I read the transcript of the president’s “roundtable on health care initiatives” held at the Chattanooga Convention Center yesterday, and was amazed at how well the participants stayed on message. There was the uninsured father of two who really loved the idea of the president’s idea of changing the tax code to help the uninsured. There was the uninsured office manager with a pre-existing condition who thinks Bush’s policies would address all of her problems. There was the uninsured lamp salesperson who can’t afford her deductibles and believes the president’s idea would get her exactly what she needs.
In each instance, Bush seemed to know quite a bit about these people before they even shared their personal stories. It was almost as if the president had been … I don’t know … briefed somehow on what these people were going to say.
I think there are three angles to consider here. The first, of course, is the substance of Bush’s standard-deduction proposal itself.
Many health economists say they think Bush is overstating the impact of the tax code changes, but they say he might have a bigger bang if he were to give low-income people tax credits to buy insurance, an idea the White House considered and rejected. A study released this week by the Community Research Council of Chattanooga concluded that very few of the uninsured in Hamilton County, which includes Chattanooga and its suburbs, make enough money to benefit under the current Bush plan.
In an interview, Bredesen said he is glad that Bush is starting to tackle health care more seriously but voiced doubts about the tax elements. “I get less excited about the tax deduction stuff because there are a lot of people . . . for whom that’s not going to make a difference,” he said. […]
The president’s plan is for “every individual on their own,” said Rep. Rahm Emanuel (D-Ill.), the chairman of the House Democratic Caucus. “He does nothing to control costs and he does nothing to expand the number of insured. Other than that, it is incredibly helpful.”
The second was how yesterday’s event was put together.
The participants had been carefully selected, the tone was confessional, and the president, describing himself as the “educator in chief,” sounded more like talk-show host in chief.
It’s obviously expected at this point, but there’s going to come a time, hopefully in 2009, when a president will be willing to interact with regular Americans to discuss a policy matter with people who haven’t been “carefully selected.” We’ll have grown so accustomed to Bush, chances are, we’ll find this odd, instead of routine.
And third, is it me, or is it rather startling to think the White House would try to pivot away from discussing foreign policy and towards health care?
Considering the president’s public standing, Bush is in quite a bind — he has a choice of addressing a series of issues on which he’s either unpopular or incredibly unpopular.