Two Mea Culpas

First published on THCB
Here’s an attempt to recover from two mistakes yesterday. My post on our dismal prospects for real health care reform prompted a couple readers – thanks to Hal Andrews and Fred Goldstein – to take me to task for suggesting that lobbying ought to be abolished.

And Barry Passett – who was a lot closer to the events in question than I was – pointed out that I misstated the reason that the Clinton’s reform effort was killed, and in doing so over-simplified the issue.

I wanted to put my clarifications into a post rather than a comment, to give them the attention they deserve. And I’ve revised yesterday’s post to reflect the corrections.

Hal and Fred rightly pointed out that the First Amendment protects “…the right…to petition the Government for a redress of grievances.” Lobbyists – professionals paid to buttonhole and persuade legislators in the lobbies and corridors of government – were at America’s first Congress and, before that, in the British Parliament.

In this sense, lobbying is simply paid advocacy. Lobbyists have always been paid for their connections, convincing style and demonstrated effectiveness. More recently, they have been required to be registered and to publicly disclose their direct contributions to lawmakers and candidates. Theoretically, any individual advocating for a position also has the right to be heard by our representatives.

Less clear and more controversial is the subject of contributions of financial value to lawmakers, and whether those contribution are merely supportive donations, or quid pro quos (“this for that”), favors in exchange for desired outcomes. Since the Founding, Congress has imposed increasingly stringent guidelines on contributions. These have made the process somewhat more transparent. But those with resources to pursue their policy objectives haven’t been deterred. And the likelihood of being effective remains better with a history of contribution than without.

The proposals that have best addressed this would prohibit direct contributions to candidates and lawmakers in favor of government-based campaign financing. This would limit the resources available to candidates and legislators, but also reduce concerns about the exchange of money for influence.

While Mr. Obama made lobbyist influence a campaign issue, it remains to be seen whether his Administration and the new Congress will embrace serious contribution/campaign finance reforms that return the focus of policy to the common over the special interest. If Mr. Obama REALLY wants to be an historic President, he could champion revising the ways that our lawmakers can be influenced, since that is the substrate of our paralysis on all significant national problems.

Which leads me back to my second argument that significant policy reforms in other areas will be achieved only through the activism of the nation’s most influential individuals, our business leaders, or not at all.

On my recounting of what killed the Clinton reforms, I am red-faced by my good friend Barry Passett’s correction, and grateful for his clarification. That said, the point ultimately is a quibble. This was one more example of sacrificing the common interest for the special interest, even if the small business lobby’s motivation at that point, was fear of Big Government Health Care.

More recently that group’s strongest player, the National Federation of Independent Business (NFIB), became an unlikely bedfellow with four organizations far more predictably in favor of universal coverage – the American Cancer Society’s Cancer Action Network (ASC CAN), the American Hospital Association (AHA), the American Catholic Health Association (ACHA) and Families USA – in sponsoring a reprise of the Harry and Louise ads. This time the couple was more contrite and desperately hopeful for universal coverage. Apparently, things didn’t work out the last time quite as they imagined.

About Brian Klepper

Brian Klepper is a health care analyst, commentator and a Principal in Worksite Health Advisors.
This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s