It hasn't attracted much notice, but recently some prominent advocates of Obamacare have spoken more frankly than ever before about why they supported a national healthcare makeover. It wasn't just about making insurance more affordable. It wasn't just about bending the cost curve. It wasn't just about cutting the federal deficit. It was also about redistributing wealth.
Health reform is "an income shift," Democratic Sen. Max Baucus said on March 25. "It is a shift, a leveling, to help lower-income, middle-income Americans."
In his halting, jumbled style, Baucus explained that in recent years, "the maldistribution of income in America has gone up way too much, the wealthy are getting way, way too wealthy, and the middle-income class is left behind." The new healthcare legislation, Baucus promised, "will have the effect of addressing that maldistribution of income in America."
At about the same time, Howard Dean, the former Democratic National Committee chairman and presidential candidate, said the health bill was needed to correct economic inequities. "The question is, in a democracy, what is the right balance between those at the top ... and those at the bottom?" Dean said during an appearance on CNBC. "When it gets out of whack, as it did in the 1920s, and it has now, you need to do some redistribution. This is a form of redistribution."
Summing things up in the New York Times, the liberal economics columnist David Leonhardt called Obamacare "the federal government's biggest attack on economic inequality since inequality began rising more than three decades ago."
Now they tell us. For many opponents of the new legislation, the statements confirmed a nagging suspicion that for Barack Obama and Democrats in Congress, the health fight was about more than just insurance -- that redistribution played a significant, if largely unspoken, part in the drive for national health care.
"I don't think most people, when they think of the healthcare bill, instantly think it's a vehicle to redistribute wealth," said pollster Scott Rasmussen. "But we do know that people overwhelmingly believe it will lead to an increase in middle-class taxes, and we do know that people are concerned that it will hurt their own quality of care, so I think their gut instincts point in that direction."