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Town Hall Chaos, or Democracy at Work?

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As a healthcare communications professional, it has been very interesting to witness the continuous clashes over healthcare reform between concerned citizens and our nation’s political leaders taking place at Town Hall meetings throughout the country.

First of all, I think a bit of perspective is in order. The United States has a long and colorful history of vigorous debate, ideological clashes and differences of opinion. Just read about the presidential election of 1800 between John Adams and Thomas Jefferson. Or read about the Whiskey Rebellion of 1794, where President George Washington decided to declare martial law and send troops to Pennsylvania to put down a rebellion of farmers opposed to federal taxes on whiskey. The new taxes were introduced as a way to pay down the national deficit, which was a real concern following years of war with Britain and massive borrowing from France, Spain and Holland to finance the American Revolution.

The current debate over healthcare reform, and the scenes taking place at Town Hall meetings throughout the US, is tame by comparison to these early struggles. Viewed in historical context, one could even argue that the current national scene is an example of democracy at work.

However, as the debate continues, neither side is communicating effectively. Supporters of reform seem unable to define clear, effective key messages. Political leaders are falling into classic traps by allowing themselves to be provoked and driven off message, and few if any seem to be prepared to handle the hostility that they are facing. On the other side, hyperbole, misinformation and shrillness don’t seem to be working either. The work goes on in Washington, and displays of hysteria at Town Halls could have the undesirable effect of marginalizing opponents of healthcare reform at a time when different views should be heard and considered.

Most rational people agree that the current US healthcare system is badly in need of reform. There are legitimate concerns over what shape healthcare reform should take, how much it will cost, and how it will impact the lives of ordinary citizens. Whether we succeed or fail hinges upon how well we as a nation can define the critical issues, engage all the stakeholders in this debate, listen to differences of opinion and create a shared understanding of the way forward.

In other words, we need to communicate.

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