The System : The American Way of Politics at the Breaking Point

Rating:
Summary: CREDIBLE?
Review: I read this book a few years ago as a requirement for my Master's degree in public administration. I read along with interest because the story that unfolded read like some sort of sordid drama, like something you might see on prime time television. It had suspense, intrigue, and some of the most stunning ups and downs. And all this from a book that attempts to comprehensively explain the hopeful beginnings and hopeless endings of the Clintons' (both Bill and more specifically Hillary) attempts to implement universal health care in the United States. Think back, if you will, to the campaign promises Bill Clinton made in his first campaign. He vowed to fight for universal health care. Many Americans like this idea, but when it comes right down to it, most Americans do not trust the government to provide their health care and also feel that government intervention in private health care makes the system... socialist. Bill wanted to change this, and when he was elected, he appointed his wife, Hillary, to chair a committee to research and implement this new universal health care system. However, this was his first mistake. The American people at that time were very suspicious and skeptical of Mrs. Clinton, feeling that she did not embody what a First Lady should be. They also felt that she had demonstrated no real qualifications for this appointment. The writers of this book document the controversies and problems brilliantly. I felt confident about the facts... until I was happily reading along (the book, despite its daunting length, reads through smoothly and quickly) and found a most glaring and heinous error. The writers were discussing the positions of Fred Grandy, who, after leaving television, went on to represent his home state of Iowa in Congress. We all know Fred Grandy as Gopher on the tv show Love Boat. But this book said that he had been a star on the show Gilligan's Island! I started to exercise real doubt and skepticism about a book that managed to get through all stages of editing with such an easily spotted error on its pages. Whatever the case, if you want to know how the plan was formed and how it was unraveled quite easily not just by opposition Republicans but also by Hillary herself, you should indeed read this. Hillary and her policy wonk friend Ira Magaziner had many opportunities to compromise on some of the points in their health care plan which would have made it an easier sell to Republicans. In fact many Republicans offered to work with Hillary and Magaziner, but the stubborn duo insisted on having the plan intact... and ended up getting nothing. As did the American people.

Rating:
Summary: Our rulers speak. Pay attention, proles!
Review: If you read this book in the wrong frame of mind, you won't like it. The wrong frame is to believe that it consists of honest reporting about the U.S. health care system, and the Clinton health bill of '93. It's mainly not reporting. It's advocacy.

The key is found in the intro, where the authors define "The System" that rules USAmerica -- which includes the Presidency, the Congress, the media ... AHH! The fact that they think the media is part of the govt., just not elected, is itself worth the price of this volume.

Taken in this vein, it is quite good. We must have a national health system like a European country's , because ... well, because they feel embarrassed that we aren't like Europe. That the U.S. was settled, predominantly, by people who WANTED NOT TO LIVE IN EUROPE is unimportant to Johnson and Broder, who know better than to take the this self-govt. nonsense seriously.

What is serious is that the USAmerican public rejects 'socialized medicine.' So instead Clinton wrapped it up in his mess of a bill, and then tried to scare us into panic over our health care, saying the system would collapse if we didn't give control of it to the govt. Not true, and Johnson & Broder know it, but hey, can't let truth stand in the way of ruling.

Frequently THE SYSTEM is unintentionally funny, too, as when the authors take a break from reporting the 'horse race' political aspects of the story to criticize the media for concentrating on the 'horse race' instead of the policy substance, after which they trash the only attempt ever made to discuss the policy substance (Elizabeth McCaughey's famous piece in The New Republic) and go back to reporting the horse race. You sort of wonder if they read their own manuscript.

But have some sympathy. They do mention the policy substance from time to time -- our rulers think we spend far too much money on foolish things like attempting to save the lives of premature infants. Those resources should go to more important things, like health care for "homeless, drug abusing gay and bisexual men of color." I mean, would you want to defend THAT openly?

It's also very useful in assessing the nature of liberal bias in the press. The last chapter of the hardcover first edition, on sale in 1996, told us about good Pres. Clinton's attempts to 'save' the federal budget before runaway health care spending wrecked it, and evil House Speaker Newt Gingrich's attempts to 'cut health care spending,' when in both cases they were trying to do the same thing -- cut the rate at which spending on health care would increase in the future. That's one way you bias coverage -- describing things in such a way as to create the desired reaction, which in this case was to get us to run out and vote Democratic.

The last chapter of this paperback edition mentions the Kassenbaum-Kennedy bill, passed by Congress and signed by Clinton. All mention of it was carefully left out of the first edition. That's another way of biasing coverage -- leave out the 'unimportant' stuff that might confuse the citizenry.

And if you practice your critical thinking skills as you read, you will learn a lot about the chaotic way Clinton ran his administration, how the Democrats lost control of the House after twenty straight wins, why the bill was so complex, and other fascinating stuff.

What you won't learn how the Clinton health plan would have worked, of course. Obviously, they were afraid of your reaction if you found out. That is probably the most important information in the book.

Rating:
Summary: Stunning inside look at politics
Review: The Clinton Health Care plan was a bold, dramatic attempt to transform the American health care system to take into account the fact that while America may provide the best health care in the world, far too many of its citizens are unable to afford it. Clinton's attempt, probably the most dramatic attempt at a government program since the Great Society, failed miserably and helped to elect a Republican Congress.

The battle the voters didn't see was the important one- the battle which nearly sank the Clinton Presidency and destroyed its ambitious health care proposal. The powers arrayed against the Clinton plan were formidable and well-financed, aided by the Administration's mind-numbing blunders.

"The System" has the entire story- the high hopes, the stunning reversals, the industry's toxic reaction to reform. The Clintonites quickly found that the old adage is true. No good deed goes unpunished.

"The System" is a very good book at who really calls the shots in American government and how little power people really have against the special interests. More valuable than ten years of civics lessons.