Obama's Address on Health Care to Congress
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Labels: Barack_Obama, Congress, Healthcare
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Labels: Barack_Obama, Congress, Healthcare
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You see, our predecessors understood that government could not, and should not, solve every problem. They understood that there are instances when the gains in security from government action are not worth the added constraints on our freedom. But they also understood that the danger of too much government is matched by the perils of too little; that without the leavening hand of wise policy, markets can crash, monopolies can stifle competition, and the vulnerable can be exploited. And they knew that when any government measure, no matter how carefully crafted or beneficial, is subject to scorn; when any efforts to help people in need are attacked as un-American; when facts and reason are thrown overboard and only timidity passes for wisdom, and we can no longer even engage in a civil conversation with each other over the things that truly matter – that at that point we don't merely lose our capacity to solve big challenges. We lose something essential about ourselves.
What was true then remains true today. I understand how difficult this health care debate has been. I know that many in this country are deeply skeptical that government is looking out for them. I understand that the politically safe move would be to kick the can further down the road – to defer reform one more year, or one more election, or one more term.
But that's not what the moment calls for. That's not what we came here to do. We did not come to fear the future. We came here to shape it. I still believe we can act even when it's hard. I still believe we can replace acrimony with civility, and gridlock with progress. I still believe we can do great things, and that here and now we will meet history's test.
Because that is who we are. That is our calling. That is our character.
In this week's New York Times, Paul Krugman puts out a simple defense of the public option:Most arguments against the public option are based either on deliberate misrepresentation of what that option would mean, or on remarkably thorough misunderstanding of the concept, which persists to a frustrating degree: I was really surprised to see Joe Klein worrying about the creation of a system in which doctors work directly for the government, British-style, when that has nothing whatsoever to do with the public option as proposed. (Forty years of Medicare haven’t turned the US into that kind of system — why would having a public plan change that?)
SOME THOUGHTS OF A VISITING GPWhilst visiting San Francisco in August 2009 a few thoughts occurred to me concerning the current debate in the US about the proposed changes to the US Health care system and comparisons with the UK's NHS.
In every country in the world there are basically only 3 ways of accessing health care.
The rich simply pay cash for whatever they want.
Those with health insurance received 'managed care'
The poor are thrown on the basic healthcare provided by the State
In the UK the NHS covers both the last two catagorys. The standard of care for ALL is equivalent to the managed care received by US citizens with insurance. A few people in the UK have private health insurance, usually as a perk of their job. In the past this allowed you to bypass some of the NHS queues. Nowadays, with the better financed NHS, private health insurance tends just to allow you to have private room, rather than share a 4-bedded bay, which is the norm in NHS hospitals.
The vast majority of hospital specialists or Consultants do most of their work in the NHS and do private work to supplement their NHS income. Private hospitals are not really set up for complex procedures and if you are seriously ill you are best off with the NHS.
The key to the NHS is the General Practitioner or GP (Primary Care Physician). Your GP will refer you for both NHS and Insurance referrals, but will provide the bulk of your care. Most chronic diseases in the UK are dealt with by the GP, who will know you and your past history and will tailor your healthcare for you personally. Primary Care is very strong in the UK.
Now to deal with a few points:
Rationing: all healthcare is rationed, except for the rich. In the UK most treatments are covered by the NHS and your doctor is free to prescribe any drug or treatment that is marketed in the UK. The exceptions are new expensive treatments whose clinical effectiveness are assessed by an independent body called the National Institute for Clinical Excellence (NICE), before they become widely available on the NHS. In the US health care is rationed by the Insurance companies managed care system, or by your ability to pay. I understand it is not unknown for people to die in the US as they lack the money to fund their treatment. I leave the reader to decide which is the better system.
Waiting Times and Choice: in the past the wait for routine procedures could be measured in years, but since the advent of Tony Blair's Labour Government a lot of money has gone to improve matters. As a GP I can use the new Choose and Book computer system to book appointments during a patient's consultation, at a time and date of their choosing. Most routine appointments will be within a month. It is unusual for the wait for surgery to be more than 3 months. If your GP thinks you may have cancer, there is a rapid access system which gets you to see a Specialist within 2 weeks and any definitive treatment started within a month.
Quality: British doctors are trained to the same standard as those in the US and foreign graduates wanting to work in the UK must have a good standard of English and meet the clinical standards set by the various Royal colleges that supervise training in the UK.
Income: when the NHS was set up in 1945 many doctors feared that they would be out of pocket. This has proved to be far from the case. Most GPs earn £120000 from the NHS with very little from private work. Experienced nurses earn from £20-30000. Hospital Consultants earn around £100000 from the NHS, but their additional private income can vary from zero to £100000+ according to their speciality and/or personal choice.
Innovation: the charge that the NHS discourages innovation and invention just makes me laugh. The route to being a hospital consultant is through research. All hospital consultants only get their position once they have done some research and continue to do so once in post. British drug companies are amongst the best in the world and around 40% of current treatments had their origins in the UK.
I admit to wondering what lies behind the opposition to President Obama's health care reforms. I suspect that many Americans realise that sorting out your healthcare system will inevitably lead to other social reforms.
The NHS is a small part of a whole raft of social benefits that make up the British Welfare State.
Benefits are provided if you are unemployed, sick, disabled or caring for someone who cannot care for themselves. Everyone gets an old age state pension from 65. The elderly are one of the main beneficiaries of the NHS. Should you need residential or nursing home care as you get older then the state pays for that and allows you to keep significant personal assets.
The poor and other disadvantaged groups are not left to fend for themselves on the streets. Local government in the UK has a statutory duty to provide social housing for all who need it, together with social services care. The homeless are not left to roam the streets, but are housed in hostels, where they have their own lockable room. These hostels provide temporary accommodation until the local authorities can find somewhere permanent, usually in the form of a one or two bed apartment.
This extensive welfare system is the result of the Socialist Government of 1945 and is the result of the report carried out by Beveridge in the later years of WW2. It is important for Americans to remember that the UK, and Europe in general, is far more left wing than the US. The main British right wing party, the Conservatives, are much more akin to left leaning Democrats. The Labour Party is a left wing party that has moved a little more to the right under Tony Blair. Some of the views I have read from Republicans would have no place in British politics, except in our extreme right wing parties like the British National Party (BNP), who are viewed with contempt by the majority in the UK.
The downside of course to the Welfare state is the cost. Income tax in the UK starts at 20% and rises to 40% on any income in excess of £38000.
On mainland Europe the Social care systems are more generous than the UK, but their income tax rates are higher. In the US it seems you provide very minimal benefits, but have low income tax.
In the UK we have gone for the middle ground between the two.
A UK style system would almost certainly lead to the US middle class losing their mortgage tax relief, as happened in the UK. Perhaps this is the main reason for the opposition?
Benefits in the UK are aimed at providing a comprehensive safety net with benefit levels set to allow you to survive and stay in your own home. No one would choose to stay on benefit as even a modest income will give a better quality of life. For instance, except in times of recession, most people made unemployed would have found a new job within a month. The UK is still a net importer of employees.
A few people do slip through the net, especially in London, but people begging on the street is unusual in the UK and often they are people who have great difficulty engaging with any form of authority. Strenuous efforts are made by many state and charity groups to engage with these individuals.
Remember even these people have the right to see a GP and access all parts of the NHS. I have worked for a practice that provided services targeted at the homeless.
I am shocked whilst in the US, the richest country in the world, to see such affluence along side such abject poverty.
I would like to remind the US: 'No man is an island.'
Dr Stephen Shepherd, GP
Ashby de la Zouch, Leicestershire
==============================
Incremental measures won't suffice anymore. We need to succeed where Teddy Roosevelt and all others since have failed. The conditions now are better than ever. In Barack Obama, we have a president who's announced that he's determined to sign a bill into law this fall. And much of the business community, which has suffered the economic cost of inaction, is helping to shape change, not lobbying against it. I know this because I've spent the past year, along with my staff, negotiating with business leaders, hospital administrators, and doctors. As soon as I left the hospital last summer, I was on the phone, and I've kept at it. Since the inauguration, the administration has been deeply involved in the process. So have my Senate colleagues—in particular Max Baucus, the chair of the Finance Committee, and my friend and partner in this mission, Chris Dodd. Even those most ardently opposed to reform in the past have been willing to make constructive gestures now.
=================================I long ago learned that you have to be a realist as you pursue your ideals. But whatever the compromises, there are several elements that are essential to any health-reform plan worthy of the name.
First, we have to cover the uninsured. When President Clinton proposed his plan, 33 million Americans had no health insurance. Today the official number has reached 47 million, but the economic crisis will certainly push the total higher. Unless we act now, within a few years, 55 million Americans could be left without coverage even as the economy recovers.
All Americans should be required to have insurance. For those who can't afford the premiums, we can provide subsidies. We'll make it illegal to deny coverage due to preexisting conditions. We'll also prohibit the practice of charging women higher premiums than men, and the elderly far higher premiums than anyone else. The bill drafted by the Senate health committee will let children be covered by their parents' policy until the age of 26, since first jobs after high school or college often don't offer health benefits.
To accomplish all of this, we have to cut the costs of health care. For families who've seen health-insurance premiums more than double—from an average of less than $6,000 a year to nearly $13,000 since 1999—one of the most controversial features of reform is one of the most vital. It's been called the "public plan." Despite what its detractors allege, it's not "socialism." It could take a number of different forms. Our bill favors a "community health-insurance option." In short, this means that the federal government would negotiate rates—in keeping with local economic conditions—for a plan that would be offered alongside private insurance options. This will foster competition in pricing and services. It will be a safety net, giving Americans a place to go when they can't find or afford private insurance, and it's critical to holding costs down for everyone.
We also need to move from a system that rewards doctors for the sheer volume of tests and treatments they prescribe to one that rewards quality and positive outcomes. For example, in Medicare today, 18 percent of patients discharged from a hospital are readmitted within 30 days—at a cost of more than $15 billion in 2005. Most of these readmissions are unnecessary, but we don't reward hospitals and doctors for preventing them. By changing that, we'll save billions of dollars while improving the quality of care for patients.
Social justice is often the best economics. We can help disabled Americans who want to live in their homes instead of a nursing home. Simple things can make all the difference, like having the money to install handrails or have someone stop by and help every day. It's more humane and less costly—for the government and for families—than paying for institutionalized care. That's why we should give all Americans a tax deduction to set aside a small portion of their earnings each month to provide for long-term care
I had hoped and prayed that this day would never come. My heart and soul weeps at the loss of my best friend in the Senate, my beloved friend, Ted Kennedy.
Senator Kennedy and I both witnessed too many wars in our lives, and believed too strongly in the Constitution of the United States to allow us to go blindly into war. That is why we stood side by side in the Senate against the war in Iraq.
Neither years of age nor years of political combat, nor his illness, diminished the idealism and energy of this talented, imaginative, and intelligent man. And that is the kind of Senator Ted Kennedy was. Throughout his career, Senator Kennedy believed in a simple premise: that our society's greatness lies in its ability and willingness to provide for its less fortunate members. Whether striving to increase the minimum wage, ensuring that all children have medical insurance, or securing better access to higher education, Senator Kennedy always showed that he cares deeply for those whose needs exceed their political clout. Unbowed by personal setbacks or by the terrible sorrows that have fallen upon his family, his spirit continued to soar, and he continued to work as hard as ever to make his dreams a reality.
In his honor and as a tribute to his commitment to his ideals, let us stop the shouting and name calling and have a civilized debate on health care reform which I hope, when legislation has been signed into law, will bear his name for his commitment to insuring the health of every American.
Labels: Barack_Obama, Congress, Healthcare, Joe_Biden, John_McCain, Social_values
Welcome to a very special health care edition of ME's Political Rant.
So, this is how I know that it's time for a political rant -- when I'm standing in front of the TV SCREAMING at CNN and the monologue goes something like this, "What the $^&*!!^% are you talking about, you &*$$*%! ?/&*!%^!&*!! Why don't you ask that ??%!@&^&%@ #$ &*&^ %^$! what he'd do if his OWN !?#$%&# daughter were #&*^!#%^*$ sick and he didn't have his &^%?!$% precious Congressional health care ???? Are you a MORON????"
Now, far be it from me to take a reductionist view of a complex and byzantine issue, but can I just point out that nobody is getting ANYwhere right now? The truth is that I've had a hankering to put out a rant for a while, but now my blood pressure is up, my throat is sore from yelling at FOX news idiocy and yesterday I almost put my middle finger through the TV screen. Clearly, the time has come.
There's a lot to cover here, but I'm gonna put this right at the top. You wanna know what's in H.R. 3200, America’s Affordable Health Choices Act of 2009, or the Health Care Reform bill? Here it is, in its 1018-page glory. Yes, that sounds like a lot, but consider that it's 80 pages shorter than Ayn Rand's Atlas Shrugged (paperback edition) and it's double-spaced and in a larger font.So the beauty of the Internet is that you can find anything you want if you just look long enough. As this bill wends its way through committees it obviously gets revised, and you can track the changes on Govtrack.org.
A Little Bird Told Me....
I think there should be a new rule: you may not be on TV, you may not be quoted, you do not get to talk about health care, if you are going to use the phrase "I've heard that..." as in "I've heard that grandma will be called up in front of death panels under this health plan....I've heard that kids under the age of 21 with bad acne and frizzy hair will be sterilized under this health plan...I've heard that Barack Obama wants to recycle old people into Soylent Wafers under this health plan."
The "I've heard that" impulse-- which I readily admit is hard to fight-- accounts for so much of the hysteria out there, like this frustrating email that you may have seen around the net:
On Page 425 of Obama's health care bill, the Federal Government will require EVERYONE who is on Social Security to undergo a counseling session every 5 years with the objective being that they will explain to them just how to end their own life earlier. Yes... They are going to push SUICIDE to cut Medicare spending!!! And no, I am NOT KIDDING YOU! So those of you who voted for Obama have now put yourself and your own parents in dire straights... Congratulations!
If you're like me (or like Jon Stewart) you howled when there appeared to be hedging on the idea of a public option ( a government -run insurance plan similar to Medicare). I think it was all a ploy to get the rest of us SOOO riled up at the prospect of the public option being taken off the table that we'd get on the horn, and so here I am, on the horn to you, my friends. (Jeez, I sound like John McCain.) I'm sending out this rant with some special resources on who and how to contact in Congress, so please feel free to pass it on through the same channels we used last year at this very time...
Should there be health care for crazy people?
Wow, I guess in principle I'm for mental health coverage in this reform bill, but there are obviously a lot of Crazy People (Sarah Palin) out there barking at the wind (Sarah Palin). People (Sarah Palin) who really need to schedule those 20 visits with a mental health professional.
Not content with dissing that bastion of socialism, Canada, the misinformation storm has now swept up Britain too. To the point that they're finally hitting back, after watching their NHS system pilloried in the news, e.g. "Oh God, Americans would NEVER want SOCIALIZED medicine disaster like that SOCIALIST REGIME in BRITAIN forces on its people. They would have KILLED someone like Stephen Hawking under a system like the British." Except that Stephen Hawking LIVES in BRITAIN -- and he's not dead. Yeah. Um... yeah. Says Hawking to The Guardian newspaper: "I wouldn't be here today if it were not for the NHS." Moving on.
(All figures are for 2007 except for Japan, which is for 2006)
The White House has a website rebutting some of the claims that drive me insane (How many times do you think Obama is going to have to say, "You will be able to keep your own health insurance if you like it"?) But you can also read the excellent Consumer Reports Health Reform blog for up to date and well-researched information -- one of the better reads out there. It's part of their larger website covering Health Care reform, which has other good resources on it.
Consumers Union health policy analyst, Steven Findlay also had an editorial in USA Today back in June that laid out the basics with an historical persepctive pretty clearly. "Socialized medicine. Government-run health care. Rationing. Bureaucrats in charge. "Cookbook" medicine. Waiting lines. It'll break the bank. Welcome to the health care debate 2009. Sound familiar? These notions aim to instill fear. And once again, they bear no more relation to the reality of what is being debated in Washington than was the case when the Clintons had a go at health reform in the 1990s. Don't be misled this time. In fact, far more bipartisan agreement exists on many core elements of reform than you might think... What would be new is that people who don't have access to such coverage (and some who do) would be able to get coverage through insurance "exchanges." They'd be able to choose from a batch of private plans and policies that would have to accept all comers, offer comprehensive coverage, and be barred from "cherry-picking" only healthy people."
Has anyone else noticed that in fact, under he current system, someone-else-who-is-not-you is already making the decisions for us? When your employer gives you a "choice" of either a low-budget, it-would-be-great-if-you-
As Consumer Reports observes in their August 2009 issue,
Private health insurance already comes between you and your doctor. And because each company sets its own rules, it’s hard to imagine a more bureaucratic system. Some insurers decide which doctors you can see, which hospitals you can visit, and what drugs you can take and still be covered. And they may require copious paperwork before approving a treatment you and your doctor want. Health-care reform would standardize claim procedures to cut down on all of that. And it would protect you from other abuses, like being rejected for coverage or paying exorbitant premiums if you get sick.
=================================
The LA Times' Noam Levey had a good summary of where everything got left as Congress went on break.
Where does the healthcare overhaul legislation stand?August 2, 2009Reporting from Washington -- Amid a flurry of activity on healthcare legislation, the House left Friday for its monthlong summer recess. The Senate will take off at the end of this week. The break comes as Democratic leaders are working to cobble together complex healthcare bills to bring to the floors of each chamber for votes this fall.
Here is an update on where the debate stands in Washington:Has Congress agreed on how to ensure that all Americans will be able get health insurance?
The two major bills that have cleared committees in the House and Senate would establish insurance marketplaces, or exchanges, through which individuals and small businesses could compare a variety of plans that meet basic standards to be established by the federal government. The exchanges would include private plans as well as a government insurance program, which advocates say would pressure commercial insurers to lower costs and improve quality. The government would provide subsidies to help low- and moderate-income people afford the insurance.
Does that mean there will be a government plan?
Not necessarily. The government plan faces opposition from some who fear it could ultimately drive private insurers out of business. The nonpartisan Congressional Budget Office, or CBO, which is charged with evaluating the effects of legislation, has projected that would not happen. But because Republicans and some centrist Democrats object to a government plan, a bipartisan group of lawmakers in the Senate Finance Committee is trying to develop an alternative. That might be a system of health insurance cooperatives owned by consumers.
Will these exchanges really control the cost of healthcare?
Not by themselves. The two major bills include other provisions designed to encourage Americans to be healthier, such as eliminating co-payments for some checkups and other preventive care. Many believe that will ultimately save money. The House bill also contains several pilot programs in Medicare to encourage hospitals and doctors to deliver care more efficiently. For example, one committee inserted a provision to reward programs that provide care to chronically ill senior citizens in their homes to prevent costly hospitalizations.
Will that be enough?
Many business groups, labor unions and others believe the legislation must put even stricter limits on Medicare spending to curb unnecessary and inefficient care. The head of the CBO also has testified that the bills do not do enough to slow the growth of healthcare spending. Senior Democrats have pledged to adjust the legislation to do that over the August break.
Would that mean that Congress won't raise taxes to pay for this healthcare overhaul?
That's still not clear. The House bill would assess a new surtax on individuals who make more than $280,000 and couples who make $350,000 a year to raise $544 billion to help offset the cost. House Speaker Nancy Pelosi (D-San Francisco) has indicated that she might move to raise those cutoffs to $500,000 and $1 million. In the Senate, where there is little support for a new income tax, lawmakers are talking about other proposals, including taxing some health benefits or assessing fees on insurance companies. Senior Democrats plan to work on those details over the summer.
Now, who do we need to call...
So here we are again -- are you up late at night scanning CNN and HuffPo? Are you railing at your TV? Are you seething with undirected rage? Here's my thought -- make up a little form letter that encapsulates how you feel and send it to members of Congress. Send a supportive email to the ones whose views you back, send an irate one to the members whose views make you mad. I don't care which is which, but get in there. Attached is a handy list (in Excel Format) with names, phone and fax numbers and email links -- feel free to use it liberally... Thanks to the visi.com site which keeps this sort of thing updated regularly.
The Roll Call of Shame (please feel free to call, fax or email your rants to these guys, click on his or her name to go to a link to email them directly.)

![Unpossible. SFX: Head exploding, barely audible sound of brain fragments sliding down wall behind me. [via hipsterrunoff]](http://12.media.tumblr.com/rsHTTK2U5di0bp3lUdLNjUNv_400.jpg)
Labels: Barack_Obama, Congress, Conservatives, Healthcare, Jon_Stewart, Legislation, Palin_gaffes, Republicans, Sarah_Palin, Socialism
The timely vote will put Sebelius in office as the Obama administration is up against its first public health outbreak.
She steps into the role as swine flu numbers climb worldwide. As of Tuesday morning, at least 90 cases had been confirmed, including 50 in the United States.
Labels: Barack_Obama, Cabinet, Healthcare, Swine_Flu
Reversing Bush policy, President Barack Obama on Monday cleared the way for a significant increase in federal dollars for embryonic stem cell research and promised no scientific data will be 'distorted or concealed to serve a political agenda.'
Obama signed the executive order on the divisive stem cell issue and a memo addressing what he called scientific integrity before an East Room audience packed with scientists. He laced his remarks with several jabs at the way science was handled by former President George W. Bush.
Labels: Barack_Obama, Healthcare, Social_values
President Obama said on Thursday that though “special interests” and “industry lobbying” had blocked improvements in the health care system for decades, he vowed to end the stalemate this year and ensure that all Americans have access to affordable health care.Read more at NYTimes.com.“Those who seek to block any reform at any cost will not prevail this time around,” Mr. Obama said in opening a White House conference, where he promised to reduce health costs and expand coverage.
The conference is drawing more than 150 participants, including members of Congress and leaders of labor unions, business groups, doctors, hospitals, insurance companies and consumer organizations.
In his opening remarks, Mr. Obama provided no new details of how he would extend coverage to the 46 million people who have no health insurance. Instead, he expressed his hope that a “transparent and inclusive” process would produce a bipartisan consensus, overcoming the objections of those who had a financial stake in the status quo.
Labels: Barack_Obama, Healthcare
Yet wherever the prospect of universal health insurance has been considered, it has been widely attacked as a Bolshevik fantasy—a coercive system to be imposed upon people by benighted socialist master planners. People fear the unintended consequences of drastic change, the blunt force of government. However terrible the system may seem, we all know that it could be worse—especially for those who already have dependable coverage and access to good doctors and hospitals.Read more at the New Yorker.Many would-be reformers hold that “true” reform must simply override those fears. They believe that a new system will be far better for most people, and that those who would hang on to the old do so out of either lack of imagination or narrow self-interest. On the left, then, single-payer enthusiasts argue that the only coherent solution is to end private health insurance and replace it with a national insurance program. And, on the right, the free marketeers argue that the only coherent solution is to end public insurance and employer-controlled health benefits so that we can all buy our own coverage and put market forces to work.
Neither side can stand the other. But both reserve special contempt for the pragmatists, who would build around the mess we have. The country has this one chance, the idealist maintains, to sweep away our inhumane, wasteful patchwork system and replace it with something new and more rational. So we should prepare for a bold overhaul, just as every other Western democracy has. True reform requires transformation at a stroke. But is this really the way it has occurred in other countries? The answer is no. And the reality of how health reform has come about elsewhere is both surprising and instructive.
Labels: Healthcare
Labels: Barack_Obama, Bobby_Jindal, Congress, Education_policy, Energy_policy, Financial_Crisis, Foreign_Policy, Healthcare, Hillary_Clinton, Iraq, Middle_East, Position_Statements, Republicans, torture
HuffPo is calling this a "flip-flop." If so, it's my kinda flip-flop, and I ain't talking the rubber beach sandal...Multiple senior administration sources [confirm] that the health care proposal in Obama's budget will have a mandate. Sort of.
Here's how it will work, according to the officials I've spoken to. The budget's health care section is not a detailed plan. Rather, it offers financing -- though not all -- and principles meant to guide the plan that Congress will author. The details will be decided by Congress in consultation with the administration.
One of those details is 'universal' health care coverage."That word is important: The Obama campaign's health care plan was not a universal health care plan. It was close to it. It subsidized coverage for millions of Americans and strengthened the employer-based system. The goal, as Obama described it, was to make coverage "affordable" and "available" to all Americans.
But it did not make coverage universal. Affordability can be achieved through subsidies. But without a mandate for individuals to purchase coverage or for the government to give it to them, there was no mechanism for universal coverage. It could get close, but estimates were that around 15 million Americans would remain uninsured. As Jon Cohn wrote at the time, "without a mandate, a substantial portion of Americans [will] remain uninsured."
The budget -- and I was cautioned that the wording "is changing hourly" -- will direct Congress to "aim for universality." That is a bolder goal than simple affordability, which can be achieved, at least in theory, through subsidies. Universality means everyone has coverage, not just the ability to access it. And that requires a mechanism to ensure that they seek it.
Administration officials have been very clear on what the inclusion of "universality" is meant to communicate to Congress. As one senior member of the health team said to me, "[The plan] will cover everybody. And I don't see how you cover everybody without an individual mandate." That language almost precisely echoes what Senate Finance Chairman Max Baucus said in an interview last summer. "I don’t see how you can get meaningful universal coverage without a mandate," he told me. Last fall, he included an individual mandate in the first draft of his health care plan.
The administration's strategy brings them into alignment with senators like Max Baucus. Though they're not proposing an individual mandate in the budget, they are asking Congress to fulfill an objective that they expect will result in Congress proposing an individual mandate. And despite the controversy over the individual mandate in the campaign, they will support it. That, after all, is how you cover everybody.
Labels: Barack_Obama, Healthcare, Hillary_Clinton
Labels: Healthcare
Without waiting for President-elect Barack Obama, Senator Max Baucus, the chairman of the Finance Committee, will unveil a detailed blueprint on Wednesday to guarantee health insurance for all Americans by facilitating sales of private insurance, expanding Medicaid and Medicare, and requiring most employers to provide or pay for health benefits.
The plan proposed by Mr. Baucus, Democrat of Montana, would eventually require everyone to have health insurance coverage, with federal subsidies for those who could not otherwise afford it.
Other Democrats with deep experience in health care are also drafting proposals to expand coverage and slow the growth of health costs. These lawmakers include Senator Edward M. Kennedy of Massachusetts and Representatives John D. Dingell of Michigan and Pete Stark of California.
The proposals are all broadly compatible with Mr. Obama’s campaign promises. But Mr. Baucus’s 35,000-word plan would go further than Mr. Obama’s in one respect, eventually requiring all people — not just children — to have coverage.
Labels: Healthcare
Jesus God Almighty in heaven, please somebody, Help me! My head just exploded.

Labels: Barack_Obama, Debate, Economic_policy, Healthcare, John_McCain, Media_war