Two Frames For Looking At Healthcare Reform-And Beyond

by: Paul Rosenberg

Sat Feb 28, 2009 at 11:00


Reading Mike's diary, "Next Big Change Up: Health Care Reform" on Friday, it became quite clear to me that there were two different frames at play simultaneously.  Within frame one--the big-picture of what Obama is proposing, compared to (a) what the rest of the world does and (b) what's most economically rational for the economy as a whole--this is definitely a rather tepid, centrist sort of approach that's only a first step toward really doing the job.  But within the second frame, the framework of American electoral politics (including the institutions related to it) it is clearly pushing the boundaries-hard-and it's being designed with the clear intention to succeed, no matter what.  As Mike himself stressed, the lessons of the Clinton's failure are clear, and Obama is moving quickly and boldly in order to not lose the momentum, while leaving details to Congress in order to reduce the number of bites the established special interests can take.

It strikes me that this two-frame view is an example of how we need to become more sophisticated in how we talk about politics in the current Democratic Trifecta era, particularly as we're still way behind the curve in changing the larger media and institutional environments I so lovingly refer to as "Versailles."  As long as that hegemonic infrastructure remains firmly in place, there will be sharp differences between how things look seen through one frame vs. the other. These two frames are both objectively real.  They are not just ideological constructs that different people buy into, though they certainly do depend in part on ideology for their existence-but only in part.

At this level, ideology can perhaps best be understood as a common framework shared by different actors that configures political space-including who the actors are, what their alliances are, what their current and prospective interests are, etc., etc., etc.  Ideology in this sense is not something that's just in someone's head, it's an interactive reality, rooted both in realworld relationships between people and things (individually and collectively) and in how people interpret them.  Versailles embodies the smaller frame-it's a set of institutions, inhabited by a group of people, who share a set of ideas and practices in common, all of which sharply limit the realm of the thinkable, so that it routinely includes-or at least deems reasonable- preposterous lies, while excluding all manner of inconvenient truths.

Paul Rosenberg :: Two Frames For Looking At Healthcare Reform-And Beyond
Early in the New Deal era, these two frames were much closer together than they are today.  The actors and institutions that would have kept them farther apart had been politically discredited and decimated by almost 3 ½ years of Depression before FDR took office.  What's more, there never was a conservative ideological structure of the sort we have now.  (Indeed, that structure only came into being after the New Deal, precisely because it's a reactionary structure that needed the positive examples of the New Deal and the Civil Rights eras in order to understand more precisely just what it was opposed to.)

Because the two frames are significantly further apart today, this gives rise to a number of political challenges.  One of the most fundamental is figuring out what we're talking about, even amongst ourselves.  Not realizing that there are two different frames in play gives rise to things like the often-heard claim that progressives "all want the same thing."  This seems self-evident to those who only see the inner frame, even as it seems absurd to those who only see the outer frame.  The recent dispute between David and Nate Silver (which I weighed in on here ) is exemplary of this difference in perception.  Although I don't think David is actually blind to the inner frame (he's written plenty that attests to his awareness  of the challenge of shifting or breaking through that frame) , he clearly sees it as much less important for defining what constitutes progressive politics vs. politics as usual, and in this dispute (though not elsewhere) David acted as if the frame Nate was using did not exist.

It certainly doesn't exist in the way Nate assumes that it does.  But it does have some reality, and the way that Mike talks about the Obama Administration's approach to passing health care reform helps to illustrate that reality.  Is the Obama Administration seeking to work within the inner frame in a way that expands it, and thus takes into account the outer frame as well (even if not always very visibly)?  Mike clearly believes (a) that it does and (b) that the logic described in his book will force Obama to think more and more in terms of the outer frame as well.  In his "Has Obama Adjusted his Poker Game?". tremayne is implicitly making a similar argument:

During the designing of the stimulus bill Barack Obama's team bet against itself: they threw in a bunch of stuff, mostly huge tax cuts, in anticipation of Republican objection to their spending plan: "Look how bipartisan we are, we're giving you stuff before you even ask for it."

When every single Republican in the House voted against the bill the White House seemed to realize their mistake.... it seems they have learned a lesson. Even moderates are unhappy....

It is, indeed, a big bill. There will be a lot of squawking and the final bill will almost certainly be smaller. But I think a lesson has been learned: make them fight you for every little concession before you give anything away for free.


One elegantly simple way to describe how Obama's strategy has changed is to say that it fundamentally hasn't: he's using the exact same consensus-seeking (or more, accurately, consensus-building) strategy, but substituting the outer frame for inner one.  Of course, shifting from one frame to the other really does change the strategy in all sorts of ways, as strategy is usually understood.  So perhaps it's better to just acknowledge that, and rephrase a bit: Obama is using the exact same consensus-seeking meta-strategy.  And if that really is the case, then there's a very good chance that the two frames will increasingly converge over time.

If this is the case, then, in the end, I will be a very happy man, despite my severe objections to Obama's currently mixed and muddled stance on civil liberties.   That's because I've never objected in principle to his consensus-seeking desires, but rather to how he has sought to pursue them.  Most notably, even before Obama appeared on the scene, I had pointed out that liberals and conservatives have much more in common than our political leadership class allows-with most of that coming from conservatives favoring liberal policies. From this, I have drawn the conclusion that Obama was mistaken to seek rapprochement with conservative leadership, and argued that he should be seeking it at the grassroots level instead.  I have been open to the argument that Obama knows this, and sees the outreach to conservative leadership as a game he must play, but I have never heard this argument made in a specifically coherent and convincing manner.  That doesn't mean it isn't true, it merely means that there's been nothing solid to debate.

We may now be moving beyond all that-at least in terms of what approach will dominate. It may well be the case that Obama will increasingly reach out directly to voters, and to Republican politicians outside Washington who are less uniform and ideologically rigid, because they are less subject to institutional constraints preventing them from being any sort of reasonable partners.  If this is the case, then there is considerable room for Obama to press outward, expanding the the scope of the inner framework to a closer convergence with the outer one.  The closer the two converge, the greater the chances for fundamental changes that really are adequate to the daunting size of the challenges that lie ahead.

P.S.

Here, I'm arguing in particular for a two-frame perspective.  But the argument is actually more general.  We tend, in general, to carry around simply models of the world in our heads, usually unaware of their existence, and how they shape the way we think about the world.  One reason that social groups have coherence is because people in them tend to share some of the more basic (for them) models in common.  One thing that contributes to fluidity, flexibility and adaptability is the availability of multiple, alternative models.  The two-frame perspective is just one example of how that can look in action.  


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Excellent analysis. (4.00 / 2)
It gives me something to think about, which often is rare in the progressive blogosphere outside Open Left and a few other places.  Thanks.  

OpenLeft, Paul... (4.00 / 1)
...often provide something to think about.  I think it's a regular thing here.  That's why this is my favorite spot on the internets.  

[ Parent ]
Diagramming a life sentence (4.00 / 2)
If you can change the subject, you can do pretty much anything you want with the predicate. Politicians don't get many opportunities for grammatical tinkering on such a grand scale, but surely our current situation is one of them. Obama's recent policy declarations are a good start -- asserting that fiscal responsibility is universal health care being the boldest example so far -- but I think David is right, and Nate is wrong about how far he can or should go. In other words, I think he needs to be a lot bolder. If he isn't, events will throw up someone who will be.

That, I'd say, isn't an altogether happy thought, given what history teaches us about the fragility of civilizations.


I'll Have More To Say About The Need To Go Bold (4.00 / 1)
I am totally onboard with the need to go bold.  The focus of this diary is more on the need to clarify our own internal debates so that we can more successfully organize for that task.

If we're arguing at cross-purposes, using the same words to mean different things, we're going to be wasting huge amounts of precious time and energy, and may never come up with the sort of strategic precision needed to pull off a very difficult political victory.  

"You know what they say -- those of us who fail history... doomed to repeat it in summer school." -- Buffy The Vampire Slayer, Season 6, Episode 3


[ Parent ]
just so (4.00 / 2)
for instance, the word "bold". a bold roar in DC is the sad meow of a lost kitten out in the world.

i think your identification of these two frames is useful. but while there is some objective reality to both, i think it's a deadly mistake to consider them equally real.

we are in a lot of trouble because for far too long we have allowed success and failure in the narrow political arena to mask the concrete world. i think that's how we got to a point where abominations like torture are accepted as being debatable political positions - because nobody in that conversation actually has any real, experiential clue about what they are saying. it's all Orc fights to them.

eventually, though, the neglected outer world crashes in. i just don't think we can continue to wait for that to happen. when people win or lose in Versailles, the consequences to their lives are usually not so very awful. but the consequences of the denial and stupidity of Versailles in the outer world are horrific.

Ian Welsh put it well:

But what gets me is that so often what I hear is "that isn't politically feasible. We can't do that". Now, by can't they don't mean "those things are impossible" or "we don't have the means", what they really mean is "we won't do them, because they would be hard or they're outside our ideological comfort zone."

Fair enough. But if those things are necessary, and if you don't do them, then the consequence is going to be catastrophe. ... [W]hile there are no problems that America has that America can't fix, there also appear to be no problems America has that America is willing to fix properly. And it doesn't matter why. It just doesn't matter. The bear doesn't care why you couldn't run fast enough when it mauls you to death.



not everything worth doing is profitable. not everything profitable is worth doing.

[ Parent ]
I Don't Think They're "Equally Real" (4.00 / 2)
In fact--speaking as a Jamesian pragmatist--I'm not sure such a claim would even have any real meaning, so I'd regard it as "not even wrong" if push came to shove.

All the clever denialist propaganda in the world won't do a thing to stop global warming.  They are, at bottom, "incommensurable" as they say in the trade.  Which is to say, I agree completely with Welsh.  Excuses and answers are simply not the same sorts of things, and can't be compared to one another.

However, being very clear about the difference between them is utterly vital, if one wants to know which sort of thing one has got.  And sometimes one has to pay very close attention to the excuses in order to ever get to the answers.

"You know what they say -- those of us who fail history... doomed to repeat it in summer school." -- Buffy The Vampire Slayer, Season 6, Episode 3


[ Parent ]
I'm encouraged by his bit today about taking on lobbyists, (4.00 / 1)
not because I'm a sucker for every bit of rhetoric, but because this is rhetoric that publicly anticipates Harry and Louise-type efforts; it lays ground for a "See, I told you so" response. Striking first here is smart politics.  

Obama's address today is relevant to this debate (4.00 / 1)
He was extremely populist in tone and was obviously framing his message to people outside the echo chamber and not subscribing to CW. The MSM is not receptive to this kind of establishment threatening populism as was evident by the ad-nauseum mentioning of "class warfare" this past week. I'm pretty sure Obama's radio address today would be seen as OVERT class warfare. It seems his strategy going forward on the budget will be to sell it to the people, and not worry about painting pretty pictures of bipartisanship for the beltway chattering heads. Below are some excerpts:

I know that the insurance industry won't like the idea that they'll have to bid competitively to continue offering Medicare coverage, but that's how we'll help preserve and protect Medicare and lower health care costs for American families.  I know that banks and big student lenders won't like the idea that we're ending their huge taxpayer subsidies, but that's how we'll save taxpayers nearly $50 billion and make college more affordable.  I know that oil and gas companies won't like us ending nearly $30 billion in tax breaks, but that's how we'll help fund a renewable energy economy that will create new jobs and new industries.

In other words, I know these steps won't sit well with the special interests and lobbyists who are invested in the old way of doing business, and I know they're gearing up for a fight as we speak.  My message to them is this:

So am I.

And just in case he forgot what last year was about:

The system we have now might work for the powerful and well-connected interests that have run Washington for far too long, but I don't.  I work for the American people. I didn't come here to do the same thing we've been doing or to take small steps forward, I came to provide the sweeping change that this country demanded when it went to the polls in November. That is the change this budget starts to make, and that is the change I'll be fighting for in the weeks ahead - change that will grow our economy, expand our middle-class, and keep the American Dream alive for all those men and women who have believed in this journey from the day it began.

These are messages that obviously resonate with those outside the beltway media culture, whereas within the echo chamber they are establishment threatening class warfare..


Yup (4.00 / 1)
That was a very good speech.  There's still a fair amount of uneveness in the administration, but the general direction is certainly more promising than not.

"You know what they say -- those of us who fail history... doomed to repeat it in summer school." -- Buffy The Vampire Slayer, Season 6, Episode 3

[ Parent ]
Well, Obama's need for an echo chamber… (4.00 / 1)
...is waning, as polling is making it obvious that folks are with him despite the way the MSM is framing the news. Philosophically, it doesn't look good for the conservatives when their mouthpiece, Rush Limbaugh, is saying nihilist things like, 'I hope the President fails' or whatever. That's the most glaring example of that faction's fundamental disconnect with great masses of the American people, and it kinda makes Rush's followers seem like self-interested saboteurs. I think they're gonna run out of road pursuing that line.  

"This ain't for the underground. This here is for the sun." -Saul Williams

[ Parent ]
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