Making A Difference On Health Care Through Crowdsourced Journalism

by: Chris Bowers

Mon Jun 01, 2009 at 07:47


Now that Democrats have retaken Congress and the White House, one of the problems I have struggled with the most over the past five months is "how can the grassroots make a difference in passing good legislation?" It is a difficult question to answer.

Over the past several years, we have developed a lot of good ways to make a difference in winning elections. We have donated money, made phone calls, registered voters, and knocked on doors. We have pushed favorable media narratives, and worked against unfavorable ones. We have even run our own ads, conducted our own search engine optimization campaigns, and urged Democrats in safe districts to send more of their money to swing districts. However, when it comes to influencing legislation, it feels like we have comparatively few tools at our disposal.

Sure, we can make phone calls, sign petitions and send emails to our members of congress either in support of good legislation or in opposition to bad legislation. But how much of a difference do these "contact your member of Congress" campaigns really make? Maybe a little, but the truth is, not much. The same goes for protests, too.

Sure, we can run ads against, and support primary challenges to, wayward Democrats. This strategy has proven effective in flipping votes, but it is cost intensive and can't be used in every instance. (For example, will we really be able to run primary challenges against Democrats who are strong on virtually every issue, except one or two? Probably not.) Also, it usually only has a long-term payoff (namely, after the 2010 elections). This is a good strategy, and one that I support. However, in the short term it doesn't really open any doors to the sausage making factory.

At least for the ongoing health care fight, I think I have an idea that might just change this dynamic and allow us to have more influence. What if, through repeated emails from constituents, we were to ask Senators to respond to a short survey asking them to outline what sort of public option they would, and would not, support?

Such information would be invaluable as it would let us know the range of possibilities on what sort of public option can be passed, and also let us know where "contact your member of Congress" efforts would be most needed. Further, while a few dozen constituent emails probably won't convince a Senator to support a more robust public option, it probably would be enough to convince a Senator's office to complete a short survey outlining what type of public option the Senator supports.

More in the extended entry.

Chris Bowers :: Making A Difference On Health Care Through Crowdsourced Journalism
The idea is similar to the activist model Talking Points Memo used for Social Security. In that fight, before any legislation was actually drafted, Josh Marshall asked his readers to contact their members of Congress, and to scour their public statements, in a crowd-sourced attempt to discover where every member of Congress stood on privatizing Social Security. The information was collected in a central area, where anyone could see, in a single glance, which Republicans opposed privatizing Social Security ("the conscience caucus"), and which Democrats supported it ("the fainthearted faction.") We can do something similar for the public option.

Given that Senator Kennedy will release his health care reform proposal today, but that the legislation will still need to be negotiated with Senator Baucus's inevitably more tepid proposal, the timing couldn't be better. Here is a draft email we could send to all 59 members of the Democratic Senate caucus (everyone emailing only their own Senators, of course), and also to the two Republican women from Maine. In coordination with other blogs, especially state blogs, we could keep sending a bunch of these emails until all 61 of those Senators answer the following yes or no questions (it is always best to only ask members of Congress yes or no questions, as such questions are easy to answer and difficult to evade):

Hi! I am interested in my Senator's position on a federally-backed health insurance plan, commonly referred to in the media as a "public option." Please let me know where Senator X stands on each of the following aspects of the public option (all questions are yes or no):

1. Is Senator X completely opposed to a public option of any sort? (if yes, there is no need to answer any more of the questions)

2. Is the Senator supportive of a public option that is sustained not just through selling premiums, but also through federal funding?

3. Is the Senator supportive of a public option that would be available shortly after health care reform legislation is signed into law, instead of just as a fall-back option years in the future if private insurers do not reduce costs?

4. Is the Senator supportive of a public option that's available to all Americans of non-SCHIP or Medicare age, and whose incomes are less than 150% of the poverty level?

5. Is the Senator supportive of a public option that's available to all Americans of non SCHIP of Medicare age, and whose incomes are less than 400% of the poverty level?

Thank you in advance for your time, and all the hard work you do on behalf of constituents like me.

Best,
XXXXX

Obviously, the questions need some work. However, if we had answers to all five of these questions from the 61 Senators who can be reached on the public option, we could wage a far more effective campaign for the public.

This strategy is based on the belief that, while legislation is still being drafted, transparency can act as an agent of change. If we know where lawmakers stand, then we know who needs the most pressure. Also, after it starts receiving a few responses, the survey can start providing pressure on its own. Once a critical mass of Senators have provided transparency by detailing what kind of public option they support, all Senators will feel pressure to provide that same level of transparency. Once a member of Congress takes a public stance on this aspect of health care reform, that public stance acts as pressure not to change, for fear of looking spineless. Once enough Senators are taking positive public stances on an important, popular issue, others feel peer pressure to do the same.

There is simply no way that I could get every Democratic Senate office to respond to this sort of survey on my own. However, as a group, I believe we can get it done, because Senate offices take constiuents seriously. Back in January and February, when I was trying to gather this sort of information purely through reporting, about half of all Senate offices never returned my inquiries. I'm sure that part of it was due to my own inexperience as a journalist, but in other cases it was connected to their unwillingness to treat blogs as a legitimate news sources. (For example, everyone I contacted asked blog irrelevant questions like "what is your filing deadline?" as though my boss is going to chew me out if I don't have this done at a certain time, or as though my blog only allows me to post articles during certain times of the day.)

So, now I want to know what you think of this idea. Should we give this a try, or not? Also, what questions should we ask? If there appears to be enough support, and if we can get a clear, short set of questions that would provide a solid outline of where the relevant Senators stand on the public option, then we can start this campaign as early as this afternoon. Natasha and I already compiled a list of links to the online contact forms of the 61 reachable Senators for this purpose.

Let me know what you think, and what questions we should ask.

Poll
Do you think this is a worthwhile campaign to attempt?
Yes
No
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Results


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Stand with Dr Dean has tabulated responses (4.00 / 3)
I think this targeted e-mail with survey is an excellent idea. I would think we can build on or make use of Dr Dean's "Where Congress Stands" tool.

Calls were made by Democracy for America and MoveOn.org to determine the stand of Senators and Representatives and the responses are in this searchable database. It's organzed by party.

You can set the filter to see the names of all 35 senators who support a public option. The 7 NO votes are Ben Nelson, Coburn, DeMint, Grassley, Kyl, McCain, and Shelby. The 57 senators who DON'T KNOW are 34 Republicans and 22 Democrats. This category includes Baucus and Bayh, so I think it would be worthwhile for ALL of us e-mail these two, and even the other 20 Democrats not on record. The chart inclues the 60th senator as a DON'T KNOW.


Good idea (4.00 / 1)
We can use these results, and further narrow our targeting.

[ Parent ]
Yes (0.00 / 0)
Its worth the attempt.  If we don't try, shame on us.

The question is, if our senators already support a public option, should be continue emailing... to make sure they STAY that way... and will it help them to convince other fence sitting (bought off) senators.


A point of concern for many on the left side... (0.00 / 0)
is, if the Senators support a single payer system, too, like in Canada, if they would take this into consideration as a second step (if a reform focussing on multiple insurers doesn't work out well), or if they categorically rule this out. Including such a question with more possible answers than simply yes or no would allow a better insight into the Senator's thinking. Because, let's face it, "Supports the choice of public Healthcare option? Yes" could have several different meanings that depend on the details of the public option. And it doesn't show at all how far a certain politician would be willing to go for universal healthcare.

Also, the stance of the naysayers should be investigated. (0.00 / 0)
Because someone may not wholeheartedly support the public option, but may still support a compromise including this, when soem of his concerns are met, out of party loyalty or other reasons. So, there should also be a question like "can you imagine supporting a compromise, including a public option, under certain circumstances, or do you categorically rule this out?" Further dividing the naysayers into groups, depending on the degree of their opposition, could become very valuable if the battle boils down to a few votes missing.

[ Parent ]
Not sure (4.00 / 1)
While I'm definitely sympathetic to what Chris is trying to accomplish, I'm a bit concerned that objective isn't quite stated clearly enough to make it a viable to organize around.  

That might, alas, be inevitable.

Notice the levels of confusion that have been created-no doubt quite deliberately-by the insurance companies, and their servants in congress and in the executive branch.  By taking single payer off the table, we can't put them on the hook for whether they support, for example, HR 676.

Rather we are now, presumably, to judge them on whether they support the "public option."  But even here there is intentional confusion.  For apparently, the insurance lobby is behind Schumer's variant of the public option which they are confident they will be able to, as Donna Edwards remarked (as reported in SteelyDan3's quick hit) "sabotage" and "make uncompetitive."

That's what requires Chris's elaborate, almost legalistic series of five questions.  But even here, my sense is that with the possible exception of no. 2, there is enough wiggle room so that a rep could answer them affirmatively and still be in the insurance companies good graces.

The bottom line of all of this is what a devious bastard Schumer is-in case there was any doubt.  The sit ins should be at his office-not at Baucus's, who we all knew was a whore from the get go.


Yes, but.... (0.00 / 0)
if we just end up with more and more on Medicaid, as the "public option", it will only make things worse.

If Kennedy's "plan" is "what they are doing in Massachusetts"--many will be left out, it will cost too much, and, it will fail and neo-cons will say , "we told you so".

If single payer is off the table, I dont see that any real change will occur.

They claim that "they dont know how to do it"--call Canada!! Call Denmark!! Get an Ambassador from the EU to show you, you bunch of lying thieves!

Sorry--I have family members and clients who are currently suffering at the hands of the insurance industry and have NO sympathy for them....BaucASS needs to step down!

You know, my dad died from what Kennedy is suffering right now--I was very sorry to hear of his illnes, but i had hoped that his illness might make him take up the single payer cause. I love Ted, but, I wish to hell he would get with the program!


The $100 billion gorilla in the room... (4.00 / 1)
By focusing on the "public option," as opposed to single-payer reforms, what Congress and the Beltway insiders have done is take our attention from money that must be used to extend patient care, which is the obscene profits, expenses and overhead that insurers take out of the system (and recycle into political donations.)  

This pool of money runs anywhere from $100 to $200 billion annually (many interpretatios available on that figure), and there are additional expenses occurred on the hospital billing side as they fight with these insurers.  

One of the reasons that single-payer activists have been pushing for a more wide-ranging debate is that from our point of view it is impossible to imagine successful healthcare reform that covers everyone but doesn't use this money.  Moreover, strong organizing for the progressive choice here, single-payer reforms, should make it easier to achieve some form of public option.

Is there a way to incorporate these concerns into this project, as well as to quantify how many Congressmen are "yes, buts"...(yes, i support single-payer reforms, but i don't think they're possible right now) ?

National Nurses United (AFL-CIO) is America's RN union, representing 150,000+ nurses from all 50 states.


I keep coming back (0.00 / 0)
to Sirota's chapter on fusion. It obviously wouldn't help us now, but it would provide major leverage going forward.

In fact, I believe our neighbor to the south (Oregon) now has fusion, and I've reached out to a national contact-I think her name was Clare Crawford-asking if there is a similar effort here in Washington State. I would really like to educate myself more on what is happening with fusion, and how to get involved.


This is a great idea (0.00 / 0)
and I love the suggestion made up thread about connecting with groups on this as well.  

When what we are demanding is the overwhelmingly popular option, forcing people to go on the record and be specific can only help.  The real power of opponents of reform comes outside the spotlight and concerns the details.    

Support a Pennsylvania Progressive for Governor - Joe Hoeffel


Senator Brown's public option letter (0.00 / 0)
I think that the place to start is with those who wrote the letter the their colleagues telling them that they support the public option.

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