Last night following Jane’s appearance on Rachel, Bill Maher praised this WaPo oped by Paul Begala:

I think my fellow progressives ought to give Max Baucus and other members of the Senate Finance Committee a little breathing room as they labor to produce a health-care bill that can garner enough votes to pass the Senate.

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No self-respecting liberal today would support Franklin Roosevelt’s original Social Security Act. It excluded agricultural workers — a huge part of the economy in 1935, and one in which Latinos have traditionally worked. It excluded domestic workers, which included countless African Americans and immigrants. It did not cover the self-employed, or state and local government employees, or railroad employees, or federal employees or employees of nonprofits. It didn’t even cover the clergy. FDR’s Social Security Act did not have benefits for dependents or survivors. It did not have a cost-of-living increase. If you became disabled and couldn’t work, you got nothing from Social Security.

If that version of Social Security were introduced today, progressives like me would call it cramped, parsimonious, mean-spirited and even racist. Perhaps it was all those things. But it was also a start. And for 74 years we have built on that start. We added more people to the winner’s circle: farmworkers and domestic workers and government workers. We extended benefits to the children of working men and women who died. We granted benefits to the disabled. We mandated annual cost-of-living adjustments. And today Social Security is the bedrock of our progressive vision of the common good.

We have not insisted on a VA-style government-run healthcare system for all. Nor have we insisted on Medicare-style single-payer health insurance. Nor have we insisted on banning for-profit insurers as the Europeans do. In Jane’s words: "The Public Option IS the compromise." And as Howard Dean put it: "You’re not going to have real reform without some kind of a public option …"

But what about Begala’s claim that Clinton-care was defeated because he went for the grand slam rather than a small slam? I agree with Paul Krugman on that:

Bill Clinton’s health care plan failed in large part because of a dishonest but devastating lobbying and advertising campaign financed by the health insurance industry – remember Harry and Louise? And the lesson many people took from that defeat is that any future health care proposal must buy off the insurance lobby.

But I think that’s the wrong lesson. The Clinton plan actually preserved a big role for private insurers; the industry attacked it all the same. And the plan’s complexity, which was largely a result of attempts to placate interest groups, made it hard to sell to the public.

BTW, yesterday Krugman claimed: "It is possible to have universal care without a public option; Switzerland does." But he neglects to note that Swtzerland does not allow for-profit insurers into their basic health-insurance market.

UPDATE: Maher’s appearance can be seen at 9:18 into this video.

UPDATE 2: I recommend this Dkos diary by Renee:

Quoted in an article in The Washington Post, an anonymous White House advisers is mystified by our behavior. Here’s the lede:

President Obama’s advisers acknowledged Tuesday that they were unprepared for the intraparty rift that occurred over the fate of a proposed public health insurance program, a firestorm that has left the White House searching for a way to reclaim the initiative on the president’s top legislative priority.

I’m trying, through some impressive anger, to understand how a person could talk about the health insurance industry the way President Obama has, and then be shocked (simply shocked) at our reaction to not including a public option.

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At HuffPo, Jason Linkins has a review of this same article:

I’ve said for a long time now that the press has long endeavored to diminish the public support for the "public option," characterizing it as one of those foolish and untenable pipe dreams of "the left" when it actually has mainstream support. At the same time, the Obama administration has spun like a weather vane, conveying that a robust "public option" was essential to health care reform on one day, shruggingly suggesting that it would not be all that important the next. In today’s Washington Post, we have an article in which they attempt to make these two great tastes taste great together.

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