President Barack Obama's post-election honeymoon period is arguably at an end as he faces growing political opposition on many fronts and is forced to backtrack on some priorities. Wisely he has sought to front-load his term, pushing through the most controversial policies while his popularity is at its highest and Democrats remain in firm control of Congress. Thus he has taken the healthcare reform plunge early on, a priority that many of his predecessors have been forced to abandon. The push has already made important progress—which is described below—but the whole effort could yet unravel as the tortuous congressional process unfolds. Opponents of the administration's reform programme are meanwhile finding their voices and this is translating into some worrying opinion poll trends. Republicans have tended to focus their criticism on the plan to create a public-sector health insurance alternative to the private offerings. To them this smacks of "socialism", and would undermine the operation of free-market forces. The insurers have meanwhile mobilised their lobbying efforts to good effect.
Obama has sought to build a broad coalition behind the reforms, but he faces a dilemma over how far he should sustain this. The broader the coalition, the more concessions are required. However, a narrow coalition means greater opposition from outside and a higher likelihood that the legislation will stall. Obama has already indicated that he may abandon efforts to achieve broad bipartisan support in Congress—in the absence of this the challenge is to ensure near-unanimous Democratic support. This is not as easy as it sounds because there are many shades of opinion within the party. In recent weeks the right-leaning "Blue Dogs" have made themselves heard. They were eventually won over with some concessions that would curb costs and exempt small businesses from having to provide cover. However, such concessions have in turn antagonised the party's more liberal wing, which already felt that Obama was being too cautious. The following section summarises the current state of play.
There is broad consensus that the U.S. healthcare system needs fixing, but agreeing on the fine print of reforms is fiendishly difficult. Obama's push represents the best chance in decades to make real progress, but there are well-founded concerns about the fiscal implications of his plan and the impact that the inevitable concessions will have. Republicans have elected to resist the reforms stubbornly, citing in particular the public-sector health insurance alternative and the mandates for employers to provide insurance for their staff. Their fortitude is of course strengthened by the knowledge that if Obama fails on healthcare he will be left much weaker as he seeks to push through other elements of his programme. Their stubbornness carries risks for them too, however. Voters tire of partisan deadlock in Congress quickly, so the Republicans should arguably pick their battles rather than offering blanket opposition to the administration. The coming weeks will be critical for the administration as it tries to seize back control of the debate from the detractors and sell the benefits of healthcare reform more effectively. The consequences of reform failure are depressing—the country may have to wait decades before it has another president with such strong command of Congress, and such a strong commitment to reform. The stakes are so high that it is hard to see Democrats scuppering the project, even if their internal differences sometimes seem insurmountable.
fecha |
Título |
03/04/2011| |
|
26/03/2011| |
|
20/03/2011| |
|
26/02/2011| |
|
18/02/2011| |
|
18/02/2011| |
|
15/02/2011| |
|
12/02/2011| |
|
10/02/2011| |
|
10/02/2011| |
|
07/02/2011| |
|
03/02/2011| |
|
01/02/2011| |
|
29/01/2011| |
|
26/01/2011| |
|
26/01/2011| |
|
26/01/2011| |
|
25/01/2011| |
|
22/01/2011| |
|
20/01/2011| |
|
20/01/2011| |
|
18/01/2011| |
|
18/01/2011| |
|
17/01/2011| |
|
17/01/2011| |
|
15/01/2011| |
|
14/01/2011| |
|
12/01/2011| |
|
12/01/2011| |
|
10/01/2011| |
|
06/01/2011| |
|
06/01/2011| |
|
01/01/2011| |
|
31/12/2010| |
|
31/12/2010| |
|
25/12/2010| |
|
25/12/2010| |
|
25/12/2010| |
|
18/12/2010| |
|
14/12/2010| |
|
10/12/2010| |
|
26/11/2010| |
|
26/11/2010| |
|
20/11/2010| |
|
17/11/2010| |
|
17/11/2010| |
|
17/11/2010| |
|
15/11/2010| |
|
13/11/2010| |
|
13/11/2010| |
|
12/11/2010| |
|
12/11/2010| |
|
05/11/2010| |
|
04/11/2010| |
|
04/11/2010| |
|
31/10/2010| |
|
09/10/2010| |
|
02/10/2010| |
|
02/10/2010| |
|
17/09/2010| |
|
10/09/2010| |
|
10/09/2010| |
|
10/07/2010| |
|
10/07/2010| |
|
08/04/2010| |
|
05/04/2010| |
|
18/03/2010| |
|
17/03/2010| |
|
16/03/2010| |
|
09/03/2010| |
|
09/03/2010| |
|
05/03/2010| |
|
05/03/2010| |
|
04/03/2010| |
|
03/03/2010| |
|
01/03/2010| |
|
26/02/2010| |
|
26/02/2010| |
|
24/02/2010| |
|
23/02/2010| |
|
22/02/2010| |
|
20/02/2010| |
|
20/02/2010| |
|
17/02/2010| |
|
17/02/2010| |
|
16/02/2010| |
|
15/02/2010| |
|
12/02/2010| |
|
11/02/2010| |
|
10/02/2010| |
|
09/02/2010| |
|
08/02/2010| |
|
05/02/2010| |
|
04/02/2010| |
|
04/02/2010| |
|
04/02/2010| |
|
02/02/2010| |
|
01/02/2010| |
|
31/01/2010| |
|
31/01/2010| |
|
22/01/2010| |
|
21/01/2010| |
|
20/01/2010| |
|
19/01/2010| |
|
19/01/2010| |
|
15/01/2010| |
|
14/01/2010| |
|
13/01/2010| |
|
12/01/2010| |
|
11/01/2010| |
|
08/01/2010| |
|
07/01/2010| |
|
07/01/2010| |
|
05/01/2010| |
|
04/01/2010| |
|
31/12/2009| |
|
31/12/2009| |
|
30/12/2009| |
|
24/12/2009| |
|
23/12/2009| |
|
22/12/2009| |
|
21/12/2009| |
|
18/12/2009| |
|
17/12/2009| |
|
16/12/2009| |
|
15/12/2009| |
|
15/12/2009| |
|
14/12/2009| |
|
14/12/2009| |
|
13/12/2009| |
|
13/12/2009| |
|
11/12/2009| |
|
11/12/2009| |
|
10/12/2009| |
|
10/12/2009| |
|
08/12/2009| |
|
08/12/2009| |
|
08/12/2009| |
|
08/12/2009| |
|
04/12/2009| |
|
04/12/2009| |
|
04/12/2009| |
|
04/12/2009| |
|
03/12/2009| |
|
03/12/2009| |
|
01/12/2009| |
|
01/12/2009| |
|
01/12/2009| |
|
01/12/2009| |
|
27/11/2009| |
|
27/11/2009| |
|
26/11/2009| |
|
26/11/2009| |
|
25/11/2009| |
|
25/11/2009| |
|
24/11/2009| |
|
24/11/2009| |
|
23/11/2009| |
|
23/11/2009| |
|
22/11/2009| |
|
22/11/2009| |
|
16/11/2009| |
|
16/11/2009| |
|
13/11/2009| |
|
13/11/2009| |
|
11/11/2009| |
|
11/11/2009| |
|
11/11/2009| |
|
11/11/2009| |
|
10/11/2009| |
|
10/11/2009| |
|
07/11/2009| |
|
06/11/2009| |
|
04/11/2009| |
|
04/11/2009| |
|
02/11/2009| |
|
31/10/2009| |
|
30/10/2009| |
|
29/10/2009| |
|
28/10/2009| |
|
27/10/2009| |
|
21/10/2009| |
|
21/10/2009| |
|
19/10/2009| |
|
15/10/2009| |
|
14/10/2009| |
|
13/10/2009| |
|
12/10/2009| |
|
09/10/2009| |
|
09/10/2009| |
|
07/10/2009| |
|
06/10/2009| |
|
05/10/2009| |
|
02/10/2009| |
|
01/10/2009| |
|
01/10/2009| |
|
01/10/2009| |
|
30/09/2009| |
|
30/09/2009| |
|
21/09/2009| |
|
19/09/2009| |
|
17/09/2009| |
|
16/09/2009| |
|
15/09/2009| |
|
14/09/2009| |
|
12/09/2009| |
|
12/09/2009| |
|
12/09/2009| |
|
10/09/2009| |
|
09/09/2009| |
|
08/09/2009| |
|
07/09/2009| |
|
05/09/2009| |
|
04/09/2009| |
|
03/09/2009| |
|
02/09/2009| |
|
01/09/2009| |
|
31/08/2009| |
|
29/08/2009| |
|
27/08/2009| |
|
27/08/2009| |
|
26/08/2009| |
|
24/08/2009| |
|
21/08/2009| |
|
20/08/2009| |
|
19/08/2009| |
|
18/08/2009| |
|
17/08/2009| |
|
14/08/2009| |
|
14/08/2009| |
|
14/08/2009| |
|
14/08/2009| |
|
12/08/2009| |
|
12/08/2009| |
|
11/08/2009| |
|
11/08/2009| |
|
10/08/2009| |
|
10/08/2009| |
|
07/08/2009| |
|
07/08/2009| |
|
05/08/2009| |
|
05/08/2009| |
|
04/08/2009| |
|
04/08/2009| |
|
03/08/2009| |
|
03/08/2009| |
|
01/08/2009| |
|
01/08/2009| |
|
29/07/2009| |
|
29/07/2009| |
|
29/07/2009| |
|
29/07/2009| |
|
27/07/2009| |
|
27/07/2009| |
|
25/07/2009| |
|
25/07/2009| |
|
23/07/2009| |
|
23/07/2009| |
|
23/07/2009| |
|
23/07/2009| |
|
21/07/2009| |
|
21/07/2009| |
|
20/07/2009| |
|
20/07/2009| |
|
17/07/2009| |
|
17/07/2009| |
|
16/07/2009| |
|
16/07/2009| |
|
16/07/2009| |
|
15/07/2009| |
|
15/07/2009| |
|
15/07/2009| |
|
28/03/2009| |
|
15/03/2009| |
|
15/03/2009| |
|
15/03/2009| |
|
15/03/2009| |
|
18/01/2009| |
|
10/01/2009| |
|
06/01/2009| |
|
05/01/2009| |
|
02/01/2009| |
|
24/12/2008| |
|
24/12/2008| |
|
24/12/2008| |
|
27/11/2008| |
|
27/11/2008| |
|
27/11/2008| |
|
27/11/2008| |
|
03/10/2008| |
|
03/10/2008| |
|
03/10/2008| |
|
03/10/2008| |
|
24/09/2008| |
|
24/09/2008| |
|
20/09/2008| |
|
20/09/2008| |
|
18/09/2008| |
|
18/09/2008| |
|
18/09/2008| |
|
18/09/2008| |
|
10/09/2008| |
|
10/09/2008| |
|
08/09/2008| |
|
08/09/2008| |
|
17/08/2008| |
|
17/08/2008| |
|
11/08/2008| |
|
11/08/2008| |
|
11/08/2008| |
|
11/08/2008| |
|
11/08/2008| |
|
11/08/2008| |
|
13/05/2008| |
|
12/05/2008| |
|
12/05/2008| |
|
10/05/2008| |
|
04/05/2008| |
|
02/05/2008| |
|
27/04/2008| |
|
27/04/2008| |
|
24/04/2008| |
|
24/04/2008| |
|
24/04/2008| |
|
24/04/2008| |
|
24/04/2008| |
|
24/04/2008| |
|
06/04/2008| |
|
26/03/2008| |
|
20/03/2008| |
|
19/03/2008| |
|
13/03/2008| |
|
10/03/2008| |
|
07/03/2008| |
|
05/03/2008| |
|
18/02/2008| |
|
06/02/2008| |
|
03/02/2008| |
|
01/02/2008| |
|
01/02/2008| |
|
21/12/2007| |
|
21/12/2007| |
|
08/12/2007| |
|
08/12/2007| |
|
02/11/2007| |
|
30/10/2007| |
|
30/10/2007| |
|
27/10/2007| |
|
25/10/2007| |
|
20/10/2007| |
|
04/10/2007| |
|
28/09/2007| |
|
28/09/2007| |
|
31/08/2007| |
|
31/08/2007| |
|
30/08/2007| |
|
30/08/2007| |
|
15/08/2007| |
|
11/08/2007| |
|
11/08/2007| |
|
31/07/2007| |
|
28/07/2007| |
|
28/07/2007| |
|
04/07/2007| |
|
30/06/2007| |
|
30/06/2007| |
|
30/06/2007| |
|
30/06/2007| |
|
16/06/2007| |
|
16/06/2007| |
|
16/06/2007| |
|
16/06/2007| |
|
13/06/2007| |
|
13/06/2007| |
|
10/06/2007| |
|
10/06/2007| |
|
10/06/2007| |
|
10/06/2007| |
|
10/06/2007| |
|
10/06/2007| |
|
16/05/2007| |
|
16/05/2007| |
|
03/05/2007| |
|
03/05/2007| |
|
03/05/2007| |
|
03/05/2007| |
|
03/05/2007| |
|
03/05/2007| |
|
30/04/2007| |
|
30/04/2007| |
|
26/04/2007| |
|
26/04/2007| |
|
25/04/2007| |
|
25/04/2007| |
|
25/04/2007| |
|
25/04/2007| |
|
21/04/2007| |
|
21/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
19/04/2007| |
|
10/04/2007| |
|
10/04/2007| |
|
07/04/2007| |
|
07/04/2007| |
|
04/04/2007| |
|
04/04/2007| |
|
02/04/2007| |
|
02/04/2007| |
|
01/04/2007| |
|
28/03/2007| |
|
28/03/2007| |
|
25/03/2007| |
|
25/03/2007| |
|
20/03/2007| |
|
20/03/2007| |
|
28/02/2007| |
|
23/01/2007| |
|
23/01/2007| |
|
08/01/2007| |
|
08/01/2007| |
|
08/01/2007| |
|
08/01/2007| |
|
06/01/2007| |
|
06/01/2007| |
|
04/01/2007| |
|
04/01/2007| |
|
29/12/2006| |
|
29/12/2006| |
|
28/12/2006| |
|
28/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
26/12/2006| |
|
20/12/2006| |
|
20/12/2006| |
|
20/12/2006| |
|
20/12/2006| |
|
16/12/2006| |
|
16/12/2006| |
|
16/12/2006| |
|
16/12/2006| |
|
15/12/2006| |
|
15/12/2006| |
|
14/12/2006| |
|
14/12/2006| |
|
14/12/2006| |
|
14/12/2006| |
|
14/12/2006| |
|
14/12/2006| |
|
12/12/2006| |
|
12/12/2006| |
|
12/12/2006| |
|
12/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
11/12/2006| |
|
09/12/2006| |
|
09/12/2006| |
|
02/12/2006| |
|
02/12/2006| |
|
02/12/2006| |
|
02/12/2006| |
|
25/11/2006| |
|
25/11/2006| |
|
23/11/2006| |
|
23/11/2006| |
|
22/11/2006| |
|
22/11/2006| |
|
21/11/2006| |
|
21/11/2006| |
|
21/11/2006| |
|
21/11/2006| |
|
21/11/2006| |
|
21/11/2006| |
|
11/11/2006| |
|
11/11/2006| |
|
02/11/2006| |
|
01/11/2006| |
|
01/11/2006| |
|
28/10/2006| |
|
28/10/2006| |
|
28/10/2006| |
|
28/10/2006| |
|
20/10/2006| |
|
20/10/2006| |
|
20/10/2006| |
|
20/10/2006| |
|
14/10/2006| |
|
14/10/2006| |
|
07/10/2006| |
|
07/10/2006| |
|
07/10/2006| |
|
05/10/2006| |
|
04/10/2006| |
|
04/10/2006| |
|
04/10/2006| |
|
04/10/2006| |
|
23/09/2006| |
|
23/09/2006| |
|
23/09/2006| |
|
23/09/2006| |
|
23/09/2006| |
|
23/09/2006| |
|
06/09/2006| |
|
04/09/2006| |
|
04/09/2006| |
|
02/09/2006| |
|
02/09/2006| |
|
02/09/2006| |
|
01/09/2006| |
|
30/08/2006| |
|
02/08/2006| |
|
02/08/2006| |
|
30/07/2006| |
|
30/07/2006| |
|
27/07/2006| |
|
27/07/2006| |
|
21/07/2006| |
|
20/07/2006| |
|
20/07/2006| |
|
18/07/2006| |
|
16/07/2006| |
|
13/07/2006| |
|
12/07/2006| |
|
12/07/2006| |
|
07/07/2006| |
|
07/07/2006| |
|
06/07/2006| |
|
29/06/2006| |
|
29/06/2006| |
|
29/06/2006| |
|
29/06/2006| |
|
28/06/2006| |
|
26/06/2006| |
|
26/06/2006| |
|
21/06/2006| |
|
21/06/2006| |
|
20/06/2006| |
|
20/06/2006| |
|
04/06/2006| |
|
09/05/2006| |
|
03/05/2006| |
|
03/05/2006| |
|
03/05/2006| |
|
03/05/2006| |
|
18/02/2006| |
|
04/02/2006| |
|
04/02/2006| |
|
29/01/2006| |
|
23/09/2005| |
|