If you hold a hearing on health care and none of the witnesses support single-payer health care, you won’t have anyone explain the benefits of single-payer health care.
Martin Longman a contributing editor at the Washington Monthly.
He is also the founder of Booman Tribune and Progress Pond. He has a degree in philosophy from Western Michigan University.
Luntz’s 10 pointers in “The Language of Healthcare 2009”:
(1) Humanize your approach. Abandon and exile ALL references to the “healthcare system.” From now on, healthcare is about people. Before you speak, think of the three components of tone that matter most: Individualize. Personalize. Humanize.
(2) Acknowledge the “crisis” or suffer the consequences. If you say there is no healthcare crisis, you give your listener permission to ignore everything else you say. It is a credibility killer for most Americans. A better approach is to define the crisis in your terms. “If you’re one of the millions who can’t afford healthcare, it is a crisis.” Better yet, “If some bureaucrat puts himself between you and your doctor, denying you exactly what you need, that’s a crisis.” And the best: “If you have to wait weeks for tests and months for treatment, that’s a healthcare crisis.”
(3) “Time” is the government healthcare killer. As Mick Jagger once sang, “Time is on Your Side.” Nothing else turns people against the government takeover of healthcare than the realistic expectation that it will result in delayed and potentially even denied treatment, procedures and/or medications. “Waiting to buy a car or even a house won’t kill you. But waiting for the healthcare you need – could. Delayed care is denied care.”
(4) The arguments against the Democrats’ healthcare plan must center around “politicians,” “bureaucrats,” and “Washington” … not the free market, tax incentives, or competition. Stop talking economic theory and start personalizing the impact of a government takeover of healthcare. They don’t want to hear that you’re opposed to government healthcare because it’s too expensive (any help from the government to lower costs will be embraced) or because it’s anti-competitive (they don’t know about or care about current limits to competition). But they are deathly afraid that a government takeover will lower their quality of care – so they are extremely receptive to the anti-Washington approach. It’s not an economic issue. It’s a bureaucratic issue.
(5) The healthcare denial horror stories from Canada & Co. do resonate, but you have to humanize them. You’ll notice we recommend the phrase “government takeover” rather than “government run” or “government controlled” It’s because too many politician say “we don’t want a government run healthcare system like Canada or Great Britain” without explaining those consequences. There is a better approach. “In countries with government run healthcare, politicians make YOUR healthcare decisions. THEY decide if you’ll get the procedure you need, or if you are disqualified because the treatment is too expensive or because you are too old. We can’t have that in America.”
(6) Healthcare quality = “getting the treatment you need, when you need it.” That is how Americans define quality, and so should you. Once again, focus on the importance of timeliness, but then add to it the specter of “denial.” Nothing will anger Americans more than the chance that they will be denied the healthcare they need for whatever reason. This is also important because it is an attribute of a government healthcare system that the Democrats CANNOT offer. So say it. “The plan put forward by the Democrats will deny people treatments they need and make them wait to get the treatments they are allowed to receive.”
(7) “One-size-does-NOT-fit-all.” The idea that a “committee of Washington bureaucrats” will establish the standard of care for all Americans and decide who gets what treatment based on how much it costs is anathema to Americans. Your approach? Call for the “protection of the personalized doctor-patient relationship.” It allows you to fight to protect and improve something good rather than only fighting to prevent something bad.
(8) WASTE, FRAUD, and ABUSE are your best targets for how to bring down costs. Make no mistake: the high cost of healthcare is still public enemy number one on this issue – and why so many Americans (including Republicans and conservatives) think the Democrats can handle healthcare better than the GOP. You can’t blame it on the lack of a private market; in case you missed it, capitalism isn’t exactly in vogue these days. But you can and should blame it on the waste, fraud, and abuse that is rampant in anything and everything the government controls.
(9) Americans will expect the government to look out for those who truly can’t afford healthcare. Here is the perfect sentence for addressing cost and the limited role for government that wins you allies rather than enemies: “A balanced, common sense approach that provides assistance to those who truly need it and keeps healthcare patient-centered rather than government-centered for everyone.”
(10) It’s not enough to just say what you’re against. You have to tell them what you’re for. It’s okay (and even necessary) for your campaign to center around why this healthcare plan is bad for America. But if you offer no vision for what’s better for America, you’ll be relegated to insignificance at best and labeled obstructionist at worst. What Americans are looking for in healthcare that your “solution” will provide is, in a word, more: “more access to more treatments and more doctors…with less interference from insurance companies and Washington politicians and special interests.”
This whole healthcare business ties my stomach into knots. Luntz scares me, the Baucus video scares me and that’s because, at least for me, the government option in healthcare is really the big litmus test on whether the US system can still reform itself constitutionally from the inside for the common good. I am and want to be very optimistic, but the stakes are so high that when I watch the ghastly Baucus I feel paranoid visions closing in on me…
on May 6, 2009 at 5:47 pm
the big litmus test on whether the US system can still reform itself
Obama is looking more and more like Brezhnev and less like Gorbachev every day, isn’t he? I wonder if his presidency will be know as “the period of stagnation”.
Gorbachev? The USSR fell apart under his “reign”. I fervently hope Obama will not be the new Gorby. Brezhnev?
He stood for total stagnation and right now, things are just way too turbulent right now for anyone to be a new Brezhnev (O is also a bit young no?). So who could he be?
Glenn Beck says the new Hitler, which is of course deranged (but amusing). So who could Obama be? If things go really bad and everything gets fucked up, he could be the new Yeltsin maybe. Rise of the hyper-oligarchs, hyperinflation… I am not in that camp though. I am optimistic on the Obama administration and the US (with a knot in my stomach).
like I have said repeatedly, there is no way in hell we’re getting national health care. as usual, it’s a campaign prop.
powerful democrats and powerful republicans, together with their funders in the death-by-spreadsheet industry are determined to stop it.
i wish democrats would stop talking about shit they don’t mean to pass.
oh, and Max Baucus is such a smarmy fucking bastard, it makes me want to shoot someone in the face.
you just need to spend a little time everyday looking at the positive things that are happening in DC that get overlooked because people prefer to focus on ongoing outrages. I’ve been meaning to write about them but I find it requires more work and I’ve been having a hard time getting up the energy for it.
i actually don’t pay all that much attention anymore.
between work and total loss of faith in our system, it’s hard to muster the energy.
sad but true…
John Kerry is a real comedian, too.
Frank Luntz is good at what he does:
This whole healthcare business ties my stomach into knots. Luntz scares me, the Baucus video scares me and that’s because, at least for me, the government option in healthcare is really the big litmus test on whether the US system can still reform itself constitutionally from the inside for the common good. I am and want to be very optimistic, but the stakes are so high that when I watch the ghastly Baucus I feel paranoid visions closing in on me…
the big litmus test on whether the US system can still reform itself
Obama is looking more and more like Brezhnev and less like Gorbachev every day, isn’t he? I wonder if his presidency will be know as “the period of stagnation”.
Gorbachev? The USSR fell apart under his “reign”. I fervently hope Obama will not be the new Gorby. Brezhnev?
He stood for total stagnation and right now, things are just way too turbulent right now for anyone to be a new Brezhnev (O is also a bit young no?). So who could he be?
Glenn Beck says the new Hitler, which is of course deranged (but amusing). So who could Obama be? If things go really bad and everything gets fucked up, he could be the new Yeltsin maybe. Rise of the hyper-oligarchs, hyperinflation… I am not in that camp though. I am optimistic on the Obama administration and the US (with a knot in my stomach).
like I have said repeatedly, there is no way in hell we’re getting national health care. as usual, it’s a campaign prop.
powerful democrats and powerful republicans, together with their funders in the death-by-spreadsheet industry are determined to stop it.
i wish democrats would stop talking about shit they don’t mean to pass.
oh, and Max Baucus is such a smarmy fucking bastard, it makes me want to shoot someone in the face.
also, i think we know where baucus stands now.
the democrats get worse and worse, every single day. And with the new that torture gets a slap on the wrist, I’m wondering wtf i voted for.
I already know what i voted AGAINST, so please don’t give me the old “the republicans are worse” nonsense.
you just need to spend a little time everyday looking at the positive things that are happening in DC that get overlooked because people prefer to focus on ongoing outrages. I’ve been meaning to write about them but I find it requires more work and I’ve been having a hard time getting up the energy for it.
go figure.
i actually don’t pay all that much attention anymore.
between work and total loss of faith in our system, it’s hard to muster the energy.
sad but true…