Turning and turning

We are told repeatedly by our rulers in business, politics and the media that the big hurdle to addressing climate change and health care is cost. Somehow war without end, the global effects of climate change and the towering costs of health care even as more Americans do without it are "free." And so it goes.

This is how we live now. There was indeed one conservative in last fall's presidential election and he now sits in the White House. Barack Obama fits the Burkean mold of slow change, respectful of tradition and custom, seeking to preserve the best of existing arrangements. Unfortunately, thirty years of right-wing revolution (represented by Mr. Obama's opponent, the wealthy Republican John Sidney McCain III) have driven these laudable benchmarks so far to the extreme that Mr. Obama's innate restraint is exactly the wrong temperament for this pivotal moment in history.

On health care, one wonders if his heart was ever in it. This has been a colossal failure of the Democratic Party. The New Deal was not the product of a single, 2,000-plus page bill, but of scores of pieces of legislation over years. It delivered nearly instant relief to the nation's suffering, in both substance and confidence-building, helping to ensure continued Democratic majorities to keep it going. Under Harry Reid and Nancy Pelosi, we have a massive dog's breakfast that will come to no good, and be undone by the Republicans because its good elements will take too long to kick in. Why, for example, not one bill that outlawed the savage practice of denying insurance based on pre-existing conditions, or charging outlandish premiums for it — and having it implemented the moment the president signed the legislation? Another could have instantly required pharmaceutical companies to bid for Medicare drugs, lowering costs at the stroke of a pen. Yet another would have eliminated antitrust protections for the big insurers. And another still would have been a public option, if not Medicare for all — and let the filibuster happen and its instigators pay the fearsome price in the next election.