Obama's "Universal" Healthcare Deception

Let me start by saying that I believe that deep down both Barack Obama and Hillary Clinton want single payer healthcare. Believing single payer to be unachievable at this moment, they've both offered alternatives, Hillary going the mandate route, which requires everyone to buy in to a healthcare plan in order not only to make sure everyone is insured but also in order to lower costs for all; Barack Obama has decided to mandate healthcare for children but not adults, instead relying on people's sense of personal responsibility to buy in once costs are low enough.

This is how Obama used to describe the difference he had on the issue with Hillary Clinton and John Edwards (whose plan was also a mandate plan) in his stump speech (paraphrase):

My opponents think the government should force you to buy healthcare. I believe that the reason people don't have healthcare isn't that they don't want it, it's that they can't afford it.

The line would often get a big cheer but I haven't heard it lately. In the wake of John Edwards's departure from the race, Hillary has been hitting Barack harder on the fact that her plan offers universal healthcare while his, by definition, does not. So Obama has changed his rhetoric on the stump, now throwing the term "universal" around with abandon when describing his healthcare plan, as he did both the other night at the Virginia Democratic Party Jefferson Jackson dinner and at today's University of Maryland rally. What's worse, he used fear mongering to attack Hillary's plan, saying flat out "she's going to go after your wages," referring to the tricky enforcement of a mandate healthcare system.

This is extremely problematic, for one thing, because Democrats using right-wing scare tactics on healthcare against other Democrats will, as Paul Krugman has pointed out, set back the universal healthcare cause. I mean, look at this Q and A from the FAQ on his plan from his website:

Q: I don't want the government telling me what doctors to see or what treatments to get. Will the Obama plan force these kinds of decisions on me?

A: Senator Obama agrees with you. His plan will not tell you which doctors to see or what treatments to get. Under the Obama plan...no government bureaucrat will second-guess decisions about your care."

"Government bureaucrat" as villain? Are you kidding me, who wrote this, Karl Rove?

But there's another problem that Obama's supporters will have a problem coming to terms with, which is that it's simply intellectually dishonest.

Obama doesn't inherently have a problem with mandates. What he conveniently leaves out from his criticism of Clinton's plan is that he thinks mandates are perfectly fine for children.

From his website:

Mandatory Coverage of Children: Obama will require that all children have health care coverage. Obama will expand the number of options for young adults to get coverage, including allowing young people up to age 25 to continue coverage through their parents' plans.

Whose wages will he be going after to enforce that, I wonder?

But just on a basic logic level, if you don't either cover everyone through a government system or require buy-in through a mandate system, how in the world can you call your plan "universal?" Well, if you're being honest, you can't and Obama knows it, which is why there's no mention of the term "universal" anywhere on his website. Really, look for it.

He talks about "health care for all" and "available to all" because in his perfect world costs will be low enough and the uninsured will be compelled to buy in, but honestly, there's a whole population of young healthy and not necessarily poor people out there who don't have healthcare by choice; they're not dis-incentivized by the cost necessarily, it's that they're healthy and don't need healthcare...until they do. I applaud Obama's efforts to make healthcare more affordable to those who can't afford it, but without mandating that people buy healthcare insurance, you can't guarantee they'll take advantage of the lower costs and you certainly can't credibly call your plan universal.

Unless Senator Obama actually proposes a universal healthcare plan, I'd ask him to stop referring to it as such in his speeches (and in this new radio ad.)

As Paul Krugman puts it:

But as I’ve tried to explain in previous columns, there really is a big difference between the candidates’ approaches. And new research, just released, confirms what I’ve been saying: the difference between the plans could well be the difference between achieving universal health coverage — a key progressive goal — and falling far short.



Display:


Re: Obama's "Universal" Healthcare (none / 0)

I don't understand the love for private insurance "mandates".  That is the most un-Democratic idea ever to be proposed.  Have the government force you to pay for an insurance company CEO's swimming pool?...  It sounds like a Republican dream idea, and, in fact, it is...

Romney, Schwartzenager, and even our friend in Ohio Ken Blackwell have all either endorsed or implemented "mandates".  A bet a bunch of other Republican gubernatorial candidates were for it, too.  Romney's plan was all the rage a couple of years ago. Why not?  Taking money from private citizens and giving it to the rich?  That's a Republican dream plan!

Mandates would be so unpopular, it would set the cause of universal health care at least a generation.  Ask people in Mass. how they like their "mandates" for overpriced junk insurance.  Yet, too many Democrats have been duped into this very Republican and authoritarian "government get involved in every aspect of your personal life" position.  It is a sure loser in so many ways, as well as being an affront to our values as Democrats.

Now, maybe there's a way that "mandates" can be made more Democratic, less invasive, and more fair, but at the moment, I don't relish the government putting the gun at my back to pay some rich guy a lot of money for overpriced junk insurance.  I'd like a better option.

Thanks,

Mike


by lordmikethegreat on Mon Feb 11, 2008 at 08:38:44 PM EST

Re: Obama's "Universal" Healthcare (2.00 / 1)

Fortunately for you, no candidate has proposed requiring anyone to buy insurance from a private insurance company.  In fact, the existence of a public, Medicare-like option is a central feature of the Clinton/Edwards plan.


"Another problem we have...is that in election years we behave somewhat as primitive peoples do at the time of the full moon." --Harry Truman
by Steve M on Mon Feb 11, 2008 at 08:40:18 PM EST
[ Parent ]

Precisely! (none / 0)

That's yet another deceptive ploy Obama's been using to try to make his health care plan sound more "progressive" than Hillary's (when it's really less). Obama acts like all Hillary does is "force people to buy insurance they can't afford", when Hillary's plan actually GIVES PEOPLE A CHOICE of either an affordable private plan OR opt-in Medicare. Oh yes, and her plan has just as many measures to make health care more affordable (if not MORE!) than Obama's.

So yet again, we have a health care myth from Team Obama that's just been debunked. ;-)


Make history with Hillary today! :-)
by atdleft on Mon Feb 11, 2008 at 08:44:50 PM EST
[ Parent ]

Re: Precisely! (2.00 / 1)

It's worse. They don't admit that these plans as I understand them provide for subsidization so the argument is false on its face. But that's rather the point. They can't win on a straight up and down comparison of what the plans actually say.


by bruh21 on Mon Feb 11, 2008 at 08:46:36 PM EST
[ Parent ]

Re: Precisely! (2.00 / 1)

One of the problems, though, is that it's not precisely clear how much of the costs will be subsidized and how substantially Clinton will be able to reduce premiums. Clinton has not been able to say exactly what a person who makes, say, $50,000/year will be paying for health insurance. That's because the actual amount will depend on so many complex matters like how the insurance is underwritten (premiums, deductibles, copayments, etc.), the ability of Clinton's plan to lower costs, and exactly how substantial the subsidy would be for a given person.

As a result, until Clinton provides assurances of affordability, it's disingenious to speak so confidently about her plan's universality. Moreover, without specific information about costs, it's difficult to evaluate whether the burden associated with a mandate is fair. If insurance is going to cost someone $1000/year, that is far different than $5000/year. I might not oppose a mandate in the case of the former, but I certainly would in the latter. Adding $5000 per year as a state-imposed burden (which is effectively like a tax) would be very big deal to your average middle-class person--certainly, more than it would be for a wealthy person. That raises serious fairness issues, as well.

This post does a good job of describing the problem.

http://sentineleffect.wordpress.com/2007 11/28/even-more-on-mandates-and-the-80- solution

Mandates may ultimately be an appropriate thing to do (although, I'm skeptical), but first we need to make put the plan to work without mandates so that we can evaluate feasibility and cost considerations.

Also, mandates are not going to be popular at all in a general election. I'm convinced at this point that single-payer is more palatable to the average voter than hybrid approaches involving mandates.


by DPW on Mon Feb 11, 2008 at 09:10:56 PM EST
[ Parent ]

Re: Precisely! (none / 0)

What exactly makes you think that Obama's plan will be any cheaper? In fact, by insuring only sicker people (with younger, healthier population opting out), it will be even more expensive and therefore further away from achieving true universal health care.


by PhillyGuy on Mon Feb 11, 2008 at 09:45:42 PM EST
[ Parent ]

Re: Precisely! (none / 0)

I never said his plan would be cheaper. I just said that mandates shouldn't be implemented until we can be certain that the burden imposed is affordable and fair. Presently, I see single-payer as the only fair way to ensure that everyone is covered. That is, the only progressive way to finance social insurance like this is through normal income tax collection; otherwise, the distributive burden is going to be regressive (at least partially).


by DPW on Mon Feb 11, 2008 at 10:10:12 PM EST
[ Parent ]

Re: Precisely! (2.00 / 1)

THe problem is that the benefits will be hard to come by without eliminating issues like free riders from the mix. In other words, the very things you are requiring much like the conservatives approach to such discussions will help guarantee failure.


by bruh21 on Mon Feb 11, 2008 at 10:48:22 PM EST
[ Parent ]

Re: Precisely! (2.00 / 1)

She does say that it will be capped at a percentage of income....

She doesn't say what the percentage will be, but since she does acknowledge a realistic view of the current cost of insurance, I'm hoping the percentage cap would also be realistic.  

In contrast, my Congressman thinks a $600 tax credit would help the situation which I think is a laugh, not a plan.

From page 9 of her plan.

The average family premium for employer-based coverage (including employer and employee contributions) is over $12,000.ix For half of Americans, this total premium accounts for at least one-fourth of their annual income.x This helps explain why two-thirds of the uninsured have incomes below 200 percent of the poverty limit (roughly $40,000 per year for a family of four).

(snip)

The American Health Choices Plan will make health insurance more affordable for the millions of Americans who want it. It includes a number of straightforward policies to achieve this end:

1) Ensuring Premium Affordability Through Refundable Tax Credits: Premiums have
skyrocketed over the last several years - nearly double since 2000. The American Health
Choices Plan helps working families afford coverage through refundable, income-related
tax credits to ensure that accessible, high-quality health coverage is affordable to all.

2) Limiting Premium Payments to a Percentage of Income: This credit will ensure that
securing quality health care is never a crushing burden for any working family. This
guarantee will be achieved through a premium affordability tax credit that ensures that
health premiums never rise above a certain percentage of family income. The tax credit will
be indexed over time, and designed to maintain consumer price consciousness in
choosing health plans, even for those who reach the percentage of income limit.


by katiebird on Tue Feb 12, 2008 at 12:26:29 AM EST
[ Parent ]

Re: Precisely! (none / 0)

All bunk if the plan isn't passable in congress.

Never forget that there have been great health-care (some "Universal") plans proposed over the last 38 years, but none have been passed due to a lack of political will and bipartisanship from from both sides.  

I guarantee you that Hillary will have a problem getting this passed as it is. Simply won't pass. A blue-ribbon panel with unimpeachable economists and health-care experts from both sides of the aisle will need to come together and publicly put a plan together, that we can all agree with. I doubt a mandate will be agreed to by both sides unless the democrats have an OVERWHELMING majority in congress.  This is where Obama's advantages and ability to get everyone together comes in.


by rapcetera on Tue Feb 12, 2008 at 02:45:48 AM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

"no candidate has proposed requiring anyone to buy insurance from a private insurance company.  In fact, the existence of a public, Medicare-like option is a central feature of the Clinton/Edwards plan."

You understand of course that doctors have the option of refusing to take lower payout medical insurances, just as many do today and refuse to care for Medicare recipients. And when you look at the variables left that could conceivably lower medical costs apart from insurance company profits, exuberant drug costs, and outrageous hospitalization costs, people who opt for the Medicare-like option will get the Medicare-like option and all the drawbacks that it entails.

Until we get a single payer not-for-profit universal health care system, the kind that Hillary abhors, we will not control medical costs and rationing will continue. This system, which feeds the corporations, is part of the Republican Lite version of the Democratic party Hillary and Bill are attempting to bring back.

We can do better than this and with a Democratic Congress, it is doable.


Click on Peace, Propaganda, & The Promised Land and learn the truth about the I/P conflict.
by shergald on Mon Feb 11, 2008 at 11:44:11 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

"Until we get a single payer not-for-profit universal health care system, the kind that Hillary abhors, we will not control medical costs and rationing will continue. This system, which feeds the corporations, is part of the Republican Lite version of the Democratic party Hillary and Bill are attempting to bring back."

The problem with the health care system is the cost which shuts people out and rations care.

The cost is so high because we have a private system that is inefficient. And it's inefficient because we support a parasitical insurance industry through our health care payments. Every other advanced industrialized country in the world does it a different way.

That way is single-payer health care. Eliminating costs by eliminating profits from the middle man.

Any attempt to graft universal coverage over the top of our present broken system will only dramatically increase costs and would be unsustainable.

Naturally, this is a political loser for everybody. Obama's coverage is NOT universal. Hillary's isn't really universal either. But, frankly universal health care will be WILDLY UNPOPULAR if it is put into place by mandates because you are forcing millions of people (the young and healthy) who don't currently pay for health care to purchase it.

Why? Because unless you eliminate runaway cost from the system, by getting the insurance industry out of it, you're forcing people to pay more for health care coverage, to cover the older and sicker.

Maybe that's sensible, even necessary, but it they won't like it. At all. And those are only the tip of the iceberg flaws with the way both plans are proposed.

I remember back in 1993 Bill Clinton talking up his health-care proposal at the time. He asked the audience what percentage of them liked their HMOs. He looked absolutely shocked that so many people HATED managed care (for reasons that everybody understands now).

Democrats need to avoid being chained to an albatross of "universal health care" that is neither universal, nor solves the problem of run-away cost, and is wildly unpopular to boot.

If we get caught in the trap of "doing what's possible" even though it won't work, we'll be crushed by the Republicans for years afterwards. The first failed attempt to introduce health care reform helped bring down the Democratic congress in 1993. We can't afford another mistake like that!


by Cugel on Tue Feb 12, 2008 at 09:04:14 AM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Keeping talking.

You put the problems with both the Hillary and Obama plans, which exceed their trivial differences, in a nutshell. They do not come close to the liberal social democratic systems in play in the EU and the English speaking countries.


Click on Peace, Propaganda, & The Promised Land and learn the truth about the I/P conflict.
by shergald on Tue Feb 12, 2008 at 09:37:52 AM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Hillary has said repeatedly that she would support and sign a single payer bill if it passed Congress, she favors single payer. It is deception to say "she abhors" single payer, that's obviously untrue. Even the Congressional sponsors of HR 676, the Conyers/Kucinich single payer bill, insist we must build the political will and movement to get single payer in the US, now far too many Americans no longer trust government to administer a single payer program, only 35% favored single payer in the last major poll, while over 50% favored the hybrid plans, like the Clinton plan, that preserves their choice to keep what they have now if they like it. 80% of Americans are report being relatively content with their current health insurance, many because they have never needed to use it for a major, or chronic illness, and put it to the test to see whether it really meets their needs.


by 07rescue on Tue Feb 12, 2008 at 06:00:33 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (2.00 / 3)

well, you actually have a choice in Hillary's plan.

You can buy into a public plan similar to Medicare, you can keep your insurance as you like it, or you can buy into any of the congressional plans that will be opened to the public.

The CEO's wont be lining their pockets, as under Clinton's plan, they will be forced to cover pre-existing conditions.

Maybe you should actually examine the plans before you jump on the "putting a gun" to your back and being forced to do something meme.

Also, Obama says if you "try to game the system, you will be punished."  WTF does that mean? you wanna take a shot at answering?


Rise, Hillary, Rise
by sepulvedaj3 on Mon Feb 11, 2008 at 08:50:03 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

"You can buy into a public plan similar to Medicare, you can keep your insurance as you like it, or you can buy into any of the congressional plans"

So I'm forced to buy something?  I've been through years (thankfully long past) when my total annual income was $600 or less.  If I have to buy into a plan, even if I'm reimbursed 15 months later when I file a tax return, it's just not acceptable to me.  If the plan caps the amount to a percentage income up front, rather than reimbursing me later, and has a cutoff income below which I pay nothing, then we might have something workable.

Someone else mentioned that a mandated cost below $1000/year is acceptable... If I'm making under $10,000, I'm going to resent being forced to pay $1000 for healthcare - even if it's returned to me after April 15 the following year.


by PatriotActor on Tue Feb 12, 2008 at 02:27:23 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

If you are making under 10,000 a year you will be eligible for 100% subsidized insurance, plain and simple. In Massachusetts, where mandates are in effect, over 60,000 people have been granted waivers to not buy insurance because there is no affordable plan available to them, no one is forced to buy what they cannot afford. All families will only have to pay a small percentage of their annual income toward health insurance, the amount is capped in Clinton's plan.

Obama's health care plan is significantly less courageous than Clinton's, and it doesn't make sense. If you do not require a mandate for everyone to have health insurance, but require the insurance companies to grant policies to everyone who asks for them, people will be able to buy policies AFTER they get sick - this is like buying home owner insurance after your house is already burning. The insurance companies will never agree to such a program, and there is no way to make it economically sustainable, even if we had single payer national health insurance available. Health insurance will only work if it requires "everybody in, nobody out."

I want to point out strongly that among low income people  who are eligible for Medicaid and other free public health insurance programs offered in the states, out of 100% of those eligible, only approximately 47% will sign up. This is true across the US. So there are many reasons that people do not sign up for health insurance outside of "they cannot afford it" as Obama claims. In Massachusetts, where there is now a mandate in effect, 92% of those eligible for free health insurance sign up. That is a huge improvement. Now a tremendous number of low income people have free health insurance who did not have it before, including preventive care. It is really a mandate on government to provide health insurance to the poor. Obama's plan betrays low income people.

The contradictions and obvious lack of teeth in Obama's health care plan, along with his nasty attacks on the far more progressive Clinton plan cause me to severely distrust his integrity and grasp of adequate solutions to this life and death issue. Along with his absurd claims that he will have his health plan adopted within the first year of his administration. Everyone in healh care understands how ridiculous that claim is. There is no way for his proposals to work, they are just so much verbiage. Worse, he adopts right wing talking points to destroy the dream of universal health care.

I am a single payer advocate, and single payer uses progressive taxation to include everyone in the financing mechanism to provide health care for all. It is a mandate, simply in other words, using taxes to pay instead of premiums (with subsidies for the poor). Single payer would be far more efficient, however. We need a grassroots movement to press for single payer, the only economically sustainable way to provide adequate health care access to everyone.


by 07rescue on Tue Feb 12, 2008 at 06:05:35 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (2.00 / 2)

Hi Mike,

It sounds like you genuinely didn't know that Clinton and Edwards' plans set up a public plan (similar to Medicare) that people can buy into if they choose. So nobody will be forced to buy from a private insurer.

What annoys me is that Obama's campaign has been pushing this patently false idea, to the point that a lot of people actually believe it. (A lot of pro-Obama folks online keep repeating this point too. I can't tell if they simply don't know they're wrong, or they don't care. It's hard to tell.) Again, this is part of the complaints many Democrats have with Obama--he's not content to have left mandates out of his plan, he also has to go make the Republican case against Democratic health care plans. So that he can get elected. As Ezra Klein said, he's lying. There's no other word for it. (Well, maybe there is another word: Paul Krugman called it "unscrupulous demagoguery."

Best wishes.


by OrangeFur on Mon Feb 11, 2008 at 09:02:36 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (2.00 / 1)

And yet, somehow Obama is seen as progressive...


by newhorizon on Mon Feb 11, 2008 at 09:07:20 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Well health care can't be the only measure of that. For example, HRC supports draconian criminal justice and immigration policies.


by illlaw1 on Mon Feb 11, 2008 at 09:09:43 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Specifics please?  I was at her town hall last week and heard a very sensible, pragmatic approach to immigration.  


by newhorizon on Mon Feb 11, 2008 at 09:25:00 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

She's for removing due process from the immigration court system for immigrants that have committed a crime. People's lives were destroyed when her husband passed IIRIRA but this is even worse. People get into trouble. That doesn't mean they should be banished from the US and separated from their families.

She's against retroactive application of the USSC sentencing guidelines despite saying that she understands the prior guidelines might have been used in a discriminatory manner or had a discriminatory effect. More than a decade ago some fundamental fairness in the crack/cocaine disparity was tried but her husband shot it down and she's no better.


by illlaw1 on Mon Feb 11, 2008 at 09:29:09 PM EST
[ Parent ]

I seriously, seriously disagree (2.00 / 6)

I think both this site and Krugman are way off base on this.

Almost everyone on our left side of the aisle agrees that single payer would be a better system, but to suggest that Obama's proposal is pathetic compared to Hillary's because of this one stupid issue of mandates is ridiculous.

Krugman is off his rocker when he keeps saying that Obama will never pass his version but Hillay will pass hers. Umm, no. Hillary's will be torn to shreds by Republicans running Harry and Louise ads. If she can't properly rebut Obama's questions about how she'll fine or garnish wages to enforce mandates in a democratic debate, in a setting where both sides agree we need universal healthcare, how is she going to do it against Republicans running fear mongering campaigns saying she's going to take your healthcare away?

They have the same damned plans. His is just more likely to be passed because it's much harder to slander and attack. And guess what, if his plan works, then in a few years you can gradually start to carrot and stick your way toward mandates and it'll be far less controversial because everyone will be used to the idea of government healthcare not being evil.

Obama is not a right wing guy and he's not the less progressive candidate. Hillary's plan is a general election loser. I'll happily vote for if she's chosen and happily support her plan if she then get elected president, but it's just so damned silly for Democrats to be tearing each other apart over this miniscule distinction about healthcare when we've failed to get healthcare passed since Truman.


by Siguy on Mon Feb 11, 2008 at 09:07:27 PM EST
[ Parent ]

Re: I seriously, seriously disagree (none / 0)

You start with some seriously distorted facts.  One, no one seriously claims that Obama's plan is "pathetic" without mandates.  Go read the post again.  Go read Krugman again.  Go read the comments again.  Two, Krugman never said Obama will never pass his version but Clinton will pass hers.  That's not the argument.  The argument is, Clinton's plan is better.  Three, the post does not claim that Obama is less progressive than Hillary.  Few people would make that argument.  The criticism is directed at Obama's HEALTHCARE proposal.

As for your argument, it seems that you support disseminating dishonest arguments about healthcare proposals.  You admit that Obama's Harry and Louise ads are taking a page out of the Republican playbook.  Come time for the general election, the Republican Harry and Louise ads will only be ever more effective because they also came from Obama.  The ads are dishonest.  They also position Obama in such a way that he can not propose mandates, ever, if he were President.

And no, the candidates DO NOT have the "same damned plans."  That's the whole point here.  Mandates v. No Mandates is a very, very big difference.

Finally, do you really think Republicans will find it impossible to slander Obama's plan?  That's ridiculous.  Republicans are the masters of smear.


by pseudo999 on Mon Feb 11, 2008 at 09:26:21 PM EST
[ Parent ]

Re: I seriously, seriously disagree (none / 0)

Krugman has done everything but call Obama Karl Rove ... oh wait, I forgot, MyDD just did that.

This is Krugman's fifth or six article about their healthcare plans. He's ended the last two stating that under an Obama presidency, healthcare will never happen. The real difference between the plans is miniscule. Mandates are a sideshow, especially because Hillary hasn't explained how she'll enforce them. Krugman's analysis depends on the assumption that Hillary's plan equals full coverage for everyone and Obama's means twenty five million people not covered. This isn't an argument being run in reality, it's being run in a fantasy land where Democrats are the only people who exist and the rest of the country won't have a say in healthcare.

In my personal opinion, and I don't claim it's anything more than that, Obama's plan is much more passable and that makes it a better plan. I do not claim that the Republicans will not slander Obama's healthcare, but that doesn't mean you need to make things easy for them. Hillary has failed to respond to the garnishing wages charge, in fact she basically confirmed it. Now to you and I, passionate democrats, that's not a big deal, but it's really a horrible thing to say for the general election. It's a tailor made campaign, and frankly, I don't have confidence in either of their plans to actually reduce healthcare costs fast enough to make a mandate reasonable. We absolutely can't get national healthcare off on the wrong foot, and people terrified that they're going to lose all their money by being forced to get healthcare they can't afford is exactly the wrong foot.

Obama's plan is well set up to survive a Harry and Louise attack for the same reasons everyone here is crapping on it. He's saying "I'm not going to do anything to you if you like your healthcare. I'm not going to force you to do anything." Now we all now that in the long term that's not realistic, but in the short term, it's absolutely the only way we're gonna get people behind healthcare. It's just like Congress. You ask people about congress and they say it sucks. You ask them about their congressman and they say s/he's great. People hate healthcare, but not their healthcare. At least that's true of a lot of middle class people who get their healthcare through their work and are sympathetic to poorer people who can't get coverage but don't actually want anything to happen to them.


by Siguy on Mon Feb 11, 2008 at 09:56:13 PM EST
[ Parent ]

Re: I seriously, seriously disagree (2.00 / 1)

Three initial matters.  One, the post is comparing the anti-government rhetoric coming out of Obama's website to something that would come from Karl Rove.  Honestly, if you look at it, it seems an apt comparison.  That doesn't mean they equated Obama with Karl Rove.  By those standards, you just admitted that Obama is a Republican Party operative, because he criticizes Clinton's healthcare with Republican talking points.  I don't think any of us here think such things.

Two, as for what Krugman wrote, the last line in the linked article says, "If Mrs. Clinton gets the Democratic nomination, there is some chance -- nobody knows how big -- that we'll get universal health care in the next administration. If Mr. Obama gets the nomination, it just won't happen."  Krugman didn't say "healthcare won't happen," he said "universal healthcare won't happen."  That's true almost by definition with Obama's plan.

Three, Krugman passionately believes in Universal Healthcare.  I think his criticisms come from that perspective, not from some dislike of Obama.

For your argument, we should separate passability from what is a "better plan."  You make good arguments on passability, within the given context.  I simply disagree on whether the plan itself is better.  I also think it's a strategic mistake to compromise before the sh*t hits the fan.  Ask for a lot, then compromise later.  Honestly, Obama should simply go for the brass ring.  He can negotiate down later, if forced to.

Now, incidentally, I think this is especially tragic because I bet Obama would bring in bigger majorities in both houses of Congress at the top of the ticket.  I also think Obama will do better in terms of leading the nation towards a more liberal / progressive agenda.  I also think Obama is simply better at oratory and communication. It's tragic because I think, if Obama would just embrace mandates, he will have a far better chance of bringing in universal healthcare than Clinton does, due to all of the above.


by pseudo999 on Mon Feb 11, 2008 at 10:22:08 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Let's not forget that former Australian Prime Minister John Howard (a right wing Bush lapdog) also supported mandates, until the left in Australia beat him back.

I don't know what fever took over Krugman's brain when he anointed mandates as holy progressive dogma, but I sure hope he snaps out of it soon.


by s5 on Tue Feb 12, 2008 at 12:48:13 AM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

Single payer also mandates. Let's not forget you will try every talking point besides honesty.


by bruh21 on Tue Feb 12, 2008 at 08:55:37 AM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

The bigger problem is - Obama is LYING!

In his ad running in Ohio and elsewhere - "Universal health care" is prominently displayed - leading the UNinformed to believe Oblahma has a universal health care plan.

Obama is a LIAR!


Hillary/Obama08
by annefrank on Tue Feb 12, 2008 at 12:02:55 PM EST
[ Parent ]

Re: Obama's "Universal" Healthcare (none / 0)

I can answer for mandates and other things.

I was working and paying $320/month for the best United Health plan when I collapsed and was brought to the hospital by ambulance. When I woke up 3 days later, minus part of my GI tract, I was told I was 'indigent',

I asked what they meant by that - the hospital contacted the personal dept of my employer and gave me the phone. I was informed that:

1. They dropped my coverage effective the morning I went to the hospital (I had collapsed about 3:30 PM)

2. Since I was now 'disabled' I no longer worked there. I was in the hospital 5 weeks that time.

I have always called it the George Bush Healthcare/Retirment Plan.

The bills were enormous. With mandates - that wouldn't have happened to me or others I know.


by Grandma M on Tue Feb 12, 2008 at 04:10:18 PM EST
[ Parent ]

Re: Obama's "Universal" Deception (2.00 / 5)

VERY astute analysis!  I don't wish Obama any ill will, but it is this type of stuff he need to answer before he gets my vote.  I've had enough platitudes.  Please, Mr. Obama: YES YOU CAN talk about the details of your programs!

He has ridden for much too long without people digging in and asking him the tough questions.  Please, keep it up!


-----------

Blog: http://fitnessnerd.blogspot.com/

by FitnessNerd on Mon Feb 11, 2008 at 08:39:33 PM EST

I like that! (2.00 / 4)

"Yes, we can!"

Yes, we can... Expect Obama to be more specific about his health care plan.

Yes, we can... Expect Obama to explain more about his climate & energy plan, and why it specifically leaves the door wide open for more coal & nuclear power.

Yes, we can... Ask Obama why he's so different on Iraq from Hillary when his voting record AND his exit strategy are NO DIFFERENT from hers.

Yes, we can... Expect Obama to not just talk... But ACT as well.


Make history with Hillary today! :-)
by atdleft on Mon Feb 11, 2008 at 08:48:05 PM EST
[ Parent ]

Re: I like that! (2.00 / 1)

I've been looking at both the candidates' sites and find them both blurry and similar on energy and environmental policy.  I would love a clarification of "support of coal and nuclear energy."  It would really be helpful if when people post they give the source of their statement, particularly when referring to policy matters, so readers can take a look at the statements in full.


by mady on Mon Feb 11, 2008 at 09:05:49 PM EST
[ Parent ]

Difference? (2.00 / 1)

In 2007 he voted to support investing in liquid coal if it reduced carbon pollution by 20 percent over conventional gasoline. (League of Conservation Voters on Barack Obama).

In 2007 she voted to support investing in liquid coal if it reduced carbon pollution by 20 percent over conventional gasoline. (LCV on Hillary Clinton).

I don't see a difference here.  He gets a 96% rating and she gets a 91%.


by mady on Mon Feb 11, 2008 at 09:15:17 PM EST
[ Parent ]

Re: Difference? (2.00 / 1)

You should see how he flip-flopped on coal to liquid.
http://www.washingtonpost.com/wp-dyn/con tent/article/2007/06/23/AR2007062301424. html
"Barack did Hillary just like he did Alice Palmer. He was 'riding dirty'"
by LatinoVoter on Tue Feb 12, 2008 at 01:57:25 AM EST
[ Parent ]

Yes We Can (none / 0)

have universal single payer health care. Hillary says we can't. One of the opening statements of this article is clearly false. Hillary says we can't have it. She'll never try for it. Effectively, she does not want it.

Yeah, I know Obama's no closer, but the candidate of 'yes we can' should try for better. :-/


Start Running Better Polls
by bolson on Mon Feb 11, 2008 at 11:06:07 PM EST
[ Parent ]

Re: Obama's "Universal" Deception (2.00 / 1)

This diarist has got to be missing the point. Hillary's plan is a plum to the corporate run medical industry.

This diarist actually stated that both Obama and Clinton prefer a single payer health care plan but instead offered something else, in keeping with the times, a reference I suppose to Republican Lite Clintonism.

The fact of the matter is that during the debates Clinton accused Obama, in a quite castigating manner, of supporting single payer health care in the past. It gave Kucinich his best laugh of thei night. Clinton's plan and Obama's as well are gifts to the corporations, who will end up raking off 15-20% of our health care dollars, those left after the doctors take their share. Medicine is a business, afterall, at least in the United States.


Click on Peace, Propaganda, & The Promised Land and learn the truth about the I/P conflict.
by shergald on Mon Feb 11, 2008 at 09:01:10 PM EST
[ Parent ]

Re: Obama's "Universal" Deception (2.00 / 2)

err BULLSHIT

She accused Obama of not being straight because he was for Single Payer, then for Universal, and now, NEITHER.


Rise, Hillary, Rise
by sepulvedaj3 on Mon Feb 11, 2008 at 09:12:44 PM EST
[ Parent ]

Re: Obama's "Universal" Deception (none / 0)

Single payer is universal but that is besides the point.

It would appear that Hillary was taught her lesson by the medical insurance industry in the early 90s and now is ready and willing to conform her medical plan proposals to fit their needs. Obama's plan is not much different, only he is asking just how can you force people just barely making a living, who now lack medical insurance, to purchase it when food and rent wipes out most of their income.

Do you understand it?

And if there is a Medicare like option in Hillary's plan, a government run plan that is cheaper, then why wouldn't everyone just join that plan than pay more for the same coverage from a private insurance company?

All besides the point. If Hillary were for a medical care system ala Medicare, and so ala the medical care systems in Europe and the English speaking countries, she would just put it out there. On Kucinich had it right: both Hillary and Obama are appealing to medical industry lobbyists in the plans they have proposed.


Click on Peace, Propaganda, & The Promised Land and learn the truth about the I/P conflict.
by shergald on Mon Feb 11, 2008 at 11:57:02 PM EST
[ Parent ]

Re: Obama's "Universal" (2.00 / 4)

You see this is one of my main points! If Obama is willing to compromise on one of the biggest fights we progressives are involved in, what else is he will to compromise on?

All the Kos wackos over there are willing to give this fight up just to stop Hillary who has fought for things they care most about!

Todd I take back what I said a while ago that there is no one standing up for Hillary! Im sorry and I was wrong about you! Thanks for really saying what needs to be said!


by boxer4hrc on Mon Feb 11, 2008 at 08:50:34 PM EST

Paul Krugman (none / 0)

I have yet to read a positive Obama column by Paul Krugman.

I bet he votes for McCain if Obama wins the Dem nomination.


by puma on Mon Feb 11, 2008 at 08:54:56 PM EST

Re: Paul Krugman (2.00 / 1)

Right because there is a shortage of positive Obama stories in the media!

Now the ObamaRATS are attacking Krugman! Good one! I cant wait until they start attack someone else that supports Hillary like say Gore or maybe Edwards.


by boxer4hrc on Mon Feb 11, 2008 at 09:02:47 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

you are really persuading me to vote for clinton by calling Obama supporters rats.

Do you see why attacking supporters is a bad thing now?

How about educating them on the issues.


by MrMacMan on Mon Feb 11, 2008 at 09:06:59 PM EST
[ Parent ]

Re: Paul Krugman (2.00 / 1)

Im sorry but the BO supporters have been rats for their treatment of Hillary fans and of the Clintons themselves. No else may say but sure the hell will!


by boxer4hrc on Mon Feb 11, 2008 at 09:10:31 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

The Clintons and their surrogates and supporters have been saints?

Not according to some of us black folks.


by illlaw1 on Mon Feb 11, 2008 at 09:13:07 PM EST
[ Parent ]

Re: Paul Krugman (2.00 / 2)

Im sorry but it was Obama that started that when his surrogate got on tv and complained that hillary didnt cry for New Orleans. And then they took everything way out of context after that like the LBJ and "fairytell" statement!

Please lets not get this started again!


by boxer4hrc on Mon Feb 11, 2008 at 09:16:35 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

Uh no. Shaheen started it with the drug dealer comment. Nice try though.


by illlaw1 on Mon Feb 11, 2008 at 09:30:21 PM EST
[ Parent ]

Re: Paul Krugman (2.00 / 2)

YEah which Hillary personally went up to Obama and apologized to him face to face! I didnt see that when David accused her of killing benizir bhutto!

Thats the difference Hillary has class, obama just says he does but doesnt show it!


by boxer4hrc on Mon Feb 11, 2008 at 09:34:49 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

Who cares if she apologized? It's not like it stopped after that.

You seem to be trying to excuse race games with random instances of rudeness. You think black folks are going to come back to HRC should she win the nomination? Silly folks always taking us for granted.

Anyway, it was clearly a tactic to paint him as the black candidate. Something her campaign says happened but not intentionally of course.  


by illlaw1 on Mon Feb 11, 2008 at 10:16:50 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

Funny you should mention that. Obama says he's confident that he's going to get HRC's voters and I can tell you that it will be a cold day in hell before I vote for Barack after all the dirty games he played while pretending to be above it all.


"Barack did Hillary just like he did Alice Palmer. He was 'riding dirty'"
by LatinoVoter on Tue Feb 12, 2008 at 02:09:45 AM EST
[ Parent ]

Re: Paul Krugman (2.00 / 1)

Seriously, where does this come from?  Every drug dealer that I've ever known was white... and I've been around the block a few times.

Obama admitted to drug use.  That's not a problem for me (because it would be a pot vs. kettle situation for me if it was a problem for me).  However, I concede that it's fair game in a Presidential campaign.

What I want to know is how come the mention of drugs and drug dealing is race baiting?

--sam

disclaimer: I'm latino


by samizdat on Tue Feb 12, 2008 at 12:21:21 AM EST
[ Parent ]

Re: Paul Krugman (2.00 / 2)

Are you serious? One thing is clear and it was that the Clintons did not inject race into this. After Iowa Jesse Jackson Jr went on television and brought up OJ in the same sentence as Barack and said that because of OJ it was going to be hard for Barack to attack a white woman.

After NH he again went on television and said that Hillary didn't cry about Katrina victims. After NH Barack's South Carolina press secretary circulated that 4 page letter to the press that painted the fairy tale line and much more by the Clintons as racist. Michelle didn't help any by pretending that the fairy tale line was about the candidacy of a black man. The media took that memo and created a fire storm.

In Nevada the group "Unite Here" was running ads in Spanish claiming Hillary didn't respect the Latino community. When Hillary and John Edwards called on Barack to get his supporters in check and have the ads removed he said nothing.

For someone who claims his campaign is above race and dirty tactics he sure let his people play really dirty.


"Barack did Hillary just like he did Alice Palmer. He was 'riding dirty'"
by LatinoVoter on Tue Feb 12, 2008 at 02:07:05 AM EST
[ Parent ]

Re: Paul Krugman (none / 0)

Some of us other black folks disagree.


"Mrs. Landingham, you're a cattle rustler." Jed Bartlet
by Denny Crane on Mon Feb 11, 2008 at 11:43:18 PM EST
[ Parent ]

Re: Paul Krugman (none / 0)

So you've given up on me because I currently support Obama?

I can't be swayed by reasoning and good argument?

How are you going to get any independent's vote if you don't want to try and convince people for your candidate?


by MrMacMan on Tue Feb 12, 2008 at 12:03:26 AM EST
[ Parent ]

Re: Paul Krugman (2.00 / 1)

B.S.  Paul Krugman has repeatedly said that Obama's plan is better than anything the Republicans can put together, and it's far better than nothing.  It just looks bad in comparison to Clinton's because it's missing mandates.  There is no doubt in my mind that Paul Krugman would happily vote for Obama.


by pseudo999 on Mon Feb 11, 2008 at 09:29:24 PM EST
[ Parent ]

Clinton's "Universal" Deception (none / 0)

The problem with this argument, or at least one of them, is that there is an assumption that Hillary's plan meets the definition of "universal."  While she has repeatedly refused to answer - or should I say be SPECIFIC about - what her penalty would be for those that don't purchase health insurance under her mandated system, should admits that some sort of penalty would be essential.

This point concedes the fact that even under Hillary's plan some people will choose not to purchase insurance.  If the same can be said of Obama's plan - that some who could afford it will choose not to purchase it - then the only real difference between the two is whether or not you are going to punish someone for not purchasing coverage.

Neither guarantees universal coverage any more than the other, and therefore Hillary has no standing for claiming a monopoly on the word "universal."


by durhamrocks on Mon Feb 11, 2008 at 08:55:27 PM EST

Re: Clinton's "Universal" Deception (2.00 / 1)

It's not going to be a "penalty for not purchasing coverage," as if you can duck out of getting coverage just by paying the penalty instead.  They're going to get coverage - that's what makes it universal - and they'll be obligated to pay for that coverage subject to their ability to pay.  Obama is proposing a system you can opt out of, Hillary is not.


"Another problem we have...is that in election years we behave somewhat as primitive peoples do at the time of the full moon." --Harry Truman
by Steve M on Mon Feb 11, 2008 at 08:58:22 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

Please show me where she explains this.  She has refused time and time again to give any information as to how she will handle those that choose not to purchase insurance under her "mandated" plan.


by durhamrocks on Mon Feb 11, 2008 at 09:07:46 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

What is Obamas answer?


by boxer4hrc on Mon Feb 11, 2008 at 09:11:06 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

See my comment below.  The greatest burden is on her to answer the question, not him.  She is the one that repeatedly states that her plan is "universal" b/c it has mandates, yet she refuses to say what she will do with those that don't purchase it.  She has never, to my knowledge, contended the assertion that there will be some under her plan to will still choose not to purchase it.  How, then, is her plan "universal" and his not?


by durhamrocks on Mon Feb 11, 2008 at 09:14:56 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

see my comment below...lol


by boxer4hrc on Mon Feb 11, 2008 at 09:17:47 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

She hasn't provided specifics on how the payment will be enforced, but her plan does not allow people to "opt out" by paying a penalty instead.

Everyone will be covered, because the alternative is either letting people die if they chose not to purchase insurance (an outcome no one supports) or else giving people a free ride until they get sick, at which point they either get charged for "back premiums" or else the taxpayers get stuck with the bill.

There's certainly a political challenge in talking about garnishing wages and so forth, but the illusion is that Obama's plan is somehow easier to swallow.  It's easier only if you pay no attention to the difficult question of what happens when an uninsured person gets sick.


"Another problem we have...is that in election years we behave somewhat as primitive peoples do at the time of the full moon." --Harry Truman
by Steve M on Mon Feb 11, 2008 at 09:27:31 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

No choice will go over well in the general election.


by illlaw1 on Mon Feb 11, 2008 at 09:07:56 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

My friend what happens if the parents of children refuse to buy health insurence under BO's plan?

He has yet to answer your question as well!


by boxer4hrc on Mon Feb 11, 2008 at 09:00:03 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

Fair enough, but he is not touting "mandates" as the essential feature that makes his plan the only one that is "universal."  The burden is greatest on Clinton to answer the question and she has repeatedly refused to do so.

Further, mandates for children is a different issue all together.  Children do not have a choice as to whether or not to purchase health insurance.  A parent choosing against purchasing insurance for him or herself is not equal to a parent choosing against purchasing insurance for his or her children.


by durhamrocks on Mon Feb 11, 2008 at 09:06:53 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

How are you going to get mad at Hillary for not answering the question but give Obama a pass! You see that is why we have a hard time with u Obama supporters! Hillary is evil and no different from Bush, But obama does the same things and he gets a pass!


by boxer4hrc on Mon Feb 11, 2008 at 09:12:54 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

I never called Clinton evil or equated her to Bush.  And I'm not giving Obama a free pass.  I think he should answer this question as well.  The difference, however, is that Clinton is the one asserting that this notion that it is mandates are necessary for a plan to be universal.  She is being deceptive by claiming that her plan will cover all people while at the same time refusing to discuss what will come of those that don't purchase it.  It is a contradiction.

Yes, Obama should answer this question.  But, on this critical point, the greatest burden remains on Sen. Clinton.


by durhamrocks on Mon Feb 11, 2008 at 09:18:10 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

Im sorry but yur are being very unfair! Alright lets say the burden is on her to answer this question....

Dont you think the burden is on Obama to explain how his stance on I raq is different from hers? And why he voted exactly the same way as she did when he got to the senate. And why he took down his speech on the Iraq war when it wasnt popular to be against the war and than put it back up when it was popular?

So the burden is on him to explain his stance on Iraq and why he has better judgement!


by boxer4hrc on Mon Feb 11, 2008 at 09:23:56 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

I thought we were debating health care and the lie by Hillary that her plan is the only one that is "universal" and therefore she is the only true Democrat.  I don't think Obama has accused Hillary of not being a "good enough Democrat" because of her vote on Iraq.


by durhamrocks on Mon Feb 11, 2008 at 09:30:52 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

we were but since we were on the whole subject of "burden" i thought that was a good point, but since you dont want to answer that question he has question her judgement and his top pol guy said she was somewhat responsible for bhutto's death!

NO NO not over the line at all!


by boxer4hrc on Mon Feb 11, 2008 at 09:38:27 PM EST
[ Parent ]

Re: Clinton's "Universal" Deception (none / 0)

I'm pretty sure we could go tit for tat here until the page only gives us one letter per line.  And I'm sure that at the end of such a futile exercise we will have accomplished nothing.

My issue here is that this analysis of Obama's and Clinton's health care plans and the comments that follow is that somehow this represents some great weakness of his and some great strength of hers and that he should not be trusted because he is deceptive.  Maybe he is.  I'm not defending that.  And I've admitted there are questions he needs to answer.  But the notion that he isn't to be trusted because he is deceptive and/or lacks specificity and therefore isn't suitable to be the Democratic nominee assumes that Hillary is neither of these things and therefore is.  That conclusions is simply false.

If your going to criticize Obama for these things than be willing to accept the same criticisms of Clinton and find a more meaningful and less baseless criticism of him as a candidate and as a potential nominee.


by durhamrocks on Mon Feb 11, 2008 at 09:47:00 PM EST
[ Parent ]

it matters who's left out (2.00 / 6)

on one side it's self-employed childless adults who are doing fine, are healthy and like to game systems. On the other it's inner city underemployed parents who would see even a couple of dollars as money they could spend on their kids, and they'd rather take a chance with their own health than deprive their children any more than they are already disadvantaged. I know single moms who pay for their children but not themselves.  Obama's plan it heartless, it will take it's toll on those least able to game the system. Those parents will avoid seeking needed health care cause in his plan they'll penalized when they see a doctor, which won't bother the richer people, they  know how to do things like that, but will so intimidate and stress poor folks that they'll get sicker.  


by anna shane on Mon Feb 11, 2008 at 08:55:56 PM EST

Re: it matters who's left out (2.00 / 1)

That is called REGRESSIVE health care.


by Sensible on Mon Feb 11, 2008 at 09:03:16 PM EST
[ Parent ]

it will be the one that need it the most (2.00 / 4)

that will be left out.


by JoeySky18 on Mon Feb 11, 2008 at 08:59:43 PM EST

Sigh. Democrats have great policy ideas but can't (none / 0)

win a damn fight to save our lives.

Clearly single-payer is the way to go but that sort of plan appears to be off the table.

Mandates are a losing proposition. The GOP will either crush the plan in the GE (HRC if she's the nominee will drop it) or put a stop to it in Congress.

Commercial after commercial about the government forcing you to pay more to them or private insurers or they'll garnish your wages..or worse (cue scary music) will sink this plan quick fast and in a hurry.


by illlaw1 on Mon Feb 11, 2008 at 09:06:32 PM EST

Sigh. (2.00 / 4)

It still boggles my mind that we're losing the fight for universal health care in the Democratic primary. The insurance companies should take the money they were going to use on new Harry and Louise ads and donate it to the DNC. It's the least they could do.


by OrangeFur on Mon Feb 11, 2008 at 09:06:44 PM EST

Edwards may now go public? (2.00 / 1)

hard to say-but the thought crosses my mind that JRE may have had enough of Obama's purposeful deception

He was supposedly meeting with Obama today

Maybe--maybe--JRE may now endorse HRC and use the public platform to set the record straight so Mar4 votors are not deceived?


by ionsys on Mon Feb 11, 2008 at 09:09:09 PM EST

Guidance, please (2.00 / 1)

Now that MyDD has become the Clinton site and dailykos has gone all in with Obama, where is most of the reasonable dialogue happening?  Seriously, can somebody tell me where to look?


by slash1001 on Mon Feb 11, 2008 at 09:16:31 PM EST

Re: Guidance, please (none / 0)

I hadn't waded into the comments for months, but for the FPers, I'd say Kos works to puncture the balloons of both "sides" and MyDD has sort of gone over the top with the Clinton thing lately. (You're totally right that the comments at Kos being pretty one-sided, I'm talking about someone mostly experiencing these sites through an RSS reader.)

I'll be glad when the fundraiser is over and we can get the analysis back around here. I keep thinking it's some great and devious plan to keep Clinton supporters who came online this cycle for the first time engaged -- but every further post, the twisted delegate counts (it shouldn't hurt your candidate to admit that she's fallen behind), and ginning up what would be unacceptable attacks against our potential nominee (were we talking about the other potential nominee) makes me think it's not a crafty plan, but just plain shilling.


by scvmws on Mon Feb 11, 2008 at 09:32:58 PM EST
[ Parent ]

Off topic. (none / 0)

From the MyDD home page, my left menu has (among others) "Write New Diary" and "Write New Entry". What's the difference? Thanks.


by OrangeFur on Mon Feb 11, 2008 at 09:23:10 PM EST

Re: Obama's "Universal (2.00 / 1)

Todd,
Great post.

As someone who used to work in insurance there are some points that need to be made.

First of all, you will not achieve universal coverage unless you have mandates? Why is that? It's because unless you have mandates there will continual cost shifting. Unless the risk is spread among a large group of people the costs will skyrocket.

Obama's plan is an expensive boondoggle. It won't eliminate cost shifting nor cover everyone and probably less people will be covered because prices will spiral under his plan.


by Ga6thDem on Mon Feb 11, 2008 at 09:28:30 PM EST

Re: Obama's "Universal (none / 0)

The projection that I saw last was something like 15 mill might skip out or not get covered for one reason or another. Out of 300 million right? How can that have a substantial effect one way or the other?


by illlaw1 on Mon Feb 11, 2008 at 09:32:04 PM EST
[ Parent ]

Re: Obama's "Universal (2.00 / 1)

umm????

there are 37 million right now without insurance out of over 300 million people in the country.

But that is a side point, the point should be to get everyone health care in this country. Costs should be a secondary issue.

Oh, and because you still dont get it, those 15 million people... when they do get sick, go to ER's.

An ER visit costs a hell of a lot more than the typical doctors office visit.


Rise, Hillary, Rise
by sepulvedaj3 on Mon Feb 11, 2008 at 09:35:21 PM EST
[ Parent ]

Re: Obama's "Universal (2.00 / 1)

In addition to ER, Medicaid, and Medicare recipients, don't forget government workers who get taxpayer-subsidized insurance. I'm one of them, and it's great.


by jerseygirl on Mon Feb 11, 2008 at 09:46:26 PM EST
[ Parent ]

Re: Obama's "Universal (none / 0)

You're not "getting" everyone healthcare under HRC's plan. You're forcing them to buy it.

However, you seem unable to answer the cost issue which is what I was looking for.  


by illlaw1 on Mon Feb 11, 2008 at 10:10:29 PM EST
[ Parent ]

Re: Obama's "Universal (2.00 / 1)

Well yes, you are forcing them to get health care. And everyone should have health care.

Because the 15 Million people can see doctors, get better healthcare and not WAIT till they need to go to the ER for health care.

ER Costs are a killer in large hospitals.

ER should be for EMERGENCIES. Car crashes, shootings, heart attacks, you know, emergencies.

They shouldnt be for ear infections, but not the ordinary ear infection which could be taken care of swiftly by your PCP, but, you know, ear infections that are so bad, the pt has no where else to go but the ER. Where a quick fix isnt possible. More meds (more costs), more time being treated for something routine, more resources wasted.

But here's just another scenario. A patient without insurance doesnt get their asthma medicine.  Their asthma isnt that bad, so they kind of rough it, walk slower, dont climb steps, but they get a cold. Cold inflames the asthma, next thing you know they are getting albuterol treatments in the ER, and not just one, but 3-4 plus prednisone pushes to keep the asthma under countrol.  Whereas the person with insurance can keep up with their treatment, and wont end up in the ER as often.

I dont know where you live, but in NYC, the ER's are packed.

BUDDY, THEY ARENT PACKED WITH GUN SHOT VICTIMS.


Rise, Hillary, Rise
by sepulvedaj3 on Mon Feb 11, 2008 at 11:09:40 PM EST
[ Parent ]

Re: Obama's "Universal (none / 0)

Well, with mandates you've got some backbone for enforcement. Obama's plan leaves out 15 million.


by Ga6thDem on Mon Feb 11, 2008 at 09:48:00 PM EST
[ Parent ]

Re: Obama's "Universal (none / 0)

Understood. I think mandates are a loser but that's not really what I'm wondering about. I'm wondering how there can be a substantial difference in cost if 285 million have insurance plans vs. 300 million.


by illlaw1 on Mon Feb 11, 2008 at 10:13:31 PM EST
[ Parent ]

Re: Obama's "Universal (2.00 / 2)

What you're missing is that it's not a single pool consisting of all 300 million people.

The reason mandates are important for affordability is that you don't want to let the public plan end up consisting of all the expensive sick people, with all the healthy people on the sidelines contributing nothing to help lower costs.  If there were 300 million people in the public plan, I guess that wouldn't make much difference, but there won't be until we have single-payer.


"Another problem we have...is that in election years we behave somewhat as primitive peoples do at the time of the full moon." --Harry Truman
by Steve M on Mon Feb 11, 2008 at 10:32:26 PM EST
[ Parent ]

Re: Obama's "Universal (none / 0)

No I'm not missing that. I actually understand that but I'm trying to have people explain why a plan that covers only 15 million more, by forcing them to by healthcare, is so much better. If it's not going to offer a substantial level of savings over Obama's plan then who cares?

I'm going off the assumption that the folks who have looked at this and say 15 million and no more would opt out or not get insurance for some reason are correct.

That doesn't appear to be much of a difference at all.


by illlaw1 on Mon Feb 11, 2008 at 10:36:58 PM EST
[ Parent ]

Re: Obama's "Universal (2.00 / 2)

because the 15 Million people can see doctors, get better healthcare and not WAIT till they need to go to the ER for health care.

ER Costs are a killer in large hospitals.

ER should be for EMERGENCIES. Car crashes, shootings, heart attacks, you know, emergencies.

They shouldnt be for ear infections, but not the ordinary ear infection which could be taken care of swiftly by your PCP, but, you know, ear infections that are so bad, the pt has no where else to go but the ER. Where a quick fix isnt possible. More meds (more costs), more time being treated for something routine, more resources wasted.

But here's just another scenario. A patient without insurance doesnt get their asthma medicine.  Their asthma isnt that bad, so they kind of rough it, walk slower, dont climb steps, but they get a cold. Cold inflames the asthma, next thing you know they are getting albuterol treatments in the ER, and not just one, but 3-4 plus prednisone pushes to keep the asthma under c