Iowa State Senator Jack Hatch was in Washington yesterday to chair the first meeting of a working group on health care. According to a White House press release,

State Legislators for Health Reform includes leaders from across the country who will educate their communities on the need for health reform this year.  The legislators will host public events, author opinion pieces in local publications, and use their established networks to organize constituents in support of health reform.

The Iowa Senate Democrats issued a statement from Hatch, who said the state legislators told Health and Human Services Secretary Kathleen Sebelius that “state-level health care reforms can only go so far.” He added that Sebelius

“stressed the need to expand choices in the health insurance market is essential.  Increased competition will lower costs and improve patient care.

“That’s why we all agreed that Americans must have a public health insurance option and now is the time to speak up.”

A public option that makes health insurance more accessible and affordable for adults is also likely to improve the health of children. Kevin Concannon of the Iowa Department of Human Services explained why in his contribution to the Reforming States Group’s May 2009 Healthy States/Healthy Nation report:

Ultimately, to achieve better health care access and better health status for children, the United States needs to cover parents as an essential, linked strategy for children. If parents have health insurance, they will better utilize the health care systems available to their children.

If you believe that real health care reform requires a public option for health insurance, you have two new and easy ways to do something about it. Neither will take more than a minute or two of your time.

Details are after the jump.

Senator Evan Bayh of Indiana announced plans in December to form an equivalent of the Blue Dog caucus in the Senate. Today his office rolled out the Moderate Dems Working Group.

Should Democrats be worried, or is this a non-story? A few thoughts are after the jump.

Via the Stinging Nettle blog, I found this piece in Politics magazine by Marty Ryall, who managed Senator Elizabeth Dole’s unsuccessful campaign last year. Ryall’s main subject is the grotesque “Godless” ad that Dole ran against Kay Hagan in late October. He contends that contrary to widespread opinion, backlash against the ad did not cost Dole the election. Rather, the ad was “our Hail Mary pass” that ran only because they felt they had no other chance to win.

As you’d expect from an operative who worked on a failed campaign, Ryall goes out of his way to explain why Dole’s campaign was already in trouble before he came on in May 2008, and why she lost the election mostly for reasons out of his control. (For instance, Barack Obama targeted North Carolina and registered hundreds of thousands of new voters.) Ryall also claims that he and others intervened to make the final version of the “Godless” ad more fair to Hagan than the first cut. Whatever.

I was more interested in why Dole would have to resort to that kind of desperate attack. Ryall doesn’t explicitly address that point, but this passage in his piece suggests Dole simply had nothing else to say:

We knew we had three weaknesses. A report by Congress.org had ranked Dole 93rd out of 100 senators in effectiveness. She voted with President Bush more than 90 percent of the time. And during the two-year period when she was chairman of the NRSC, she only traveled to North Carolina a handful of times.

No doubt external conditions helped sink Dole. But if she had built up a solid record during her six years in the Senate, Dole would have had a better chance of withstanding the Democratic wave. At the very least she would have had a better final-week message for voters than, “Atheists held a fundraiser for my opponent.”

Democrats control the executive and legislative branches in Iowa and in Washington. Current economic trends suggest that they may face a challenging political environment in 2010. I hope they will draw the right lessons from Dole’s disgrace. Don’t blindly follow failed policies and do something substantial for your constituents.

Having a record to run on is no guarantee of victory if the prevailing winds are against you. My very effective 18-term Congressman Neal Smith (IA-04) lost in the 1994 landslide. But it helps to be able to remind voters of some big achievements. In the worst-case scenario you’ll lose with more dignity than Dole.