Threading the Needle

Steve Benen points out the remarkable hurdles that the Democrats have had to overcome to actually bring a health care reform bill to the brink of passage.

It's probably an esoteric point, but it's worth pausing to appreciate just how ridiculously challenging it was to craft this health care reform proposal. There's a very good reason this legislation has never passed up until now, and why presidents who've tried have failed, and it goes beyond just right-wing hysterics and corporate pushback.

Think about the scope of the task -- Democrats were told they needed a health care reform bill that spends a lot of money on covering the uninsured, lowers the deficit, strengthens Medicare, helps businesses, eases government budgets, protects consumers, and controls costs, all at the same time. It would also need to earn the blessing of Congressional Budget Office, the American Medical Association, the AARP, and the nation's largest labor unions.

Democrats were also told they needed to do all of this in the face of unanimous and apoplectic Republican opposition, far-right manipulation of gullible conservative activists, and media coverage that largely ignores the substance of the bill while pretending every right-wing attack deserves attention.

This is a needle that's almost impossible to thread. And yet, that's exactly what the White House and congressional leaders have done. It's no small feat.