A Few Lessons Learned for Progressives in the Health Care Battle
Posted on August 12th, 2009 in Health Care Reform, OFA, Organizing | 5 Comments »

Progressives need to be more creative in their organizing around health care. A look back at the civil rights movement may be instructive.
I’ve been supportive of Organizing for America since its inception–even before we knew what it would be called. But the sad fact is that on the biggest progressive organizing test of 2009–the health care reform push–OFA and its allies have thus far been out-organized by a bunch of obnoxious, loud, in some cases crazy, but very well-motivated citizens on the right. The angry town hall meetings over the past few weeks is a sign that all the passion, or at least all the talent for making the news, lies with opponents of reform. The fact that the media has focused so intensely on the anger among opponents of reform is a major loss for President Obama and OFA.
Some on the left may disagree with me that the scenes of anger at the town halls represent a loss for the President and OFA. These town halls, they would counter, are “astroturf”, since they are sponsored by special interests and do not represent a large section of the public. It’s probably true that the people screaming at their representatives and senators are a fringe group of conservatives, and it is true that some special interests are sponsoring the protests. But it does not follow that these protests are therefore artificial or staged. People are choosing to show up at these town halls en masse, and their anger seems genuine to me. Indeed, in numbers and in motivation, the grassroots energy seems stronger on the right at the present time than it does on the left, regardless of who is organizing these people.
Last week I became aware of an incident that confirmed for me that progressives have a serious problem because of these town hall meetings. I received an email describing how supporters of health care reform were overwhelmed by loud, jeering opponents at a town hall in Chelmsford, Massachusetts for Rep. Niki Tsongas (D-MA). The OFA chapter in Massachusetts had tried to send supporters of health care reform to this meeting, but the breakdown of the pro-reform versus anti-reform groups was about 40-60, according to this email. Apparently, the jeering of the anti-reform group was so loud that the pro-reform group didn’t stand a chance, and wouldn’t have even if the numbers were more even. The fact that conservatives showed up in greater numbers and were drowning out the voices of OFA’s people in Massachusetts is a disturbing sign. This piece describing Ben Cardin’s (D-MD) experience in the Democratic stronghold of Maryland is another example of how even in strongly blue states progressives are being outmaneuvered by conservatives at the grassroots level on the health care issue. (For what it’s worth, I have lived in both Maryland and Massachusetts so I know that there are a lot of Republicans in both states. My point is simply that in both states Republicans are vastly outnumbered by Democrats who could have shown up in larger numbers than they did.)
Last week, Paul Krugman wrote about the “town hall mob” mentality that has spread around the country. His argument was that the kind of anger we are seeing against health care reform among some conservatives isn’t just a normal disagreement about policy. Instead, according to Krugman, there is an element of unease that some people in this country have about a black President, and this unease is showing up in the town halls. There may be some of this going on, and the whole “birther” movement is a sign that something deeply irrational is spreading among a segment of the Republican base. However, President Bill Clinton was the victim of very bizarre rumors as well during his administration, and if we are honest, progressives will admit that there were wild conspiracy theories floating among their ranks during the Bush administration. There was also a lot of hatred and anger. The cause of the vitriol doesn’t matter so much as the result, it seems to me. In his piece, Krugman wrote something that I believe is more important and insightful to the current debate about health care:
But right now Mr. Obama’s backers seem to lack all conviction, perhaps because the prosaic reality of his administration isn’t living up to their dreams of transformation. Meanwhile, the angry right is filled with a passionate intensity.
And if Mr. Obama can’t recapture some of the passion of 2008, can’t inspire his supporters to stand up and be heard, health care reform may well fail.
It’s not exactly a surprise that this kind of deflation in intensity among Obama’s supporters would happen. Many people who volunteered and voted for Barack Obama are disappointed with the details they are hearing about the various health care reform proposals that have been passing through the various committees in Congress. Some people strongly prefer a single-payer system, and believe that the legislation that Democrats are currently considering amounts to nothing but a half-measure that will not solve our health care problems. Another group of progressives is more willing to settle for the so-called “public option”, but let’s face it, Krugman is right: there does not appear to be a lot of enthusiasm for this approach among Barack Obama’s base.
So what should progressives who care about the fate of health insurance reform do? Two things are necessary, I believe. One lesson learned from this summer is that while door knocking and phone banking may be good field tactics during an election, they are lousy methods for organizing around legislation. OFA has been recruiting volunteers this summer to call supporters of President Obama in order to encourage them to call or write their representatives or senators and encourage them to support health care reform. Why is this strategy doomed? Well, we already know why: while volunteers have been making calls and knocking on doors, conservatives have been reaching a far larger audience through the mass media with their theatrics at town hall meetings. In other words, the conservative strategy has been much more efficient at getting the anti-reform message out to a mass audience. The images on CNN showing conservatives screaming at their representatives will create doubt among some independents and encourage other conservatives to take action such as calls to their representatives. On the other side, the number of phone calls and door knocks that progressives can make is limited to the number of volunteers who show up, and the disparity of intensity means that not enough will show up. So, the tactics of progressives need to change. Supporters of health insurance reform need to get more creative in their tactics and aim for mass media exposure. Perhaps a massive rally, a march, or a national sit-in is needed. Let’s look back to the methods of the civil rights movement to borrow some of their tactics. Whatever peacefully gains a national media audience and shows that there are a lot of people in the country who want reform to happen. Progressives need to also think about distinguishing themselves from conservatives by looking like the rational actors in this debate. If they can make their case for health care reform calmly and like adults, perhaps that will be an effective way to sway more Americans.
But the second lesson we’ve learned is Krugman’s point about passion. If progressives do not care as much about passing health care reform as conservatives care about stopping it, then as Krugman says, “health care reform may well fail.” I don’t know what anyone can do to increase the level of passion and engagement among President Obama’s supporters. Perhaps Obama could do a better job getting people “fired up,” as we used to say. But grassroots supporters of President Obama have a responsibility here as well. If we cannot muster enough support for this bill among other progressives, then we do not deserve to win this fight. In that case, maybe there isn’t enough support in the nation for health care reform after all.
The advantage that Democrats still have, of course, lies in their superior numbers in Congress compared to the Republicans. But math isn’t enough. A little more intensity, wider engagement among Obama’s supporters, and better tactics by those who care strongly about health care reform may be just what is needed. A lot depends on the White House, OFA, and the grassroots supporters of reform learning the correct lessons from this summer. I believe that if we do learn the right lessons, then the fall will be the time when we rebound from the setbacks of July and August.








