ObamaCare and the Liberal Obsession

Every Democratic president since FDR has failed to pass national health insurance. The current legislation in Congress is likely the last chance to enact it.

If President Obama's health-care initiative fails, there is no longer a rationale for being a liberal in the United States. Everything else on liberalism's to-do list is footnotes.
Passing national health insurance has obsessed every Democratic president since Franklin Roosevelt. Even Harry Truman, for some conservatives a model of "moderate" Democratic politics, wanted it. Looking back, Truman wept and warned: "I've had some bitter disappointments as President, but the one that has troubled me most, in a personal way, has been the failure to defeat the organized opposition to a national compulsory health insurance program. But this opposition has only delayed and cannot stop the adoption of an indispensable federal health insurance plan."

Daniel Henninger discusses how passing health-care reform is a liberal obsession.

No other issue has consumed more political energy in the U.S. than "health-care reform." Congress's half-year preoccupation with health care is only the latest blip in the Democrats' long march to a public option.
As we head to the final act, one element of this history stands out: The liberals' repeated failure to get it done.
The Democratic Mecca—a real national health insurance system available to all—has always encountered stiff resistance in Congress, notably as now from moderate Democrats. In the 1960s, Senate Finance Chairman Russell Long (of Mary Landrieu's Louisiana) railed publicly against Medicare's costs but as now, questions about cost were obliterated.
Frustrated at the failure to pass their "National Health Insurance" bill during the presidency of Dwight Eisenhower, the Democrats ratcheted back from the Euro-style idea of FDR and Truman to a plan that would cover only Social Security beneficiaries, the elderly. This was Medicare.
Medicare failed all its initial votes in 1960. A compromise known as Kerr-Mills, which limited federal coverage to the "indigent" elderly, passed the Senate by a vote of 91-2. Many said then that Kerr-Mills addressed the U.S.'s main problem, which was medicine for the poor. Ronald Reagan supported Kerr-Mills, arguing that people "worth millions of dollars" shouldn't be getting health care paid for by government.
For Democratic liberals, a lot is never enough. With John Kennedy's election, they resubmitted Medicare for the elderly regardless of income.
The Democrats still couldn't pass a health-care entitlement on the scale of Social Security. The politics they threw into the effort was massive. They put 20,000 elderly in Madison Square Garden to hear JFK's oratory. Rallies were held in 45 cities. Organized labor ran campaigns against members of the Ways and Means Committee in their home districts. For all this, in July 1962 the Senate voted 52-48 against Medicare. JFK denounced the vote on TV.

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JFK pleads for universal health care in Madison Square Garden in 1962.

It is a familiar story that Lyndon Johnson got Medicare passed as part of the Kennedy legacy. But for LBJ in 1965, the political planets were in perfect alignment. He had an overwhelming victory in the 1964 presidential campaign and huge congressional majorities. He had a robust economy, a gift of the Kennedy tax cut passed in early 1964. Also, no House hearings were held that year on the 296-page bill, which Democratic Sen. Philip Hart of Michigan complained was "one of the most complex set of social security amendments ever brought before this body."

Oh, and let us not overlook the party's concurrent quest for money transfers. In a moment of glee over the 1965 bill, Rep. Phil Burton of California, a member of the liberal pantheon, intoned: "All in all, our fair state and its people in the first year will be favored to the tune of some $550 million, a not modest sum." (Norms of spending "modesty" have changed since.)
The Democrats' persistent problems with this issue, including the Clintons' Health Security Act in 1994, suggests a victory for ObamaCare is no sure thing.
Nearly every defeat of broad public health coverage has come amid some turbulence that scared the public or politicians.
For Truman it was the Korean War. For JFK it was a recession, Vietnam and the Cuban missile crisis. Walter Lippmann wrote of JFK that a too-confident president was exceeding the public's reach. The Social Security Administration's own history of the Kennedy effort notes, "Some experts still had doubts about the reliability of the cost estimates for the bill."
Now Democrats say this vote is about "history." No, it's about their history. As with past failures to federalize health care, the air in 2009 is full of static—high unemployment, Afghanistan, a terrorist prison in Illinois and a petulant White House. The Democrats' familiar problems with the politics of universal health care have turned the bill into one of the most degraded legislative exercises in congressional history. Left-wing Dems like Howard Dean are screaming "kill" the Senate bill, suggesting a progressive Jonestown over it. Public support is below 40%.
This is probably the final death struggle for universal health care. They may let Harry Reid's Senate seat itself go down in the bloodbath over the 70-year obsession. Anyone remotely opposed to this idea had better step forward. History says ObamaCare isn't a done deal til the fat lady votes.
Write to henninger@wsj.com