Framing Healthcare: Fear is a Friend of Foes

Republicans, conservative talk radio and even abortion foes have come together to rejuvenate a brilliant idea from none other than the Bush administration. Renaming the inheritance tax as the death tax was a brilliant strategy used a few years ago to end an important aspect of our ideas of American meritocracy. Now they are taking a provision from the new healthcare bill to do a similar thing – use fear as a motivating factor to get the very group that need healthcare reform to oppose it. The so called “death care” provision simply asks doctors to assist patients in making living wills and other preparations for all of our ultimate fate (http://www.washingtonpost.com/wp-dyn/content/article/2009/07/31/AR2009073103148_pf.html). Yet as the powerful have known from time immemorial, besides divide and conquer, fear is one of the greatest motivators.

It was used after 911 to start a war, undermine the constitution and misdirect a growing list of scandals that plagued the administration in the aftermath (remember all those terror alert raises at opportune moments that somehow never materialized in reality)? Now they are using the arsenal that continues to allow them to dominate public discourse and debate. Fear, divide and conquer (see Gates fiasco and Sotomayor hearing), and misinformation are their arms and they trump the still enervated Democrats, that can’t seem to find the needed ganas even in the thrall of a major electoral victory. Can we survive without substantial changes to the healthcare system? What will we do when the baby boomers start retiring in mass? How can we handle the growing obesity pandemic and its enormous long-term health costs? Can profits trump the public interest in perpetuity? Like the environment, these are questions our kids and grandkids will have to answer if conservatives have anything to say about it.