Kucinich Explains His Switch on Health Reform

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Wednesday, March 17, 2010 at 11:40 am

Arguing that access to health care is the right of everyone, not a privilege for the wealthy, Rep. Dennis Kucinich (D-Ohio) explains that while doesn’t really support the health reform bill the Democrats have proposed, he’ll hold his nose and vote for it anyway in hopes that it will move the country “in the direction of comprehensive health care reform.”

My criticisms of the legislation have been well reported.  I do not retract them. I incorporate them in this statement. They still stand as legitimate and cautionary.  I still have doubts about the bill. I do not think it is a first step toward anything I have supported in the past. This is not the bill I wanted to support, even as I continue efforts until the last minute to modify the bill.

The entire statement after the jump.

Each generation has had to take up the question of how to provide for the health of the people of our nation.  And each generation has grappled with difficult questions of how to meet the needs of our people.  I believe health care is a civil right.  Each time as a nation we have reached to expand our basic rights, we have witnessed a slow and painful unfolding of a democratic pageant of striving, of resistance, of breakthroughs, of opposition, of unrelenting efforts and of eventual triumph.

I have spent my life struggling for the rights of working class people and for health care.  I grew up understanding first hand what it meant for families who did not get access to needed care.  I lived in 21 different places by the time I was 17, including in a couple of cars.  I understand the connection between poverty and poor health care, the deeper meaning of what Native Americans have called “hole in the body, hole in the spirit”. I struggled with Crohn’s disease much of my adult life, to discover sixteen years ago a near-cure in alternative medicine and following a plant-based diet.  I have learned with difficulty the benefits of taking charge personally of my own health care.  On those few occasions when I have needed it, I have had access to the best allopathic practitioners.    As a result I have received the blessings of vitality and high energy.  Health and health care is personal for each one of us.  As a former surgical technician I know that there are many people who dedicate their lives to helping others improve theirs.  I also know their struggles with an insufficient health care system.

There are some who believe that health care is a privilege based on ability to pay.  This is the model President Obama is dealing with, attempting to open up health care to another 30 million people, within the context of the for-profit insurance system.  There are others who believe that health care is a basic right and ought to be provided through a not-for-profit plan.  This is what I have tirelessly advocated.

I have carried the banner of national health care in two presidential campaigns, in party platform meetings, and as co-author of HR676, Medicare for All.   I have worked to expand the health care debate beyond the current for-profit system, to include a public option and an amendment to free the states to pursue single payer.  The first version of the health care bill, while badly flawed, contained provisions which I believed made the bill worth supporting in committee.  The provisions were taken out of the bill after it passed committee.

I joined with the Progressive Caucus saying that I would not support the bill unless it had a strong public option and unless it protected the right of people to pursue single payer at a state level.  It did not.  I kept my pledge and voted against the bill.   I have continued to oppose it while trying to get the provisions back into the bill. Some have speculated I may be in a position of casting the deciding vote.   The President’s visit to my district on Monday underscored the urgency of this moment.

I have taken this fight farther than many in Congress cared to carry it because I know what my constituents experience on a daily basis.  Come to my district in Cleveland and you will understand.

The people of Ohio’s 10th district have been hard hit by an economy where wealth has accelerated upwards through plant closings, massive unemployment, small business failings, lack of access to credit, foreclosures and the high cost of health care and limited access to care.  I take my responsibilities to the people of my district personally.  The focus of my district office is constituent service, which more often then not involves social work to help people survive economic perils.  It also involves intervening with insurance companies.

In the past week it has become clear that the vote on the final health care bill will be very close. I take this vote with the utmost seriousness.  I am quite aware of the historic fight that has lasted the better part of the last century to bring America in line with other modern democracies in providing single payer health care.    I have seen the political pressure and the financial pressure being asserted to prevent a minimal recognition of this right, even within the context of a system dominated by private insurance companies.

I know I have to make a decision, not on the bill as I would like to see it, but the bill as it is.   My criticisms of the legislation have been well reported.  I do not retract them. I incorporate them in this statement. They still stand as legitimate and cautionary.  I still have doubts about the bill. I do not think it is a first step toward anything I have supported in the past. This is not the bill I wanted to support, even as I continue efforts until the last minute to modify the bill.

However after careful discussions with the President Obama, Speaker Pelosi, Elizabeth my wife and close friends, I have decided to cast a vote in favor of the legislation.   If my vote is to be counted, let it now count for passage of the bill, hopefully in the direction of comprehensive health care reform.  We must include coverage for those excluded from this bill.  We must free the states.  We must have control over private insurance companies and the cost their very existence imposes on American families. We must strive to provide a significant place for alternative and complementary medicine, religious health science practice, and the personal responsibility aspects of health care which include diet, nutrition, and exercise.

The health care debate has been severely hampered by fear, myths, and by hyper-partisanship.  The President clearly does not advocate socialism or a government takeover of health care.  The fear that this legislation has engendered has deep roots, not in foreign ideology but in a lack of confidence, a timidity, mistrust and fear which post 911 America has been unable to shake.

This fear has so infected our politics, our economics and our international relations that as a nation we are losing sight of the expanded vision, the electrifying potential we caught a glimpse of with the election of Barack Obama.  The transformational potential of his presidency, and of ourselves, can still be courageously summoned in ways that will reconnect America to our hopes for expanded opportunities for jobs, housing, education, peace, and yes, health care.

I want to thank those who have supported me personally and politically as I have struggled with this decision.  I ask for your continued support in our ongoing efforts to bring about meaningful change.  As this bill passes I will renew my efforts to help those state organizations which are aimed at stirring a single payer movement which eliminates the predatory role of private insurers who make money not providing health care.   I have taken a detour through supporting this bill, but I know the destination I will continue to lead, for as long as it takes, whatever it takes to an America where health care will be firmly established as a civil right.

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ajm8127
Comment posted March 17, 2010 @ 5:27 pm

He has to support it as a supporter of health care reform. It looks more and more likely that it will pass with each passing day, and if he voted no, that just goes against what he stands for. It's not perfect, but this is something I see coming in stages like civil rights. It's too much to happen all at once.

With that being said, his commentary in the second and third to last paragraphs are spot on. Some great president once said something about fear…


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aouie01
Comment posted March 18, 2010 @ 4:40 am

Dear readers,

Make easy access to essential health care for at least every citizen of USA, the foremost non-negotiable requirement for your support of any “health care reform” bill.

If a “health care reform” bill is passed now that does not ensure easy access to essential health care for every citizen of USA, then there is a great risk that decades from now we will still have the unacceptable scenario of having too many citizens of USA be unable to have easy access to essential health care.

If no “health care reform” bill is passed now, then it allows a decent chance that within 4 to 12 years a bill could pass that guarantees easy access to essential health care for at least every citizen of USA. Ensuring free or nominal cost access to essential health care to all who need it, should be the minimum ethical standard for our society. Whether this is done by ensuring that everyone has appropriate health insurance, or by socializing medical care, should be a secondary concern.

On carefully analyzing some summaries of the proposed health care reform bills, I find that the proposed bills fail to meet the aforementioned requirement (except for the poorest amongst us whose income is below 133% FPL). Allowing catastrophic insurances for those under 30, or insurances with greater than nominal amount co-payments, will likely result in too many people hesitating to seek health care when the seriousness of an illness is uncertain. In such a system, health care will continue to lean towards expensive treatments rather than moderate cost screenings, check-ups and preventive care. Penalizing uninsured people as low an amount as $750, without guaranteeing that an adequate health plan will be available for about that amount or less, could result in too many people choosing to remain uninsured.

The lack of guaranteed easy access to essential health care for all citizens of USA will keep me, and hopefully you too, from supporting the proposed bills.

Sincerely,
Aouie


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