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It hasn't attracted much notice, but recently some prominent advocates of Obamacare have spoken more frankly than ever before about why they supported a national health care makeover. It wasn't just about making insurance more affordable. It wasn't just about bending the cost curve. It wasn't just about cutting the federal deficit. It was about redistributing wealth.
Health reform is "an income shift," Democratic Sen. Max Baucus said
on March 25. "It is a shift, a leveling, to help lower income, middle
income Americans."
In his halting, jumbled style, Baucus explained that in recent years
"the maldistribution of income in America has gone up way too much, the
wealthy are getting way, way too wealthy, and the middle income class is
left behind." The new health care legislation, Baucus promised, "will
have the effect of addressing that maldistribution of income in
America."
At about the same time, Howard Dean, the former Democratic National
Committee chairman and presidential candidate, said the health bill was
needed to correct economic inequities. "The question is, in a democracy,
what is the right balance between those at the top ... and those at the
bottom?" Dean said during an appearance on CNBC. "When it gets out of
whack, as it did in the 1920s, and it has now, you need to do some
redistribution. This is a form of redistribution."
Summing things up in the New York Times, the liberal economics
columnist David Leonhardt called Obamacare "the federal government's
biggest attack on economic inequality since inequality began rising more
than three decades ago."
Now they tell us. For many opponents of the new legislation, the
statements confirmed a nagging suspicion that for Barack Obama and
Democrats in Congress, the health fight was about more than just
insurance -- that redistribution played a significant, if largely
unspoken, part in the drive for national health care.
"I don't think most people, when they think of the health care bill,
instantly think it's a vehicle to redistribute wealth," says pollster
Scott Rasmussen. "But we do know that people overwhelmingly believe it
will lead to an increase in middle class taxes, and we do know that
people are concerned that it will hurt their own quality of care, so I
think their gut instincts point in that direction."
By talking openly about redistribution, Baucus and others have gone
seriously off-message. Democrats knew there was no way they could ever
sell a national health care bill to a skeptical public by basing their
case on income inequality. That's one reason they went to such lengths
to argue -- preposterously, in the view of most Americans -- that the
bill could cover 32 million currently uninsured people and still save
the taxpayers money.
After Baucus' statement, I asked a Democratic strategist (who asked
to remain nameless) whether fighting income inequality was one of his
goals in supporting the legislation. Never, he said. "That's what the
tax code is for."
"It was not to take something away from rich people, it was to provide something to people without coverage," he continued, making a distinction between striving for universal coverage and seeking to redistribute income. But he quickly saw that Democrats talking about redistribution could be politically damaging, echoing the controversy that erupted when candidate Obama famously told Ohio plumber Joe Wurzelbacher that "when you spread the wealth around, it's good for everybody."
" 'Redistribution' is an easy charge to make," the Democrat said.
"I'm not surprised that it's an argument critics make; what I'm
surprised at is that Democrats are making it."
This week the DNC group Organizing for America offered a
commemorative certificate to supporters who helped pass the health care
bill. The certificate said, "We achieved the dream of generations --
high-quality, affordable health care is no longer the privilege of a
few, but the right of all."
The privilege of a few? It is widely accepted that about 85 percent
of all Americans have health care coverage, and the overwhelming
majority are happy with it. There's simply no way anyone could plausibly
claim that health coverage is the privilege of a few.
And yet that is the bedrock belief of some who supported the health
care makeover. So it's no wonder that we're hearing about health care as
the redistribution of income. Of course, we're only hearing it after the
bill has passed.
Byron York, the Washington Examiner's chief political correspondent, can be contacted at byork@washingtonexaminer.com. His column appears on Tuesday and Friday, and his stories and blog posts appears on www.ExaminerPolitics.com ExaminerPolitics.com.