Oh, Good, a Thoughtful Debate on Health Care

By Evan Falchuk

If you were hoping for a thoughtful discussion on the reform of our health care system, I have bad, bad news.

It turns out that health insurers are “villians.”  Public anger over the massive, mostly unread, reform bills is “manufactured,” and anxiety created by the expectation of unknown changes to people’s most valued benefits is the result of disinformation and “fishy” stories.

It’s like an employee benefits roll-out gone horribly awry.

The protests and disastrous town halls look to me just like the kinds of angry protests that happen all the time when employers make important changes to a benefit plan and the employees either don’t understand them or don’t agree.

Blaming the people who don’t follow what you’re doing and why is a big mistake.  Sure, there is politics.  But health care is a serious, emotional issue, and it should be no surprise that people react badly when they think something to do with it may be taken away.

Dreaming up ideas of how health care ought to work is relatively easy.  But figuring out how to implement it is hard, and there are no short cuts.  The people who actually run benefits plans – employers, benefits consultants, HR professionals – can tell you:  there is no replacement for communication, engagement and respect for opposing views.

The strategy of demonizing those who aren’t on board is a mistake, and is as likely to set back the cause of reform as it is to further inflame an already volatile audience.

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  • http://patients.about.com Trisha Torrey

    Evan — there is so much disinformation out there about reform efforts, mostly aimed at senior citizens, doing no more than playing with their emotions to get them upset about concepts that are simply untrue.

    Don’t take my word for it. You can see the statements being made at
    http://www.Politifact.com (which won a Pulitzer Prize for its factual reporting) or FactCheck.org — either one does an excellent assessment of inflammatory statements being made by those who choose to disrupt emotions rather than discuss the truth.

  • http://twitter.com/efalchuk Evan Falchuk

    Hi Trisha,

    I’m glad to see you here, thank you for reading and commenting.

    Yes, there is plenty of bad information out there, and thanks for posting that link.

    But for political leaders as much as business executives, you have to deal with misinformation as a fact of life. The onus is on the leader to address it – complaining isn’t much of a strategy.

    I actually think that as bad as they have looked, the idea of the town hall meetings is good. Done well, these work at companies that are changing their benefit plans.

    The problem is that it’s hard to do this well right now. There isn’t a single plan to explain to people. The multiple competing bills in Congress are so big no one can keep it all straight. A presenter at one of these town halls is at a very serious disadvantage.

    Again, thanks for your comment, Trisha.

    Evan

  • http://www.emergiblog.com Kim

    I guess I am now one of the “angry mob” because I do not follow in lock-step.

    BOTH sides are generating scare tactics to blast the other side’s opinions, but tonight I heard those such as myself described as an “angry mob”by my government.

    That takes it past a difference of opinion and makes it personal.

    While I sit there and watch a You Tube of all Obama’s comments on health care and think “this is not fair, they are taking individual sentences out of context”. I give HIM the benefit of the doubt, I see him as an American who has a different viewpoint than I do. I am honestly trying to see the President as a man who is trying to do what he thinks is right. Deep down, I think he is.

    But…
    because I do not share his viewpoint, the Democratic National Committee puts out a commercial that denigrates MY opinion and those who would fight for it.

    When I listened to Valerie Jarrett, she asked how Obama could get the message out more effectively. I had an answer that I never had the chance to give.

    Change the tone. Positive commercials. Don’t attack. Show how the average Joe would benefit. Be pro-active. Positive.Don’t get defensive no matter how badly the other side taunts. Let the people speak. Let them be angry. They are telling you information. Let the Republicans sound like they are negative.

    I would have given that advice – and I’m a dead-on Republican!!!

    Now it’s just a huge partisan fight that gets nastier and nastier. But neither side has clean hands. Which makes any and all information we get suspect. Who do we trust? Who CAN we trust? What is true and what is hype?

    Oh man, maybe I’ll write a post.

  • http://twitter.com/efalchuk Evan Falchuk

    Go for it, Kim!

    Yes, the tactics being used to sell reform now are very likely making things worse.

    You know, when companies make changes to their benefits, they do exactly what you suggest. They communicate – a lot. They explain changes in 4 or 5 different ways, over and over again, and show employees how they benefit them and also where they may end up worse off than before.

    But candor, and respect are lessons smart companies have learned. We’re not seeing much of that right now.

    Evan

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  • Randy Southerland

    In most cases when a company rolls out benefit changes they don’t face a highly organized and well financed opposition that is intend on pushing fabrications and distortions. And because they have a certain level of control over employees they can communicate with them directly without the filter of media.

    That certainly isn’t the case with health care reform. While I agree the Administration should be doing more to make their case, they faces structural obstacles to communication. The biggest problem is that reaching those who are still open minded is difficult and Americans in general don’t respond well to facts and data. You also can’t make people pay attention — there’s plenty of information and analysis available if you look — and as you noted the complexity of the plans requires a great deal of attention to grasp. It’s much easier to listen to the scare stories about senior citizens being exterminated.
    As for the idea that the opposition is resorting to mob tactics the answer is that in some cases they are. When they shout down opponents at town hall meetings or try to block a Congressman’s car, then that goes beyond civil debate. It also makes it less likely that the non-idelogically driven are going to make the effort to show up at these meetings. Just like the right wing media the winner is he who can scream the loudest.

  • http://twitter.com/efalchuk Evan Falchuk

    Thanks for the comment, Randy.

    I’m not sure it’s true that companies rolling out benefits changes don’t face well-organized and financed opposition.

    I linked to eleven examples in the post of this sort of thing – much of the time the really strong protests come from unions, which are by definition an organized group of workers.

    But it happens all the time even in non-unionized companies, and it doesn’t take organization and finance to create serious problems for companies trying to change to employee benefits.

    And so the town meetings are just a symptom of the underlying problem.

    Reformers in Congress and the Administration have plenty of academic ideas of how our system should work. But they are very, very inexperienced when it comes to questions of employee benefits. In fact, they have missed that this is what health care really is for most of us.

    It shows in the way they have designed reform, presented it, and especially in how they are reacting to opposition to it.

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