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Health  |  Feb 16, 2010 5:26 AM CST

Sam Wertheimer is a Health editorial writer for Justmeans because he is excited about the opportunities for social innovation in the health sector. He currently works for the health policy group at a non-partisan think tank. His interests include health reform, health 2.0, social entrepreneurship, and his new surfboard. The views expressed in his column do not reflect those of Justmeans or any oth...

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Health reform? Not without a catchphrase.

presbhospeakingPresident Obama's early-term focus on health reform wooed me into thinking that broad, health system-altering legislation - a boondoggle for previous presidents - might actually pass. Outspoken critics helped stall the initiative, and Senator Brown's Senate election pushed health reform even further off track. Now, some anticipate the president will revive the legislation and progress via political maneuvering in Congress. This time, I'm not getting my hopes up. Lack of a unifying slogan stalled health reform during the first round of the policy fight and without one going forward, health reform will stall again.


I first noticed the President's lack of a touchstone phrase while attending pro-reform phone banks. These gatherings involved groups of inspired voters phoning neighbors and asking for support of his health reform initiatives. While most of the calls were to registered Democrats and other Obama-philes who offered to support the President without hesitation, some of the recipients pushed back. "What does this legislation do, exactly?" they would ask. This question would lead to some awkward stammering as phone bank volunteers hesitated while shuffling through a stack of fliers looking for a supportive soundbite. Some of the questions even stumped me and I study these policies at work. Without a catchy slogan describing the legislation, Obama's supporters struggled to defend his progressive policies.

The difficulty of explaining the hoped-for outcomes of health reform helped stall the initiative. As the President's backers gave equivocal answers, his critics offered certainty. When asked what the legislation would do, they said, "raise taxes, create death panels, and put the government between doctors and patients." While some of these answers were false, they fit more neatly on cable news tickers than the President's verbose explanations. The lack of a rallying cry for health reformers planted doubt and the attention paid to health reforms critiques - both valid and baseless - fed these doubts and stalled reform. Despite mustering a slogan chanted by crowds across the country, President Obama could not unite supporters and shout down detractors with a unifying message.


Others hoping for health system change recognize the need for a compelling slogan to support health system change. On a conference call last week, Senator Al Franken said that health reform critics had a number of good "bumper sticker" phrases while advocates' bumper stickers were filled with text and the last line read, "to be continued on the next bumper sticker." Franken added that to win backers, this two-bumper sticker message needed shortening.


Although some supporters realize the utility of a catchy slogan, I'm not sure the President knows this would help. A quick check of the White House's health care policy homepage demonstrates this. The website lacks both a headline or a slogan. Rather, it offers over 700 words of text and a 4-minute video about the "basics" of health reform. As a reform backer, my attention span for this type of propaganda is longer than most, but even I don't want to sit through another speech to get the President's bottomline.


I'm still hopeful that the President will eventually facilitate reform in the health care sector but until he broadcasts a concise message, supporters will waver, critics will cast doubt, and health reform legislation will stall.


Michael Hassett
Michael Hassett 08pm February 16
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