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04 October 2012

Comments

Bill, this is very well put but I think you left out an important dimension. At best, Obama's style of leadership is like that of a lawyer drawing up a contract. His goal is to win by maximizing his client's share of the gains while minimizing the client's share of the responsibility. At worst, Obama is a political narcissist whose goal is personal political gain while deflecting to others all blame for mistakes. By contrast, Romney is making clear that he is the kind of leader who seeks to benefit by improving the overall performance of the company, or in this case country. It's not only true that effective leaders are skilled at leading, it's also true that they tend to define their interests differently than the naysayers do, and that some of the naysayers see their own interests as being contrary to the interests of the organization.

Bill - In principle, I agree with this passage of your post:

"The implication to me was that, had Obama approached Congress and the American people with a set of objectives for health care overhaul, for instance, asserting that he would go along with just about anything Congress wanted so long as it met his critical objectives - no one dropped for pre-existing conditions, no lifetime caps on coverage, access to insurance for everyone, etc...the President would have been more successful."

The thing is, congress has proven time and time again, not just year after year, but decade after decade, that with healthcare, they are/were incapable (reluctant, actually) of doing just as you prescribed. The only way a comprehensive healthcare law like the AHA was to be passed was the way it actually did, UNFORTUNATELY. Russ Mitchell (R-KY) made it clear what his party's first objective was when Obama was elected, which was to make sure he wasn't RE-elected. Cooperation, I believe, was NOT going to happen.

The aspects of Obamacare that you mention (no lifetime limits, pre-existing conditions covered, etc. etc.) would NEVER have been approved by the GOP. It would have pissed off the health insurance companies, whom we all know care so deeply about us as people (choke, cough, gasp, puke), just as their commercials tell us.

Sarah Palin, that font of fiscal and political wisdom, and darling of the TeaPublicans, talked about "death panels." We already have them. They're called insurance companies, and they've been cutting off care with lifetime limits, noncoverage of pre-existing conditions, etc. etc. for decades.

Of course, if all one cares about is his own pocketbook, and has his/her own coverage set, and he/she doesn't give a damn about others, keep on supporting repeal of Obamacare. That's real Christian Social Doctrine, a la Paul Ryan, whose views on this subject the Catholic Sisters have ripped bigtime.

Sorry for the rant. Perhaps this wouldn't even be an issue had not a greedy insurance company pissed off the future President of the United States by trying to deny coverage to his mother while she lay in her hospital bed fighting terminal cancer.

There's your death panel.

Mark Welch:

Re Obama's mother and insurance companies, see this:

http://www.washingtonpost.com/blogs/election-2012/wp/2012/09/06/fact-checking-joe-biden-did-obama-fight-his-mothers-insurance-companies/

Bill,
If I remember correctly, Obama did go to Congress with a set of overall objectives for what he would accept in the health care plan. He then told Congress to work out the details. Obama was then excoriated in the press and by Congress for a lack of leadership because he did not provide enough details as to what he wanted. You can't have your cake and eat it too on this one.
By the way, Romney is not the solution to what ails the nation. Anyone that can't understand that our ability to manufacture products is critical to our national security isn't fit to be the President (See Romney Op Ed regarding the Auto industry).

Bill,

Excellent leadership article. You have guts in bringing up a political example!

In working with leaders I talk about the difference between leading and managing. Most all transformation failures are due to the fact there is an a lack of one or the other or both. Leaders love ideas and fail to execute. Managers love order and are afraid to delegate.

AC is absolutely right. Obama famously left it to Congress to put together the healthcare plan. And the plan is based on one first formulated by the right wing Heritage Foundation and backed by Republicans in the early 90s. Mysteriously, not a single Republican would vote for the bill come 2009. The reason Obama has not been "successful" with Obamacare is because he hasn't sufficiently explained it to the American people, but mostly because the Republicans didn't want him to succeed at anything. So they talked about "death panels," without mentioning that insurance companies act as death panels every day. And they talked about how the government would make decisions about your care and you might not be able to choose your doctor and on and on without mentioning that insurance companies decide what they'll pay for and which doctors they'll pay for, and how much care they'll pay for over the course of the insured person's life, etc. The Republicans effectively scared many Americans with lies. That, in a nutshell, is why Obama was not successful.

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