Obama's First Year: Good Start to a Very Steep Climb

It has been almost one year since Barack Obama was sworn-in as the 44th President of the United States, becoming the first African American to attain our nation’s highest office. When Obama placed his hand on the bible and took the official oath, America once again became a beacon of hope to the world. As over a billion people tuned in, from every city and town across America to the far reaches of the globe, spirits were lifted as the promise of a bright future emanated from the Capitol steps and the symbols of our nation glowed in the background. “The time has come to reaffirm our enduring spirit,” the President declared on that cold, exuberant January day, “to choose our better history; to carry forward that precious gift, that noble idea, passed on from generation to generation: the God-given promise that all are equal, all are free, and all deserve a chance to pursue their full measure of happiness.”

It did not take long, however, for the feelings of exultation and pride felt by many of us on inauguration day to be tempered by the harsh realities of governing a country. Beset with the largest economic recession since the Great Depression, two long, drawn-out wars in distant lands, and a mean-spirited, political opposition that spares no distortion in attempting to divide us, the obstacles facing Obama and the country were huge, the problems inherited seemingly insurmountable. The new President had a very steep mountain to climb, yet he willingly accepted the challenge. Faced with rising unemployment and a collapsing economy, he immediately put into place an economic stimulus package of historic proportions. Although a flawed bill in many ways – with too much emphasis on bailing out Wall Street and not enough on short-term job creation – few mainstream economists dispute that the President’s decisive action and infusion of $787 billion into the economy prevented an economic depression.

At the same time, and as he promised, Obama expended an extraordinary amount of energy and political capital on reforming our expensive, impersonal, unfair, and extremely flawed health care system – an ambitious legislative agenda that has been attempted, unsuccessfully, by every Democratic president from Truman to Clinton. Although the health care bill that Obama is likely to sign in January is imperfect in many ways – the lack of a public option and consumer choice, and the deference given to the insurance industry, its most obvious flaws – it is nevertheless transformative and will be one of the most significant pieces of domestic legislation since the creation of Social Security. I credit Obama for not giving in to all of the cries in the wilderness, and for recognizing that health care is not just an economic issue, but a moral one as well.

It is inexcusable that in the United States, the richest country on earth, 46 million people have no health insurance, while every other major industrial country guarantees health care to its citizens. Thanks in large part to Obama’s persistence and commitment, that is going to change. As the editors of the New York Times explained today, it is both “a moral obligation and sound policy to provide health insurance to as many people as possible.”

Claims that the uninsured can always go to an emergency room for charity care ignore the fact that American taxpayers pay a high price for that care. And it ignores the abundant evidence that people who lack insurance don’t get necessary preventive care or screening tests, and suffer gravely when they finally do seek treatment because their diseases have become critical.

The American Cancer Society now says the greatest obstacle to reducing cancer deaths is lack of health insurance. It is so persuaded of that fact that two years ago, instead of promoting its antismoking campaign or publicizing the need for cancer screening, it devoted its entire advertising budget to the problem of inadequate health insurance coverage.

When the final version of the bills approved by the Senate and the House become law, Obama will have achieved what no President since FDR has accomplished. Although falling short of universal coverage, he will nonetheless have reformed an intractable industry of divergent and powerful interests, and installed a moral compass in its heart, providing affordable, accessible medical care to over 31 million previously uninsured Americans. The tragic stories of people being charged exorbitant premiums or being rejected altogether because of pre-existing conditions, and of people who had their policies rescinded when they got sick, will become distant remnants of an uncaring past. Unmarried dependent children will be allowed to remain on their parents’ policies until at least age 26. For employees who lose their jobs and need to buy policies on their own, insurers will no longer be permitted to deny coverage or charge outlandish premiums for health reasons. In an effort to reduce the rising costs of hospital care that underlie virtually all increases in premiums, deductibles, and co-payments, the legislation includes a variety of pilot projects that test new payment and health care delivery systems within Medicare. And the bipartisan Congressional Budget Office has estimated that the health reform measures contained in the Senate bill (most likely to resemble the final bill) will reduce the deficit by over $80 billion by 2019.

Of course, lost in the debates over health care reform and universal coverage, is what Obama already has achieved this year in significant health care legislation. The Children’s Health Insurance Bill, for example, expands coverage to 4 million uninsured children by 2013, while continuing coverage for the 7 million already covered. He has reversed the Bush administration’s disastrous and immoral restrictions on stem cell research. Included in his economic stimulus program are funds that prevent huge cuts in state Medicaid programs, money to help laid-off workers afford their previous employer's health care under COBRA, and funds that will vastly improve our Health Information Technology systems. Any of these things, standing alone, would be major accomplishments, yet most people remain unaware of them.

Also lost in the hype over bank bailouts and other distasteful aspects of the economic stimulus package, are the many individual achievements that will benefit the country for years to come. A short sampling includes increased funding for: school construction, higher education, and scientific research; clean energy investments, state energy conservation programs, and improvements to our nation’s electric grids; public transportation and high-speed rail systems; broadband investments in rural and under-served areas that previously had little or no access to high-speed internet (a matter for which the United States is woefully behind the rest of the world); federal unemployment insurance; nutrition and child care programs; and affordable housing.

In foreign affairs, Obama’s efforts have been a mixture of disappointment and inspiration. Though he has so far failed to resolve many of the world's most pressing conflicts, he has succeeded in restoring America’s global image. It is easy to forget that, when Obama was elected, America's friends had suffered through eight years of unilateral, moralistic militarism. We had lost the confidence of our European allies, and we were looked upon with great dismay and distrust by most of the world. In his inaugural address, Obama declared that “America is a friend of each nation and every man, woman and child who seeks a future of peace and dignity, and we are ready to lead once more.” Reminding that “earlier generations” had defeated fascism and communism “not just with missiles and tanks, but with sturdy alliances and enduring convictions,” he noted that “our security emanates from the justness of our cause; the force of our example; the tempering qualities of humility and restraint.”

Obama has replaced the go-it-alone arrogance of Bush/Cheney, with an approach that is far more conciliatory, pragmatic, and frankly, refreshing. In doing so, he has reached out and renewed meaningful connections with much of the world, significantly reorienting policy toward Iran, Russia, China, Iraq, and many Islamic nations. Although not yet deserving of the Nobel Peace Prize, he has made some important strides in the right direction.

Like many of my liberal friends, I have taken issue with some of Obama’s first year actions and decisions. I am disappointed that he has made virtually no progress in the Israeli-Palestinian peace process, and I question the viability of an expanded war in Afghanistan, a war that has already gone on longer than America’s involvement in World War II and Korea combined. He has proceeded too cautiously in many crucial areas – short-term jobs programs, gay rights, the promotion of human rights abroad, the public option in the health care bills. I wish, in his dealings with his fellow Democrats in Congress that he relied a little more on LBJ’s behind-the-scenes flattery and intimidation and a little less on impressive speeches and attempts to seek common ground (although not his style, I have thought that at times he needs to, you know, twist a few arms along the way, whatever it takes to get it done). But tactically he has probably made the right call in deferring some of the smaller, more politically hazardous battles to pursue the major ones – preventing a depression, winning nearly universal health insurance, and remaking America’s global image.

Any shortcomings of his first year aside, if there is one trait President Obama possesses, it is the capacity for self-examination and self-improvement. Neither Rome nor America can be changed in a day, or even a year. Considering the problems this President inherited, and looking with continued hope and optimism to the future, this country once again has the capacity for greatness. Obama is yet to achieve everything he promised, and he has a long, steep climb ahead. But with 2009 coming to a close, I believe that America has much to be hopeful for in 2010 and beyond. I for one remain optimistic and thankful that President Obama will be leading the way.