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What Obama Should Be Saying About a Public Option

President Obama did all the inflatable slides Sunday morning talk shows, as part of a ramped-up campaign to promote his sincere if ill-defined belief that health care should be reformed, and he continued to argue, albeit tepidly, that this reform probably needs to include a public option.

Obama was smooth and smart and presidential and the appearances on ABC's "This Week," CBS's "Face the Nation," NBC's "Meet the Press," CNN's "State of the Union" and on the Spanish-language Univision network will undoubtedly aid his personal approval ratings.

But these exercises in pulled punches and anti-government apologia will do little to advance the cause of inflatable water games genuine health care reform.

Indeed, as Obama describes his notion of a public option, it is so constrained, under-funded and uninspired in approach as to be dysfunctional.

While there is no question that the right reform remains a single-payer "Medicare for All" system that provides quality care for all Americans while eliminating insurance company profiteering, if the best that can be hoped for is a government-supported alternative to the corporate options, then it should be robust enough to inflatable tent compete.

That's what Congressional Progressive Caucus co-chair Raul Grijalva, D-Arizona, is proposing on behalf of the CPC, which now numbers more than 80 House members.

Grijalva says, "The CPC will do its best to ensure that the public option is as close to Medicare as we can get it."

To that end, he says caucus members will use their key committee positions and needed votes to promote "a robust public option" that:

* Enacts concurrently with other significant expansions of coverage and must not be conditioned on private industry actions.

* Consists of one entity, operated by the federal government, which sets policies and bears the risk for paying medical claims to keep administrative costs low and provide a higher standard of care.

* Be made available to all individuals and employers across the nation without limitation.

* Allows patients to have access to their choice of doctors and other providers that meet defined participation standards, similar to the traditional Medicare model, promotes the medical home model and eliminates lifetime caps on benefits.

* Has the ability to structure the provider rates to promote quality care, primary care, prevention, chronic care management and good public health.

* Utilizes the existing infrastructure of successful public programs, such as Medicare, in order to maintain transparency and consumer protections for administering processes, including payment systems, claims and appeals.

* Establishes or negotiates rates with pharmaceutical companies, durable medical equipment providers and other providers to achieve the lowest prices for consumers.

* Receives a level of subsidy and support that is no less than that received by private plans.

* Ensures premiums are priced at the lowest levels possible, not tied to the rates of private insurance plans.

That's the outline of a real public option -- one that is robust enough to fight for.

Indeed, if President Obama had outlined it during his Sunday morning television appearances, the cause of real reform would have gotten the boost it needed.

As things stand, the CPC -- not the unreliable and unfocused Blue Dogs and certainly not the Democratic Leadership Council-aligned "New Democrats," who come with more corporate strings attached than many Republicans -- are the best strategic and practical allies that the president has. By adopting the CPC line with regard to the public option, Obama could energize the base that elected him and turn this into a real fight, bringing savvy inside-outside political operations like that of Progressive Democrats of America into the thick of the struggle and activating the crowds that turned out in cities across the country last week for the "Mad As Hell Doctors" tour on behalf of "Medicare for All."

By significantly muscling up his public-option proposal, the president could also give the labor movement's most determined organizers (who are, invariably, single-payer backers) something to sink their teeth into.

Obama can still get a public option.

But he needs to understand that the public option is, itself, a compromise. It falls short of the "Medicare for All" model favored by serious reformers.

As such, the president cannot compromise the compromise.

He needs to take seriously the standards outlined by Grijalva and the Congressional Progressive Caucus. Indeed, he needs to incorporate them into his agenda. The right will scream in opposition. But the right is already screaming in opposition. Obama needs to get the left screaming in support of real reform
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Bill O'Reilly Raps: NYT Discovers Talk Radio-Hip Hop Nexus

Just as hot trends meet their death when discovered by The Times Style Section - see Trucker Hats - emerging cultural themes usually go mainstream after a close-up in the inflatable obstacles paper's Week in Review. Now, after years of skirmishing below the radar, The Times has taken notice of the nexus between conservative talk radio and hip hop.

In "The Kinship Between Talk Radio and Rap," David Segal celebrates the "uncanny... similarities between talk radio and gangsta rap."

First, pardon his jargon - Segal actually focuses on hip hop at large, not gangsta rap, a subgenre that began in the 80s and is now virtually extinct. The article suggests four shared obsessions of rappers and radio hosts: Ego, haters, intramural feuds and "verbal skills." Surveying America's fractured media culture, Segal argues that these seemingly divergent loudmouths actually serve similar markets. "Rappers and conservative talkers both speak for a demographic that believes its interests and problems have been slighted and both offer stories that have allegedly been ignored."

For conservatives, the inflatable pools Obama era has clearly heightened the appetite for victimization. The Right's new heros tell the same story, from Frank Ricci to Sgt. Crowley to Glenn Beck. It's hard out there for white men. That may sound odd coming from the party of business elites and racial majorities, yet as the critic Leon Wieseltier once observed, American conservatives, and especially the Christian Right, delight in combining "the power of a majority with the pity of a minority." Segal flags this "paradox" of overexposed, under-appreciated radio personalities. He notes that Michael Savage "is forever describing himself as an underdog, marginalized by the media" -- even though his show is carried on over 300 stations.

In hip hop, poverty, struggle and hustle are central to many rappers' personal narratives, even as success turns those experiences to distant memories. "How does Lil Wayne complain in song about the legions who seek his ruin," Segal wonders, "even as he dominates the charts?" To be sure, few other modern musical genres place as much emphasis on whether an artist keeps it real in his personal life. Jadakiss once insulted 50 Cent by noting that the rapper had moved to Connecticut -- a comment that simply doesn't translate for most musicians -- and echoes the bizarro populist narratives of inflatable sports multimillionaires like Bill O'Reilly.

But this overlap is not new. Hop hop commentators have noted these similarities for years.

"Think of everything you know about Bill O'Reilly -- it's also everything that you'd expect out of a gangster rapper," argued Jay Smooth, a hip hop radio show host, back in 2007. In an irreverent, rhyming YouTube video parodying O'Reilly and Fox News (below), Smooth continued:


He's an egomaniac that loves to brag about how successful he is... He's always getting into beef with his peers for no good reason. And in general he gets paid by promoting hate and conflict and negativity, but whenever you call him on it, he tells you that he's just reporting reality!

Segal's article neglects those antecedents, and ends meekly. He notes that both talk radio and hip hop are criticized for spreading "highly provocative words" that can undermine civility, and closes by quoting the observation that both camps essentially provide entertainment. What's missing, as any fan of rap or talk radio could tell you, is any acknowledgment of the battles between these two worlds.

Jay-Z, the hip hop legend who eclipsed Elvis for most chart-toppers by a solo artist in US history, released an album last week that personally assails Bill O'Reilly and Rush Limbaugh. Limbaugh hit back with humor and some sexual references. For his part, O'Reilly has long targeted rappers, not only criticizing their lyrics but also urging his audience to boycott companies that use hip hop endorsements. And last year, the rapper Nas devoted a whole song to criticizing Fox News, and then teamed up with a black political organization to deliver critical petitions at the company's headquarters in midtown Manhattan.

There is more than an overlap in style and media impact here -- there is also a recurring battle over cultural power and the policing of rhetoric. At a time when our public discourse is increasingly poisoned with malice and gestures towards political violence, it is striking that so many critics of violent words in music don't apply the same standards to those who claim to practice journalism.

 

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