Nixon would have mandated that all employers offer coverage to their employees, while creating a subsidized government insurance program for all Americans that employer coverage did not reach. It would take a miracle to pass such a plan today—a public insurance plan and an employer mandate are two provisions of the proposals now in Congress that are most in doubt. But Kennedy helped kill Nixon’s proposal not only because he preferred a government insurance option for everyone, but because he believed it was politically achievable. Medicare, the government program for the elderly, was then only nine years old, enacted as part of President Lyndon Johnson’s campaign to expand the social safety net. Liberals hoped this would be a first step toward a national health-insurance program that the next Democratic president could enact. That victory seemed around the corner—Nixon proposed his plan in 1974, while embattled in the Watergate scandal. President Jimmy Carter did not make health reform a priority, however, and Kennedy later regretted rejecting Nixon’s proposal. “It was a rare moment in his Senate career where he made a fundamental miscalculation about what was politically possible—a lot of liberals did,” says Yale University political scientist and progressive health-reform advocate Jacob Hacker. “What was not recognized by anyone at the time was that this was the end of the New Deal era. What would soon come crashing over them was the tax revolts” that ushered in Ronald Reagan and a conservative, antigovernment philosophy.
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August 26, 2009: Echoes of Kennedy’s Battle With Nixon in Health-Care Debate
Worth remembering. Something is better than nothing.