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Nicole Ferraro

The Healthcare Bill: It's Your Job Now

Written by Nicole Ferraro
9/28/2009 19 comments
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In March, we asked Internet Evolution readers whether the Webby public should get the opportunity to read and comment on legislation before it gets voted on by Congress. The majority -- 62 percent -- of you voted yes. And, congratulations, one Republican congressman is helping you do just that with healthcare.

While Democrats get much of the credit for being tech-savvy, Rep. John Culberson is one of the people on the other side of the aisle who has been heavy into social media from early on. His use of Qik, Twitter, and other services caused some brouhahas in the House over whether and how members of Congress should be using social media. (The House, thereafter, adopted new rules regarding Web communications.)

Now the Congressman is harnessing the Web to get some feedback on the already-contested healthcare bill (H. R. 3200) by using technology from SharedBook to allow people to read and comment on it, without making direct changes to the content. "It's incumbent on me as a representative to make the process the most transparent and open to the public, so people can actually see what Pelosi and Obama are prepared to do with their healthcare, and their relationship to their doctor," he told InformationWeek in an interview.

Still, while much of the bill is available for public comment on Culberson's Website, it's not all there, as recent amendments from the Energy and Commerce, Ways and Means, and Education and Workforce committees have yet to be released to the public.

This is one of the hurdles government officials and other individuals interested in transparency are hitting when it comes to gov 2.0. Sometimes the bills are not made available in machine-readable format, and sometimes they're not made available in advance at all.

But there are other problems when it comes to letting the public comment on bills: Like, is the public really qualified? Will its input be considered, or is this all a ploy to stall the bill's already-halted progress?

And, further, isn't it a big, hairy problem that the portion of the public that is making the effort to harness the Web and weigh in is only the connected and digitally literate public? Does it really make the process any less bad to have bills written by partisans in Congress and the country's privileged few?

This Webward movement is nice and all, but government officials need to consider that, unless citizens are actively online, or particular initiatives are picked up by traditional media, there's a great chance they're being left out of this new conversation. It's largely the case that when the Obama administration, or someone like Culberson, does something tech-savvy and collaborative, they promote it through a blog post -- an outreach method that ignores the offline population.

"I don't see any effort outside the Internet to bring the call to engagement," says Vivek Bhaskaran, founder of IdeaScale, which powered phase one of writing the Open Government Directive, during which citizens submitted and voted on ideas for increasing transparency across federal agencies.

"The White House blog has 5 million people visiting it every day. They can get at least to five million influencers really fast. It's simply easier for everybody operationally," he says. "Frankly no one is really aggressively talking about how to get more people involved."

Nonetheless, government 2.0 has fast become the hottest soapbox to stand on for legislators who want to look hip to transparency. But it's yet to be seen whether what we're getting is true transparency and real citizen participation in government, or just more empty buzzwords for politicos to add to their campaign verbiage.

— Nicole Ferraro, Site Editor, Internet Evolution

Channel: Web 2.0
Tags: Government, Healthcare
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Nicole Ferraro
IQ Crew
Friday October 2, 2009 3:48:03 PM
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Hey Paul. It's disappointing to me to read that a senator is coming right out and saying he has no intention of reading the bill. That's really disheartening. He should read it and raise all of his issues with the language on the floor. That's his job.

But you raise a good point. If the senators aren't reading the bill due to its confusing legislative language, I don't see how the crowd will be able to provide much perspective.

Paul Whyte
Researcher
Friday October 2, 2009 3:37:05 PM
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Well, here is a Senator who outrightly stated that he is not going to read the Obamacare bill. Sounds ironic to hear a guy saying he is not going to do the job for which he is being paid to do. But one very interesting thing about this is the Senator's very honest confession that:

" The thing is, he’s right about legislative language being incomprehensible, especially when, as in the case of ObamaCare, the subject matter has to be reconciled with so many other provisions of existing commercial law. Essentially, it’s an endless labyrinth of cross-referencing other statutes; you’d have to have the entire U.S. Code in front of you to follow the language accurately (or, better yet, a point-and-click version on the Internet) and even then your eyes would glaze over in short order from trying to keep track of it all. Point being, federal law long ago reached the point of bloat and bureaucracy where even legislators can’t digest it. The most they can do is trust the staffers who actually write the stuff to harmonize it well enough that unintended consequences are kept to a minimum".

So if legislators are foinding it so difficult to digest federal laws, then where does this crowdsourcing strategy from the murky realms of the internet leads us into?

Finance Committee Democrat Won’t Read Text of Health Bill, Says Anyone Who Claims They’ll Understand It ‘Is Trying to Pull the Wool Over Our Eyes

Nicole Ferraro
IQ Crew
Friday October 2, 2009 3:26:29 PM
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Great points, PaulJ and Mary. If you scan some of the comments on the bill on Culberson's site, you'll see a lot of the knee-jerk reaction stuff that you both refer to. That's one of the main problems I see with this idea of crowdsourcing bills. I'm just making up numbers, but I imagine it's bound to be 90% unhelpful, emotional responses and 10% constructive feedback. Hardly seems worth it. I agree with PaulJ that this may not be the right way to involve citizens in the conversation.

PaulJ
IQ Crew
Wednesday September 30, 2009 2:37:53 PM
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Well said, Mary.

Mary Jander
Thinkernetter
Wednesday September 30, 2009 1:47:22 PM
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"When I read user posts on articles from the Wall Street Journal or the New York Times, it's filled with inane, knee-jerk comments."

One of the disadvantages of the Web is the immediacy it delivers between brain and exposure. In days past, it may have taken some time and thought to write to a legislator or even a newspaper; today, thoughts can be fired off directly without a whole lot of thought, adding to the confusion, not the solution.

jnieusma
IQ Crew
Wednesday September 30, 2009 1:33:34 PM
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Excellent point. I agree with you completely.

PaulJ
IQ Crew
Wednesday September 30, 2009 1:17:18 PM
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Our politicians were elected to represent us. REPRESENT is the operative word, and how the elected official interprets and acts on it is the issue here.

Using technology to get the people to edit a bill is not right. When I read user posts on articles from the Wall Street Journal or the New York Times, it's filled with inane, knee-jerk comments. The few gems that help the discussion are hard to find. If that is any indication, the comment thread on a bill will require more government personnel to cull the list ( = more taxes to pay for them). Think about how many bill proposals go through the congress in any given year!

I applaud Rep. Johh Culberson for wanting to engage the public on such an important matter via an obvious medium and technology. But engaging the public is different from getting the public to edit a bill. I don't think he intended to shift his responsibility to the public. But officials should have a clear plan on how to use technology to get input from their constituency. They should not use it as an editing tool for any bill.

 

 

 

jnieusma
IQ Crew
Wednesday September 30, 2009 11:25:21 AM
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From the time our government first established the voting rights of the people of this nation, they have assumed that not everyone would be an expert on the matter at hand.

This brought us the Electoral College and a representative for of democracy called a republic. We have the right as citizens to voice our opinions and let the representatives know which way to steer the country.

 

The new era of transparency gives us an opportunity to become more involved in the policy decisions of our nation. Whether or not the representatives themselves read the bills or our responses to them, someone will. Admins, pages, aides, lawyers and lobbyists will all avail themselves of this process and it would be irresponsible of us to surrender it over to them exclusively.

 

Remember it is not always the voice of the majority that is heard, but the loudest voice in whatever concerned minority that speaks up. It is important that those of us who are active on the web make being involved in this process as a priority. Our numbers may seem small compared to the population of this country but ever child of school age is aware of the internet. The coming generations will have an opportunity to make themselves partners in our government. Our opinions may not be heeded at first, but over time, there will be increased influence.

 

As technology improves, the web becomes more accessible and more people use it daily. We all have families and friends with whom we interact. If each family only has one actual web user, they still get the information. This will give the silent, sane majority of this country a chance against the talk radio hosts and slanted news reports. The best way to remove undue influence is to make the facts available to everyone for their own decision. The fear mongers and spinners trip themselves up eventually.

 

Our opinions on posted bills will be a record of how well or poorly this new idea works. If the politicians choose to ignore our opinions, the record will still be there. Perhaps, eventually we may even develop some ethics and accountability.

ChrisTOP
Thinkernetter
Wednesday September 30, 2009 2:01:27 AM
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Stork, 
 
you mentioned something That I believe is essential to this discussion: 
 
"Do I know anything about healthcare, no not much, but my friend who is a doctor does." 
 
This is a part of the concern for me. The average citizen who will want to be a part of this process may not know much about healthcare. Say, for instance, the bill were put to a vote for citizens. How would we distinguish between an educated, well informed vote, and a vote from a casual CNN viewer? There are certainly more in Column B than in Column A, so where does that leave us? 
 
The problem with the Patriot Act being passed was that several of those who signed the bill flatly admitted they didn't read it, and no one is disputing that they should have. 
 
I agree wholeheartedly that citizens should provide input, as I think most of us do, but throwing the matter open for a nation wide vote is a different matter entirely. 

ChrisTOP
Thinkernetter
Wednesday September 30, 2009 1:44:25 AM
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Homestead,

I think it's great that you thoroughly read the bills. And if you know 5, or 10, or 20 people who also read them, that's even better. However, this is hardly representitive of the entire population.

My concern isn't with the minority of well informed citizens, such as yourself. It is with the general population who, as Hulot said, are more inclined to be influenced by outside sources rather than simply reading and deciding objectively.

 

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