In my post of July 3, I made the bold suggestion that the various Big Medicine groups could very well be planning to “drop the bomb” on the whole effort toward Universal Health Care, either before the legislation was finalized and voted on, or perhaps even after. I called this the “Nuclear Option.”
Do not assume for a micro-second they have given up. They are preparing the Nuclear Option. One all-out attack on universal health care, with no regard for collateral damage, just the health of America. In the Board Rooms of the Insurance Megacorps, Big Pharma, Corporate Hospitals, and dozens of other stakeholders firmly anchored in the Status Quo, they are planning to bring this down. Once and for all, to obliterate the very notion of universal health care so completely, that it will never threaten their companies and profits again.
The question is, in all fairness, even though my hypothesis using organizational theory predicts the likelihood of an attempt to prevent UHC from becoming law, or destroying it after it is passed, is there any evidence to support it? I also stated,
The door for the Nuclear Option is now open. Why? Because the real-life environment to which we are applying my theory is not just one company; we are applying it to a multifaceted industry that has for decades successfully resisted and obstructed the move toward universal health care. And they know that by conspiring together and pooling their resources, they can potentially create a huge wall of resistance. This strategy has a flaw, however. A significant percentage of companies in the industry are supportive of UHC, and are already changing the practice of their organizations to successfully ride the transformative wave. This fact only serves to increase the opponents’ anxiety. Who has the most to lose?
The political and economic environment is volatile and turbulent. What I needed was a “radiation sniffer,” so to speak, a virtual monitor that would look for “leakage” that might be evidence of the Nuclear Option being planned. At the same time, I needed an operational definition for “sniffing radiation” that would naturally provide boundaries against my finding “evidence” under every rock just to prove my hypothesis.
That set up two basic choices. One would be to look for evidence that claimed outright that this group or that was planning to use their version of the Nuclear Option. The other was to look for evidence that the players known to be facing the biggest losses were playing their game very close to the vest; in other words to look for evidence where what was not being said was more important that what was.
I chose the second. This is why:
Therefore, if the individuals on the [Big Medicine] Boards and their Executive Management fail to manage their anxiety about the turbulence and the implications of transformative change in motion, and as they realize their historical resources for influence (i.e., lobbying) are waning, they will tend to take the most conservative stance to defend the survival of the organization, and that stance will tend to be to preserve the status quo at all cost.
And, the status quo has been for decades to work politically behind the scenes through lobbying and other forms of influence. The job of the Public Relations department is to create a public face for the organization that oozes altruism and the common good over the corporation’s true mission to make as much profit as possible using every Machiavellian principle in the book.
Preparing the Nuclear Option requires planning, stealth, subterfuge, and sleight of hand. In Board rooms around the country listen for the clink of glasses filled with expensive hooch, accompanied by the toast, “They’ll never see it coming!”
Am I skeptical and mistrusting of organizational motivations? Of course I am.
Here is my first example for possible radiation, in a piece written by David Herzenhorn and Sheryl Gay Stohlberg for the New York Times, July 7th, titled “Health Deals Could Harbor Hidden Costs:”
Rather than running advertisements against the White House, the most influential players in the industry are inside the room negotiating with administration officials and leading lawmakers, like Senator Max Baucus, chairman of the Finance Committee.
“The very groups we have been talking to have been the most vocal opponents of health care reform; they are now becoming the vocal proponents for health care reform,” said Rahm Emanuel, the White House chief of staff.
How very “chummy” of them. Sniff, sniff.
The Radiation Sniffer is now fully operational and on-line. Watch for more to come. Or if you find something interesting, send to me and I’ll check it out.