There doesn’t seem to be any point in my pretending not to be thrilled by the historic House vote that sent health care reform legislation to President Obama.   

The victory is even more astounding when you consider that just a few short weeks ago health care reform was being pronounced dead upon the election of Scott Brown in Massachusetts, an event that denied Democrats the magic 60 votes they needed to get anything done in the dysfunctional Senate.

Credit for this amazing revivification must go to President Obama for finally—finally!–making an all-out push to get his signature issue passed into law.  Part of the reason that this took more than a year of agonizing twists and turns is that the President was too reticent for far too long.  Yet in the end, he can take pride in the historic victory.

Credit must equally go, however, to House Speaker Nancy Pelosi who pulled off a feat that was deemed impossible—getting the House to ratify the Senate version of health care reform.

Despite the factionalization of Democrats in the House, Speaker Pelosi was able to make it happen.  Bravo, Madame Speaker.  Somehow your persuasiveness and doggedness did not allow the perfect to become the enemy of the good.

It is also so refreshing and even inspiring to see that in the end demagoguery and malicious falsehoods did not triumph.  We shouldn’t expect that the braying from the GOP will stop any time soon, however.  They see political gold in disseminating smears about the bill, but time will tell.

What this shows is that the President and Democrats need to continue pressing their story and the benefits of this bill for millions and millions of Americans.

I find it interesting that while the President used the insurance companies as whipping boys in the last stretch of his campaign to get the bill passed, those same insurers didn’t say ‘To hell with it.’  They protested the ‘vilification,’ all right, but somehow were able to keep focused on the balm of millions of new customers amid the public lashings.

This is by no means the radical bill that the right would have you believe. This is no government takeover of health care. If it was, there would be no place for private insurers in it. A government takeover would be something like Medicare for all and this legislation doesn’t even come close to that.

This bill may not be perfect but it goes a long way toward eliminating the stain of having America be the only major democracy in the world whose citizens were not guaranteed health coverage.  And for that, we can hold our heads higher.

What, you might ask yourself, would cause a health insurance company coming off a quarter where it had multi-billion dollar profits to slam individual policyholders with rate increases up to 39%?

Well, let’s see. 

Maybe the insurer is headquartered on Mars and is unaware that a debate to reform the health care system has been raging in the United States for the past year.  And maybe this insurer was unaware that this debate has witnessed health insurers taking more than their share of abuse.

Or maybe the insurer is headquartered in the U.S. but is in need of a gigantic corporate hearing aid to assist in overcoming a massive condition of tone deafness.

Or maybe the insurer is just plain arrogant and doesn’t give a hoot about how this plays out in the larger world.

OK, maybe it’s none of these.  Maybe there were good reasons for the move and let’s concede them all.  So, concede the point that those billions in profit were largely a one-shot deal arising from a sale of a business.

And concede that the state’s regulations and the recession were causing the insurer to lose money on its individual business.  And concede that medical costs are skyrocketing, leaving premiums breathless to catch up in many cases.

Even with all those valid reasons, I still have to ask what the impulse is that causes one to offer up oneself as a piñata.  For surely, the company, no matter how tone deaf, had to have had some inkling of the uproar its pricing actions would cause.

After experiencing a year of hearing insurers railed at for unrestrained increases in premiums that are crushing businesses and consumers, how on earth do you go ahead and up the ante for some customers by 39%?

Was the company really clueless enough to expect that politicians would pass up the opportunity to relaunch a crusade that was showing signs of flagging?  Do lions pass up a nice big chunk of red meat when it’s thrown their way?

So, here’s my advice to the CEO of the company.  Don’t blame your actuaries, who I’m sure had very good reasons for justifying these increases.  Do blame your PR people—they’re paid to know better and they let you down grievously.   

And do take some of the blame yourself.  You could have had enough courage to tell your shareholders that this was just not the time to become a poster child for the excesses of the health insurance business.

I certainly hope the rest of the business will take note of what happened here.  But it does make you wonder whether tone deafness has become so persistent a condition that insurers have stopped listening.

By this time we all know how very very difficult it is to get anything done in the U.S. Senate, so it is not surprising that Sen. Chris Dodd, D-Conn., was upset about President Obama’s proposals regarding banks—what businesses they can or cannot be in under certain conditions and how big they should be.

One can understand the annoyance of the soon to be retired senior senator from the Nutmeg state who is chairman of the Senate Banking Committee.  After all, members of his committee have been paired off for months working on different facets of financial reform so that the Senate can have a bipartisan solution to hold up to the world.

Never mind that by the time Dodd’s committee finally puts something out, whatever the plan is will have taken longer to gestate than an elephant.  And the similarity, friends, is not likely to end there. 

So much time will have gone by that we will almost have forgotten what the impetus for financial reform was—and maybe that’s the point.  After all, banks are minting money again (although still not lending it), bank bonuses are in the pre-meltdown range (if not higher) and money from bank lobbyists is gushing. 

It’s obviously ‘What, me worry?’ time again in the good old U.S.A.

So what does the president do when these months-long negotiations between Banking Committee members are reaching a critical point?  He comes along and crashes the party.

I guess he didn’t realize just how delicate these negotiations are, how their fragility could be shattered by wanting too much from the legislation.

The New York Times quoted Dodd as saying that the administration was “’getting precariously close’ to excessive ambition for the legislation.” 

Dodd added: “I don’t want to be in a position where we end up doing nothing because we tried to do too much.”

While I feel your pain, senator, I’m also thinking that maybe the president has seen how unrewarding it has been to pretty much hand over major initiatives on health care reform and financial services reform to Congress.  Maybe he has seen the error of his ways and decided to start flexing a bit of executive power.

Maybe he just wants to get something done.  And let’s face it, that hasn’t seemed to bother you or your fellow committee members very much.