How Do We Fix It? 2 Cheers For Compromise 

  
Ready for a word that Donald Trump or Bernie Sanders would consider to be an obscenity?  

Compromise.

Insults, anger and disgust are in, while deal-making, compromise and governance are so old school.  We’re all too busy having a national hissy fit to sit down and do the boring, important stuff. 

My friend Mark Gerzon, author of the fine new book, “The Reunited States of America“,  puts it this way. “We can’t solve any of the problems we face if we’re tearing each other down the whole time.”

Ratings for the Republican debates shot up this year and cable TV networks are loving the slugfest. Watching candidates exchange insults can be entertaining, even if we are appalled by the spectacle. 

But the news media obsession with clashes, controversy and contests only get us so far.  If politics is a permanent campaign, when is it time to govern?

“There’s a whole America out there that’s not getting any news coverage. And that’s the America where Americans work together,” Mark tells us in the latest episode of our podcast, “How Do We Fix It?

He’s right. My years of business reporting taught me that when successful executives face four bad quarters, they throw out the old rule book and re-think what they’re doing. Flexibility and pragmatism are essential to their survival.

Only if Congress would do the same.  

For the past 4, 8, 16 years, mainstream politicians have been fighting over the same old stuff. Their goal is simply to score points at the expense of the other guy. 

No wonder we’re fed up.  

But outrage will only get us so far.  What’s really constructive in the messages and speeches that we’re hearing from Donald Trump and Bernie Sanders?   Beyond talk of building walls or making health care and college free, how will these “outsiders” turn their promises into reality? After all, the nation’s founders did invent separation of powers with checks and balances.

The first step to radical reform of government, Congress and our political culture is to reform ourselves. The most radical thing many of us could do right now is to ask questions.  

In business it’s often called brainstorming.  

“Do you want to get drunk on being right and enjoy that feeling of being with the people you agree with and bad mouth the people you don’t?,” asks Mark. Maybe yes. But a nasty hangover may be the result.

Perhaps we’re at a national turning point. It’s time to sit down and spend time with those we disagree with.  Listen and learn from the other tribe. Not declare and defame.

Smoke filled rooms, anyone?  

(If not, maybe vape-filled rooms would do.)

Hey Congress: The Playground Was Never This Bad!

  

The way Obamacare is being debated is infantile.  

Instead of a detailed prescription for change, we’re hearing slogans.

Despite claims to the contrary by Republicans and Democrats, The Affordable Care Act is neither an unmitigated disaster nor a glorious triumph.

The truth lies between the two extremes, which is so often the case. The delivery of healthcare is complex and the law was only passed after Democrats responded to widespread demands for fundamental reform of the previous system.

“We have decreased the rate of the uninsured by about a third,” says Megan McArdle, an Obamacare critic and columnist at Bloomberg View.  That’s an impressive achievement. More than 12 million people who did not have coverage before the reforms are covered now.

Nevertheless, McCardle told our podcast, “How Do We Fix It?“, Obamacare is “much more expensive and much less comprehensive than its architects and certainly the people who supported this politically…. were expecting.”

UnitedHealth, the nation’s largest health insurance firm, is losing money on the government-run exchange and has warned it may have to pull out if market conditions don’t improve.

“What people are doing is they’re gaming the system.” Some with health emergencies, who have inadequate medical insurance are “signing up for a few months, using a ton of services and then dropping it again,” says McArdle.

While Obamacare has lowered rates for many people with pre-existing conditions and helped millions of young prople under 26 stay on their parents’ plans, costs are rising and too little thought has been given to the efficient delivery of needed treatment. 

Demand for healthcare often exceeds supply. Many Americans have unrealistic expectations about the cost of coverage. Rationing, whether by insurance companies or government employees, is inevitable.

American consumers should be more involved in cost decisions. But the inconvenient truth is that whoever wins in November, there is little appetite in either political party to start all over again. 

It would help if the messy complexities of healthcare were more openly discussed.  We need serious fixes a lot more than catcalls from the political playground.