentado una sensible disminución, la economía aún no despega del todo y la reforma de los mercados parece de intensidad menor a la necesaria. A ojos del estadounidense medio, Obama ha ido demasiado lento en la fase todavía inaugural de su mandato, etapa en la que se espera que el inquilino de la Casa Blanca controle la iniciativa. Esta sensación algo desencantada y morosa también domina en el exterior, donde se consolida la percepción de que no le está resultando fácil al Mandatario desmontar la arquitectura belicista, intervencionista y unilateral desplegada por su antecesor.
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