US Health Care Reform: A Presidency Adrift

Published in El País
(Spain) on 15 November 2013
by Antonio Caño (link to originallink to original)
Translated from by Alice Corr. Edited by Robert O'Connor.
Obama’s health care reform fix is the latest proof of incompetency and improvisation.

The “fix” announced by Barack Obama to his health care reform, more important in what it signifies than in its immediate consequences, is the nail in the coffin for a measure that has been running adrift for months, one which has turned history's most admired president into its biggest disappointment.

Obama’s decision to extend current medical plans by a year is an administrative measure that responds, in turn, to problems of an administrative nature. Ordinarily this decision would not have given rise to such severe censure. However, its repercussions are political and it has become the latest piece of evidence of the incompetence, the improvisation and the confusion of this administration. Journalists reiterate the comparison with Katrina, and Republicans remind us that they had already warned this would be Obama’s Waterloo.

Obama’s authority is crumbling. If he is incapable of pushing through the stellar reform of his own presidency competently, then what is he capable of? His Democrat colleagues, more concerned with their own fortune in the next midterm elections, have begun to abandon him. His popularity is at an all-time low, comparable to George W. Bush around the same time. His despondency and demoralization are visible. His lack of leadership, whether in domestic affairs, the Syrian crisis or in negotiations with Iran, is a cause of concern across all chambers.

His personal prestige, in tatters worldwide thanks to Edward Snowden, is also collapsing at home due to his inability to govern the country. Each television appearance, which formerly served to demonstrate his skills as a speaker, is now an opportunity to corroborate his shortcomings as the leader of the most important nation on Earth. Hesitant, erratic, abstracted: Obama is a shadow of his former self.

What went wrong? For a definitive answer, we’ll presumably be waiting quite some time. Firstly, because with three years left in office Obama still has — on paper, at least — time enough for a resurrection, but also because in Obama’s demise there are numerous personal, political and circumstantial factors at play which make an explanation difficult to come by.

His health reform has been the object of numerous acts of sabotage by Republican governors and has been the target of the fiercest campaign against any legislation for several decades: It has been attacked in Congress, in the media, by businesses, by insurance companies and by the medical profession, from ideological and economic angles.

His health care reform — and Guantanamo, in a different way — was, from the very beginning, proof that Obama would not find an appropriate stage to fulfill his promises. The panic unleashed by Obama’s election in some quarters was immediately transformed into a powerful force of resistance.

But that is no excuse for the feeble response from the White House. The wrath of the opposition, to a certain extent, was to be expected. What was not to be expected was Obama’s inability to combat it. Throughout his first term, that inability was dressed up as cautiousness. A president who sought conciliation, agreement, the middle ground, could not be reproached for making concessions to achieve such goals. But in these early months of his second term, his caution has been exposed as a front for his lack of skills, resources, maybe even convictions. His health care reform fix, which affects one of his most repeated promises — “if you like your current insurance, you can keep that insurance” — encroaches on the final bastion of his presidency: his credibility.


Una presidencia a la deriva

La corrección de la reforma sanitaria es la última prueba de la incompetencia y la improvisación

La corrección anunciada por Barack Obama a la reforma sanitaria, más importante por su significado que por sus consecuencias inmediatas, es la puntilla a una gestión que navega a la deriva desde hace meses y que ha convertido al presidente más deseado de la historia en la mayor decepción.

La decisión de Obama de retrasar un año los actuales seguros médicos es una medida de carácter administrativo que responde a los problemas detectados también en el orden administrativo. Normalmente, no daría lugar a un juicio tan severo. Sin embargo, sus repercusiones son políticas y se han convertido en la última prueba de la incompetencia, la improvisación y la confusión de esta Administración. Los periodistas repiten la comparación con el Katrina, y los conservadores recuerdan que ya advirtieron que sería su Waterloo.

La autoridad de Obama se resquebraja. Si no es capaz de sacar adelante convincentemente el programa estrella de su presidencia, ¿de qué es capaz? Sus compañeros demócratas, más preocupados de su propia suerte en las próximas elecciones legislativas, empiezan a abandonarle. Su popularidad está en los niveles más bajos que se recuerdan, similares a los de George W. Bush por estas fechas. Su abatimiento y desmoralización son visibles. Su falta de liderazgo, ya sea en los asuntos domésticos, en la crisis de Siria o en la negociación con Irán, es motivo de preocupación en todas las cancillerías.

Su prestigio personal, convertido en cenizas en el mundo por Edward Snowden, se desploma también en casa por su impotencia para gobernar. Cada comparencia en televisión, que antes servía para demostrar sus cualidades oratorias, es ahora una oportunidad de confirmar sus carencias como administrador de la nación más importante sobre la Tierra. Dubitativo, errático y ausente, Obama es una sombra de lo que fue.

¿Qué ha pasado? Para una respuesta adecuada, seguramente habrá que esperar algún tiempo. En primer lugar, porque, con tres años por delante en el cargo, Obama tiene aún, sobre el papel, tiempo suficiente para la resurrección. Pero, además, porque en el fracaso de Obama confluyen múltiples elementos personales, políticos y circunstanciales que hacen difícil una explicación.

La reforma sanitaria ha sido objeto de numerosas acciones de sabotaje de parte de gobernadores republicanos y blanco de la más feroz campaña de ataques contra cualquier ley en varias décadas: en el Congreso, en los medios de comunicación, de parte de las empresas, de las aseguradoras, de la profesión médica, desde el ángulo ideológico, desde el económico.

La reforma sanitaria –y Guantánamo, en otro sentido- fue desde el primer día la demostración de que Obama no iba a encontrar el campo libre para cumplir sus promesas. El pánico que la elección de Obama desató en algunos ámbitos se transformó inmediatamente en una poderosísima fuerza de resistencia.

Pero eso no es excusa para la débil respuesta desde la Casa Blanca. Con la furia de la oposición, de alguna forma, se contaba. Con lo que no se contaba es con la incapacidad para combatirla. Durante todo el primer mandato, esa incapacidad estuvo disfrazada de prudencia. A un presidente que buscaba la conciliación, el acuerdo, el punto intermedio, no se le podía reprochar que hiciera concesiones para conseguirlo. Pero en estos meses de su segundo mandato, se ha descubierto que la prudencia escondía carencia de dotes, de recursos, quizá de convicciones. La rectificación de la reforma sanitaria, que afecta a una de las promesas más repetidas por Obama –“si usted está satisfecho con su seguro actual, podrá conservarlo”- atañe al último bastión de su presidencia: su credibilidad.
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