Tuesday, July 7, 2009

My blood runs cold...

My blood runs cold
My memory has just been sold

My angel is the centerfold
Angel is the centerfold

from Centerfold, 1982, J. Giles Band

Cold Data Reality. My idealized image of health care reform seems to have been sold to the highest bidder.

Obama in the WH, Democrats with a formidable majority in Congress, this time ... real health care reform is highly probable event ... right? Well maybe not.

Money talks and progressive wishes walk.

The gathering battle over health care reform has some statistically dissonant aspects. While public polling data shows strong support for a public option, political insider intelligence indicates that Congressional committee work is shying away from support of the public option.

Some recent data analysis by Nate Silver at FiveThirtyEight.com tells the story-behind-the-story.

Special Interest Money Means Longer Odds for Public Option

This is less about GOP intransigence, it is more about the power of money.

"... health care is one of those areas where both popular opinion and sound public policy seem to take a backseat to protecting those stakeholders who benefit from the status quo. But can we actually see -- statistically -- the impact of lobbying by the insurance industry on the prospects for health care reform? I believe that the answer is yes."

"The model employed is a standard logistic regression with these three variables: ideology, lobbying and health care costs. Ideology is statistically significant at the 99th percent level, PAC contributions at the 95th percent level, and health care costs -- senators in states with more health care spending are more likely to support the public option -- at the 90th percent level. The R-squared for the model is .61, which means that these three variables alone give us 61 percent of the information that we need to predict a senator's position on the public option. The model guessed the senator's position correctly in 87 out of 99 instances."

[...]

In other words, the insurance industry's influence appears to swing about 9 votes against the public option. Whatever number of senators wind up supporting the public option, add 9 to it, and you'll have a decent ballpark estimate for what the level of support might be if not for insurance industry contributions. Note, however, that we haven't attempted to model the impact of contributions from other interest groups, including both pro-health reform organizations such as labor unions or other stakeholders like pharmaceutical companies.
Politics is all about influence and persuasion. Money speaks loudly. It will take a much more powerful grassroots effort to sway moderate Democrats in Congress. Public opinion polls are not enough. Coming after the exciting Democratic victories in 2008, this is a reality check of how things work in the real world of Congressional politics.

It's okay I understand
This ain't no never-never land
I hope that when this issue's gone
I'll see you when your clothes are on

There is always a measurable consequence for political actions ... the naked truth often hurts.

3 comments:

Brent Finnegan said...

Excellent post, Riley.

I couldn't agree with you more. It's the moderate Dems who are going to sink this thing.

Drew Richardson said...

Excellent analysis, Riley. I still believe this issue is in the hands of progressive voters to the extent they collectively chose to exercise their influence.

Elections are still about votes won and only indirectly about money spent to win votes. Few, if any, Democratic candidates for federal office can win a contested Democratic primary without progressive support.

Those incumbents seen wavering and/or opposed to the "public option" need to be convinced that they will be (and in fact will be) opposed in the next primary and that their future will be determined by their actions, not lobbying industries' money.

To the extent that progressive voters are not willing to take this bold and collective stand, they too are responsible for their own fates.

Jim said...

Great analysis and nice discussion of R-squared. Not to mention the vintage rock quote.

And oh yeah. Obviously a long way to go before health care is resolved.


Jim