Two Town Meetings on Health Care

Alaska’s two senators have now held town meetings on Health Care in Fairbanks, Senator Murkowski on August 13, and Senator Begich on September 26. The contrast between the two hosts and their events was striking.

Based on their comments, questions, and levels of applause to statements, I concluded that the 500-member crowd attending the Murkowski town meeting was largely right-leaning Republican, with the majority having an anti-Obama, anti-government attitude that biased them against increased government involvement in health care. This group also showed a substantial presence at Senator Begich’s town meeting hosting about 300, but probably were outnumbered by persons of less conservative bent who were in favor of greater government involvement in the form of establishing a public health insurance option and greater regulation of the health care insurance and pharmaceutical industries.

Perhaps most striking was the difference in approach and performance of the two hosts. Senator Murkowski stated at the outset that she was against more government involvement in health care. That statement not only made the majority of the audience happy, it set the tone of the entire meeting: generally negative toward any substantial health care reform. Senator Murkowski responded to questions and comments in ways that built on the fears of those in the audience and promoted what I took to be her own personal views. Although she proclaimed that she wanted input from all quarters, it was quite obvious to me that she was not receptive of any new information.

Thinking back on that town meeting after attending Senator Begich’s later one, I was struck by Senator Murkowski’s comparative lack of knowledge about health care issues and apparent willingness to ignore factual information on the topic. To me, this was best illustrated when someone asked if Senator Murkowski knew of even a single country where universal health care was successful. Ignoring the well-known fact that universal health care is successfully operating in every modern country except for the United States, the good senator walked slowly across the stage, shoulders hunched, head shaking and eyes downcast as though seeking inspiration from the floorboards as she replied, “No, I can’t.” Oh come on, Senator, I thought to myself, you are not that ignorant, you know better than that and are just being disingenuous.

By contrast, Senator Begich displayed an impressive breadth of knowledge about and understanding of health care issues. He too had made an opening statement. Unlike Murkowski’s negative opening, Begich’s contained positive assertions regarding desirable goals of health care reform. Some of them were little more than motherhood statements, but at least they were positive in nature. I did not agree with some of Begich’s views—for example, he stated that he was against having a government-operated single-payer health system—but he did at least display an attitude of guarded openness toward the proposal of a public option insurance program.

He used a question on that issue to suggest that perhaps a better option might be to allow everyone to buy into the Federal Employees Health Benefits Insurance program enjoyed by members of Congress and all other federal employees and retirees.

I hope Senator Begich was aware that he was making quite a radical proposal because in this program the government (using funds supplied by the taxpayers) picks up 75 percent of the premium cost. Now that is serious government involvement in health care! At least financially, it is about three-fourths the way to a single-payer health care system. To complete the process the next logical step will be to eliminate the useless middleman: the health insurance industry.

Alaska's Congressional delegation and health care reform

The July Dose of Reality tackles the stance of our US senators and representative on health care reform. Davis sums up their approach: "According to its own statements, Alaska’s Congressional delegation hopes to kill meaningful health care reform this year." First, the Republicans:

We have not heard much from Representative Don Young on this issue, but Senator Lisa Murkowski has clearly stated her opposition to the public insurance option in an article appearing June 24, 2009, in the Fairbanks Daily News-Miner. First, she presents a tirade against Medicare and Medicaid, playing very loose with factual information both about these programs and the changes to them being proposed by the Democrats in Congress. Then she closes with the false charges that the establishment of a public insurance option would deny the public with choice of doctors, “and leave crucial health care decisions in the hands of government bureaucrats.” Actually, a public insurance option would increase the choice of doctors over what we have now.

And then our lone Democrat, a Blue Dog:

Senator Begich clearly stated his opposition to establishing universal health care in an opinion piece published by the Fairbanks Daily News-Miner on June 12, 2009. His telling statement: “If Congress gets it right, Americans happy with their health insurance and medical care will keep what they have, while everyone will have access to affordable, quality care.” In his article, Senator Begich pointedly ignored the major issue of the moment, that of instigating a program of public health insurance.