Prognosis Negative
Young people are the group most
likely to be uninsured—and to support healthcare reform. If Democrats
don't deliver it, they may stay home in November.
By Jesse Singal | Newsweek
Web Exclusive
Feb 2, 2010
Here's something that should make David Axelrod nervous: there are
probably more Yankees fans in Massachusetts than there are young people
who voted in the Massachusetts Senate special election, which cost the
Democrats their filibuster-proof supermajority. Just 15 percent of eligible
voters under age 30 participated. The numbers were similarly
dismal during two other Republican electoral victories from last fall.
In the Virginia and New Jersey gubernatorial races, just 17 and 19
percent of potential young voters participated, respectively.
This wasn't just a fluke trifecta of uninspiring elections. It is,
rather, part of a nationwide trend toward apathy among Americans under
30. Harvard's Institute of Politics (IOP), which regularly polls young
people on political issues, found last fall
that just 24 percent of 18 to 29-year-olds said that they were
"politically engaged or politically active," a 19-point drop from
a year earlier. This could mean trouble down the road for a Democratic
Party that may have begun taking the youth vote for granted. Young
voters, after all, turned out in record numbers for the 2008 election,
and if they hadn't, Obama might not be in the White House. But if
Democrats don't pass health-care reform, youth turnout may plummet.
Obama's strong statements on health-care reform during his State
of the Union address dealt at least a glancing blow to the then
conventional wisdom, which was that Democrats were mere inches from
irrevocable defeat on health care. Still, given the mess Nancy Pelosi
faces in the House, it seems more likely than not that the party will,
at best, pass through a series of minor patches. The reasons for this
are complicated and have been hashed over endlessly, but a compelling
reason to pass health-care reform is being ignored by the party bosses:
it could forestall a devastating migration of young voters away from
the party and back into political apathy.
Young Americans are uniquely affected by the nation's broken
health-care system. The Commonwealth Fund, a private foundation that
aims to improve health care, found in a report released in December
that nearly half of all young adults between 19 and 29 said they were
uninsured at some time during the past year. Because this age range
brings with it a number of transition points that can lead to coverage
being cut off—high school and college graduation, and early
internships or jobs that don't provide coverage—it's a decade fraught
with peril.
Given the weakness in the economy, says Sara Collins, co-author of
the report, young adults looking for insurance through their employers
face an uphill battle. If the economy gets worse, so too will the
health-care outlook for young Americans. "This will become increasingly
serious if it's not addressed through policy," Collins told NEWSWEEK.
It's no surprise, then, that even after months of demonization,
including countless falsehoods about government takeovers and "death
panels," young people remain the group that supports health-care reform
at the highest rates.
When the Commonwealth Fund asked young respondents whether it was
important for Congress and the president to improve the health-care
system, 88 percent said yes.
John Halpin, a senior fellow at the left-leaning Center for
American Progress think tank (full disclosure: I used to work there),
took the issue a step further. Young people, he wrote in an e-mail,
"are much more supportive of a positive role for government in the
economy and social policy than are older voters…The perception of how
the health-care fight has unfolded—as well as other issue battles on
the banks and the economy—surely has not helped matters on this
front."
The Harvard IOP data support Halpin's view when it comes to health
care. In its fall 2009 poll, the Institute found that young people
approve by a large margin every potential health-care remedy that
involves a more direct role for government, including offering a public
option, enacting a universal mandate, and increasing government
regulation over how health-insurance companies handle preexisting
conditions.
Halpin's point and the IOP's polling hint at the Democratic
Party's biggest youth-vote problem: young voters were awestruck by
Obama because he was a once-in-a-lifetime candidate who they thought
would act on their behalf, not merely because he was a Democrat. If the
Democrats drop health care, there will be an entire generation of young
voters unable to point to a single major legislative accomplishment
from the party during their lifetime. And as far they will be
concerned, when it came time for the Democrats to act on an issue that
was particularly important to them, they folded.
None of this is to say that Obama and congressional Democrats
haven't delivered on issues of importance to young people. Obama signed
into law the Edward M. Kennedy Serve America Act, which will greatly
expand national community service programs and more than triple the
size of AmeriCorps by 2017. He has also pushed hard to address onerous
student loans, which hamper many young Americans through their twenties
and beyond. And Congressional Democrats quickly raised the minimum
wage—which young people are more likely to earn than older
workers—after taking control in 2007.
But politically disengaged young voters aren't as aware of these
moves as they are of the noisy fight over health care. They may have
deviated from their usual stay-at-home tendencies to vote
overwhelmingly Democrat in 2008, but when Democrats exhort them to
repeat the act in 2010 and 2012, their inevitable response will be:
"why?" In a feverishly anti-incumbent political climate fueled by the
terrible economy, this could hand some races to the GOP.
"I speculate that a lot of [young people] will think if the
Democrats drop the [health-care] bill, that there really isn't any
point to engaging through national politics," says Peter Levine,
director of CIRCLE, a Tufts University–based organization that
studies youth political engagement.
Levine drew analogies to 1992, when he and other left-leaning
Generation-Xers, coming of age politically after 12 years of Reagan and
Bush, were inspired to vote for Clinton. They were quickly disappointed
by what they saw as his policy failings.
"We were waiting for a Democratic president," he said, "and when
he didn't do what had been expected, a lot of people in my generation
then decided that political engagement wasn't valuable and did service
instead." Sure enough, youth turnout plunged in the 1996 presidential election and
didn't exceed the 1992 level until 2008.
If the Democrats let down young voters by walking away from
health-care reform, history may repeat itself in more ways than one.
Singal is a freelance writer in Boston. His writing and
reporting have appeared in The Boston Globe, Politico, Washington
Monthly, and The American Prospect Online.