Getting to yes on health care reform

Even though health care reform leaped yet another hurdle yesterday, I'm less buoyed than before. With Blanche Lincoln joining Joe Lieberman in threatening to filibuster a final bill that contains a public option, it seems like the prospects for a public option are now rather dim. And without a public option, will Congress wind up passing a bill that forces people to buy health insurance they can't afford? That's neither a policy nor an electoral winner.

Lincoln's is a frustrating case. One might hope that she's posturing, but apparently she spoke in such categorical terms that there's no way she could walk away from her threat without a loss of face. Even stranger, Lincoln's web page still shows her supporting a public option. I definitely expected more party discipline than this.

Then again, it may be that the last two elections are masking the real ideological balance of power in Congress. The Democrats built large majorities in Congress running against the Bush administration's manifold incompetence, but that doesn't necessarily mean that Congress or the nation as a whole has moved as far to the left as those numbers indicate. Under more normal circumstances, we might have watched Democrats negotiating with moderate Republicans to overhaul the health care system this year, but since there are no moderate Republicans left, Democrats are negotiating with Democrats. The result is starting to look like a centrist compromise, rather than the more progressive bill that 60 Democratic Senators could theoretically enact.

Then again, as Yglesias is so fond of pointing out, we wouldn't being having this discussion if the Senate ran according to majority rule, or, even better, if we didn't have a legislative body in which Wyoming, population 532,688, has the same representation as California, population 37,756,666. So we have the Founding Fathers to thank. Even now they are saving the Republic from the mob rule of the uninsured and the price gouged.

UPDATE: Here's Robert Reich on the slow withering of the public option.