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January 1, 2010 –
We have not seen President Barack Obama yet.
Obama's first year was a whirlwind of crisis and
payback. I don't know about you, but if I was given the White
House, had to fill thousands of positions while keeping the country
going, as the economy was collapsing and two wars were occurring, I
might be a bit on autopilot/let-those-who've-been-there-tell-me mode
as Barack has been. There are those who are like dogs -
President Bush was one - who don't wait to assess or get a feel, but
just come out barking and running and do a lot while thinking a
little. Then there are those who are like cats - cautious at
first, keep off to a corner, test the waters a bit, sniff around,
assess things, begin to mark their territory, and make sure to have
a clear picture of the situation before venturing out boldly.
Barack's early days have been marked by him deferring
to financial 'experts' and focusing on an issue as a tribute/payback
to the late Senator Ted Kennedy. If you know how politics
goes, you understood that this is why health care reform was first
and foremost. It was some Kennedy friends who spotted Obama
while at Obama who pushed him to run and helped make it possible.
It was Kennedy breaking with the Clinton's to endorse Obama and
giving a rather brave, moving convention speech that helped Obama
win the primaries and the White House. And so, as the
Massachusetts Senator ailed, the tribute had to be done. I'm
sure it was hoped that it would be done before Kennedy passed.
In any case, this explains what has happened this
first year and why it doesn't necessarily jibe with what Barack
Obama promised while running for office. It also seems to
indicate that we have yet to really see Obama take the reigns, and
so don't really know what will occur when he actually grabs the
reigns of the Presidency for himself - which he will. We've
seen how Obama works when the question of what next for Afghanistan
came up. Obama showed himself not to be a Bush-brand dog, but
a cat. He didn't just jump and bark an order, he wanted to go
away on his own and have time to assess. Like a cat as well,
he wanted to make his own independent choice, unlike a dog who just
wants to do what will make the master happy.
Now, the health care reform is done and out of the
way, and Obama has had a chance to get a feel for the office.
What's next on the agenda is wide open, and you can bet his days of
just letting others and other obiligations guide the course is about
to end.
But what will this mean. Who is Barack Obama
really, and what does he stand for and believe? Is he the man
who promised an Apollo-like push for alternative energy, to reverse
the Bush tax cuts, to take on free trade, offshoring, outsourcing?
Is he the man who understood the economy needed fundamental change,
a paradigm shift, and would take years to get back on track, or does
he actually believe the jobs are about to come back and a massive
amount of borrowing/stimulus was all that is needed.
There are clues, and I have to say they sound rather
promising. In a recent interview, Obama brought up the push
for alternative energy as the way to fix the economy and secure the
nation. That is what the nation wants to hear and see.
Health care, people didn't understand why that was the priority.
But to hear just the couple of blurbs from Obama talking about how
we need to hit the green economy to grow our way out of our mess...
The thing is, you can't tell yet if that is what he
will focus on. The Republicans will do everything to try and
throw him off by attacking him on foreign policy, trying to bog him
down in Iran and the two wars. And it can be known yet which
Obama is the real Obama.
But over these next few months, you are about to see
the pivot. Obama is about to finally step out on his own.
Like a cat, he is a leader. We saw with his choice with regard
to Afghanistan that he is ready to put his paw down and set his own
distinct course.
There are some really good things that have occurred
over this first year - unlike during any point of the Bush
administration. The legislation that fixed credit cards by
ending banks' abilities to randomly change rates, etc. was a vastly
important piece of legislation that Republicans never would have
considered, never mind passed. Though not taking on free trade
strongly as of yet, Obama did fire a shot or two across the bow,
such as when he chose to impose tariffs on Chinese tires. That
was no small statement, nor was it something the previous
administration would have ever done. The EPA has labeled CO2
as a public health hazard that can be regulated. These are all
massive steps in the right direction, though they have flown
somewhat under the radar - very possibly because the media prefers
to report what conservatives what to focus on, and it is hard to
make arguments against these choices.
So there has been quiet progress. And there has
been the not-so-quiet progress of the health care bill. Think
what you want about the overall bill, there is what seems to be a
distinctly Obama stamp in there - and very heady and important
change that, again, would never had occurred to or occurred under
the previous administration. That is, there is a shift of
focus within the bill on paying doctors based on patient improvement
rather than doctors getting paid when patients are sick. This
is one of the fundamental issues with health care currently.
If you go to your doctor with high cholesterol and the beginning of
heart disease and the doctor tells you to go exercise and change
your diet and you do, that is the best outcome for the patient, and
the best outcome for health care costs, but the worst outcome
currently for the doctor. The doctor would do much better to
prescribe medication or heart surgery and medication, financially
speaking. Under the new bill, pay focus begins to shift so
that doctors would get paid not just for treating and treating a
patient, but if the patient's health improves. Prescribing
exercise suddenly not only makes sense, but dollars. Why
aren't doctors allowed to prescribe personal trainers and specific
exercise, which is cheaper and more effective than medicine.
This bill takes a first step toward that - and this can be a huge
step not just for health care costs, but for the public health in
general.
There's a lot of good that has happened. There
has been some real bad that has occurred, such as the multi-trillion
dollar bailouts and stimulus. But watch now for the pivot.
The Obama Presidency is about to make a significant change - at
least it seems so. We are likely about to at last see what
Obama is about and what the next three years will be for America.
I honestly can't tell if Barack Obama is just a people pleaser who
will keep handing money to everyone to make them happy, bankrupting
the nation in the process; or if he is about to make some really
smart moves, a true push toward alternative energy, a focus on
bringing American jobs back home, more progress toward combating
Global Warming, and, not least, a real reversal of conservative
economics/the beginning of the paradigm shift he promised.
It can't be said which will occur. But I will
say for the first time in some decades there is a glimmer of hope.
If the Obama pivot is the one that spins toward his large vision
view of a green economic push to save the nation, this could get
good.
Sit tight, and pray. If a few months, we will
now if we are in desperate trouble, or about to, at last, begin our
climb back toward true strength and greatness.
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