Rallying the big-government troops.
Big government pays for many things. One side-effect is the
enrichment of groups who get the money, enabling them to afford
more lobbying on behalf of even bigger government. Now they've
joined the most brazen voices of the liberal Left in the S-CHIP
debate.
S-CHIP -- the State Children's Health Insurance Program -- is
actually financed mostly with federal tax dollars, and the issue is
whether to enlarge it, costing tens of billions of dollars.
Government already pays for almost half of all health care in
America. We're close to a tipping point where most health care is
funded by tax money and government essentially dictates everything
to the already-over-regulated health industry.
Even before President Bush uncapped his veto pen on the SCHIP
expansion, TV and radio ads and get-out-in-the-streets campaigns
were underway.
Americans United for Change (AUC), MoveOn.org, and the Service
Employees International Union (which claims over one million
hospital workers as members) are spending millions on the effort.
Also coordinating and mobilizing people are groups such as the
American Cancer Society's Cancer Action Network, the AARP, and the
American Medical Association. Sadly, rather than supporting ways to
make medical bills more affordable, many in health care are pushing
to have government pay those bills.
When costs are too high, what do we fix by having government pick
up the tab?
AUC says the coalition will generate one million immediate
contacts from constituents to lawmakers who opposed the bill. They
promise to make this a major issue in congressional campaigns next
year. Says AUC President Brad Woodhouse, "We're taking this on ...
as epic a battle as the battle to end the war."
Propaganda is an integral part of warfare, and this group is
making it their main weapon. Families USA, for example, presents
the issue using cartoonish rhetoric in website headlines such as
"Bush vs. Kids" and "President Bush to Children: "No Health Care
for You""
The rally organizers are pulling out all the stops, too. As one
e-mailed rally invitation noted, "If you have kids, definitely
bring them, too!" Their side is shameless in its exploitation of
children. Perhaps the topper was the use of a 12-year-old to give
the official "Democratic response" to President Bush's weekly
national radio address.
A compliant media mostly accepts these tactics and too often
mischaracterizes the fight as one over the very existence of SCHIP,
as though Bush vetoed the program because he wants to kill it. In
fact, he signed an extension to keep it alive and he says he'll
support giving it a few billion more if it simply stays focused on
serving poor kids, rather than becoming a new middle-class
entitlement.
That's what's really at issue here: Whether Washington will
reshape a program designed as a safety net for poor children and
turn it into one that covers most kids in America (and next moves
on to cover all kids, then their parents and, ultimately, everyone
else). The bill Bush vetoed would expand government-paid health
care to kids in families who make more than $62,000 a year. Most in
that group already have private insurance. But that will surely be
cancelled if Congress offers them "free" government coverage to
replace it.
Research from the Heritage Foundation shows that 45 percent of
America's children already have their health insurance paid by
taxpayers. Lots of folks in Washington think that's not enough. The
S-CHIP bill would boost that figure to 55 percent.
And some of the bill's sponsors say their ultimate goal is 100
percent. Perhaps they think that it's wrong for parents to bear the
burden of caring for their children. Apparently, it's the job of
the village known as government.
Heritage is promoting a smarter approach that lets parents
directly control their family's insurance, using tax credits for
health-insurance costs, especially for people who can't get it from
their employers. Some in Congress, such as Sen. Mel Martinez (R.,
Fla.), see this as a better alternative to the S-CHIP
expansion.
Bush and his allies want to preserve S-CHIP as a program that
helps lower income families. But it's not a model for everyone
because it does nothing to make health care more affordable. That
could be done by reversing the government-dictated bureaucracy that
drives up costs. That doesn't please those who depend on that
bureaucracy for their jobs, so they're pushing a bill to keep big
government alive and growing.
Yes, it's "an epic battle." But Bush and his allies are heroes,
not villains. They know that bigger S-CHIP, like all bigger
government, means the next generation will inherit the debt to pay
for it. That's a much better way to look out for our kids.
Ernest Istook is a distinguished fellow in Government Relations.
First appeared in National Review Online