It’s tough to sell the virtues of health reform what with all those Republicans and Tea Partiers aghast at what the law of the land will and will not do. The word “law” brings up one problem that has administration wordsmiths in a tizzy. Richard Sorian, who is the assistant secretary for public affairs at HHS—aka the agency’s chief spin doctor—says that too many of the law’s supporters are still calling it a “bill.” “It’s not a bill to overturn it would be changing the law. And it’s not a new law. It’s been working for ten months now,” Sorian chided advocates at a recent gathering of the Herndon Alliance, an umbrella group that set reform in motion a few years back.
With that taken care of, Sorian implored advocates to start using the warm, fuzzy anecdotes that illustrate what good the law has done for some folks, primarily the young adults who can stay on their parents’ insurance policies a little longer; a few million seniors who got a check for $250 to whittle down their tab for expensive medicines; and sick people with fat wallets who can pay the high premiums in their expanded state risk pools.
“In 2011, we will be coming out with more reports about how the law is helping Americans, but we need you guys to find the stories to go along with the numbers,” Sorian said. Presumably the advocates in attendance will comply with stories from their anecdote banks.
The most effective messages are the ones many Americans can identify with. So what did Sorian have in mind? “We found out that people are stuck in ‘slob-lock’ where they remain married to someone they aren’t crazy about because the marriage provides them with health insurance benefits. People can relate to that,” he said. They might stay married for other economic reasons, too. So I guess the message for them is ‘Hang tough for another three years, because in 2014, if all goes well, you can buy your own policy when the individual mandate goes into effect.’
What’s the takeaway for reporters, now that we know the Dems are on a sales offensive to fight the Republican messaging campaign? Remember, this was the crew—pols and advocates—who dutifully stayed on message during the presidential campaign and long reform debate, repeating the cries of “affordable, quality health care,” which the crowds believed they were getting until they saw this year’s premiums.
The administration has a fair point about law vs. bill. It’s a law and we should call it that. That positive spin stuff, though, is problematic. Reporters should not be passing along happy stories supplied by some advocacy group ginned up by HHS officials—the pre-selected anecdotes fashioned to send a message from the health care poo-bahs. We have long urged the media to do a better job of connecting with their audiences, and, yes, personal stories are a way to do that. But while there have been health reform successes, not everyone has benefited from the law. In a story discussing how different people have fared under reform, the AP reported that one of the people profiled who died might not have benefited from the Medicaid expansion the law calls for. “Whether he had Medicaid or not, he still would have received poor people’s health care,” explained the director of one nonprofit organization.
Telling Medicare beneficiaries exactly what’s in store for them is better journalism than passing along administration hype about some eighty-year old who got a $250 check. We haven’t heard much about how small businesses are doing with the new tax credit the law gave them. “I haven’t gotten feedback that it’s been a great win,” the head of the small business trade association in Massachusetts told me. Spinmeisters probably won’t be talking much about the individual mandate. The opposition is, though, and that provision is the center focus of the legal challenges swirling about the law. As Campaign Desk pointed out many times, the media ignored the mandate during the debate. We still think the public deserves some good explanations. Effective messaging from the media, you might say.
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I would like to suggest connecting the current unemployment crisis to the existing situation regarding access to care prior to 2014. There is yet another unemployed spouse among my friends, only this one was the primary breadwinner and they have kids. It took them two months to get coverage for their children but they're still working on coverage for themselves. The detail that really stood out was about how hard it was to find coverage for the kids, as in now rather than 3 yrs from now. In this case, the couple is fully committed to their marriage and their family and they did not pair up for the purpose of securing health insurance.
#1 Posted by MB, CJR on Mon 7 Feb 2011 at 01:54 PM
MB,
By letting her readers know that Sorian's suggestion to use the "slob-dick" factor to the group he was meeting with, Trudy was not saying people are sticking together to have health care.
I read that she was pointing out how desperate Sorian and the administration are to find honest talking points so people will warm up to this despotic law. If Sorian or the talking heads and politicians who so fervently support Obamacare actually talked about, for example, the expansion of Medicaid - a mediocre to crappy plan at best - and let the public know that those who are found eligible for this plan would have no other viable choice, that would have been important during the debate and still is, particulary because it is blatant discrimination. But instead all we heard sans cesse was: All Americans will have choice.
And Democrats and pundits who tout this scheme should also be letting the public know that those who are 55 and up and dumped into the expanded Medicaid will be getting a mandated collateral loan because of the federally-required estate recovery program which mandates states that receive federal Medicaid funding take assets upon death for Medicaid benefits used - RX and hospital are a must - but a state can recover for any and all medical care.
This should be at the top of the list in the name of "transparency" - another word that politicians love to throw around. After all, we the people deserve to know that this law not only discriminates but also exploits.
The many atrocities in this law outweigh whatever good points there are which are far and few between if they even pan out because the insurance companies are still in charge, and politicians on both sides of the aisle work for them, not us.
Journalists and the media should also be asking supporters of Obamacare: How many people is it OK to exploit in order to benefit a few?
Unfortunately, the majority of these talkers and writers don't have a clue how this scheme works so can't begin to know what parts to talk about in order to prepare the public for what is coming at them in 2014. Or, they've been bought and paid for.
If Democrats, pundits and mainstream media only talk about what a happy fizzies party Obamacare is, the general public - particularly the uninsured - will be shocked and appallled when they find out the details of the so-called affordable plans at the Exchange in 2014, not to mention the info above about regarding no choice and estate recovery.
And these points are just starters. There's so much more.
#2 Posted by fed-up American, CJR on Tue 8 Feb 2011 at 01:50 AM
Trudy, "slob lock" and bad job lock are real, and the Obama law would help solve those problems. The NY Times did an excellent article back in 2008 on how many Americans are making personal decisions based on how it would affect their health insurance. It's insane.
http://www.nytimes.com/2008/08/13/us/13marriage.html?ex=1376366400&en=536088d42d1c0193&ei=5124&partner=permalink&exprod=permalink
#3 Posted by Harris Meyer, CJR on Wed 9 Feb 2011 at 09:20 PM