[UPDATED] Common Sense + Expert Opinions on Obama's Dangerously Flawed Health Care Plan

Update [2008-2-2 15:9:10 by susanhu]: Below, I've added the images from Obama's attack mailer.

In Thursday's debate -- as he did in previous debates for which Edwards excorciated him -- Barack Obama defended the failure of his health plan to cover 15 million people. Obama thinks that giving Americans a CHOICE is superior to a mandated plan. Below are experts' must-read opinions on why Obama's thinking is so flawed.

First, though, let me opine for a minute.  Steve Clemons writes at Huffington Post that he received this argument for choice from an Obama surrogate:

We as a nation have to decide, do we want to be forced to pay for universal medical insurance, like we are mandated to pay for auto insurance now? Or would we rather have the option of CHOICE -- to be able to decide whether or not we want to buy our medical coverage when we think the time is right?

Barack Obama's plan thoughtfully does not want to put another mandated cost, like auto insurance, on the backs of the people, especially the young, who already have college costs to contend with. However, the coverage is always there for you, if and when you need it. That is our decision and our choice!

WTF??? So if some drugged-up 17-year-old hits my car on the highway, it's okay with Barack Obama that he doesn't have car insurance (even though it's required by law)? And that my county's hospital (whose budget is already stretched to the max) will have to eat the costs of his emergency and long-term care?  So it's okay that I have to pay extra on my own policy to cover uninsured motorists?

Then there's that "the young" -- who are healthy, presumably -- don't need mandated health insurance, which ironically is one of Tucker Carlson's favorite arguments. What will happen when those "young" are hit by a car or injured while playing a sport?  What if they have diabetes or high blood pressure -- two ailments becoming more common among the young that go undiagnosed and under-treated until the problems become so severe that the health costs are enormous? What will happen is that we TAXPAYERS, as well as their parents and spouses -- and my struggling county hospital, and other strapped public institutions like it -- will have to cover their enormous medical expenses. Whereas, if they'd had John Edwards' or Hillary Clinton's insurance, they would have been fully covered.

Then there's the deadliest effect of the deficiency of Obama's plan, expressed by Ezra Klein:

The problem isn't that it leaves people out, but that it effectively closes off his ability to regulate the insurance industry, and opens up a flaw that could bring down his whole proposal.

Hey, this is plain ol' common sense. It's why we all want every driver to be insured! Now let's check out the opinion, and essential reasoning, of the experts on the flaws in Obama's health care plan:

Ezra Klein, "OBAMA'S "HARRY AND LOUISE" AD," The Prospect:

A mandate is not how you cover everyone, it's how you force insurers to cover everyone, and discriminate against no one. And even if you don't have a mandate in your plan, to argue against universal mechanisms because they force people to buy insurance is supremely damaging to the long-term goal, which Obama professes support for, of some system in which everyone is, and has to be, covered.

In the end, his plan is not universal, does not attempt to be, and is probably less generous in its affordability provisions than Clinton's. And even so, I wouldn't really care, as it's still a pretty good plan, except that he's decided to respond to the inadequacies of his own policy by fear-mongering against not only better policy, but the type of policy he's probably going to have to eventually adopt. It's very, very short-sighted.

Note: I have more below on Obama's "fear-mongering" campaign with a nasty mailer he sent out attacking Clinton's health plan, which harkens back to the Harry & Louise campaign in 1993 led by the huge insurance and pharmaceutical corporations.

Also: To quote from Ezra Klein's piece is to do it an injustice.  It must be read in full.  (I bet John Edwards watched that debate Thursday night, and would have given anything to have torn into Obama over his idiotic thinking that caters to corporations rather than to all Americans.)

Steve Clemons, "Note to Barack Obama: Choice is the Problem, Not the Fix in Health Insurance," Huffington Post, February 1, 2008:

Choice means that many who are healthy and don't have insurance don't kick into a system that would help subsidize the less well-off economically and those who may be ill. Thus, insurers want to cherry-pick among those they want in their portfolios and want to avoid covering those at the lower end of the spectrum.

Including the non-participants in a comprehensive program would make everyone's costs decline on average, but you need full participation.

The Urban Institute, February 1, 2008:

In this brief we conclude that, absent a single payer system, it is not possible to achieve universal coverage without an individual mandate. The evidence is strong that voluntary measures alone would leave large numbers of people uninsured. Voluntary measures would tend to enroll disproportionate numbers of individuals with higher cost health problems, creating high premiums and instability in the insurance pools in which they are enrolled, unless further significant government subsidization is provided. The government would also have difficulty redirecting current spending on the uninsured to offset some of the cost associated with a new program without universal coverage.

Paul Krugman, Princeton University economist and columnist for the New York Times, "Obama Does Harry and Louise Again...," February 1, 2008:

The Obama campaign sends out an ugly mailer. Sorry, but this is just destructive -- like the Obama plan, the Clinton plan offers subsidies to lower-income families. And BO himself has conceded that he might have to penalize people who don't buy insurance until they need care.

Update [2008-2-2 15:9:10 by susanhu]: Images of the attack mailer that Obama sent out:

Image Hosted by ImageShack.us

Image Hosted by ImageShack.us

As the Clinton campaign's Fact Hub noted yesterday:

In 1993, the health insurance industry spent hundreds of millions of dollars trying to scare people into opposing universal health care. Here's a screen shot from the infamous Harry and Louise ad:

[Image of Harry & Louise ad]

Now, Sen. Obama is sending mail to voters around the country, using the exact same tactics [...]

Sen. Obama fails to mention Hillary's plan cuts costs just as aggressively as Sen. Obama, if not more so.

Hillary's plan contains more generous subsidies than the Obama plan. Noted health expert Ken Thorpe of Emory University concluded that under the Hillary plan, everyone will be able to afford coverage.

The Obama plan leaves 15 million people out, which drives up costs because everyone else ends up subsidizing their emergency care.

Besides the experts I've cited above, the Denver Post weighed in yesterday in its endorsement of Hillary Clinton:

Obama has criticized Clinton's health care plan because it requires citizens to buy coverage while subsidizing low-income workers. But Obama's voluntary plan simply won't work, any more than a voluntary Social Security plan could work. By allowing seemingly healthy people to avoid buying insurance, Obama would simply saddle the taxpayers with the costs of their care if and when they are stricken by such catastrophic illnesses as cancer.

For more, please see Alegre's excellent diary at Daily Kos.



Display:


Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

Stop your anti-Obama rants.  Just vote for Clinton, she is obviously going to win, but just stop these awful posts.


by tom32182 on Sat Feb 02, 2008 at 02:44:35 PM EST

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 2)

tell obama to stop sending out these mailers. i see he's still quoting the "daily iowan", being unable to get a more well-known source for these charges. the daily iowan is the student newspaper ;-)


by campskunk on Sat Feb 02, 2008 at 02:47:19 PM EST
[ Parent ]

Well, I guess since... (2.00 / 1)

"The Daily Iowan" student newspaper is the only "expert" siding with Obama here, that's all they got. ;-)


We shall overcome!
by atdleft on Sat Feb 02, 2008 at 02:55:54 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 2)

I tried to upload the images of the flyer, but ImageShack is down -- I'll keep trying.

OMG.  I am laughing out loud.  I'd forgotten that Obama used the "expert" source of the student newspaper in Iowa.  What a sad joke on him.


by susanhu on Sat Feb 02, 2008 at 03:03:24 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

I live near the University of Iowa, and trust me, the Daily Iowan (affectionately, the Daily Idiot), is not an expert on the intricacies of health care policy.


by CVDem on Sat Feb 02, 2008 at 04:34:07 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

I trust you.

(And you got me giggling again.)


by susanhu on Sat Feb 02, 2008 at 05:30:08 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

I trust you.

(And you got me giggling again.)


by susanhu on Sat Feb 02, 2008 at 05:30:49 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 1)

As icebergslim likes to say over at dkos, just keeping it real.


Our long national nightmare is over.
by Beltway Dem on Sat Feb 02, 2008 at 02:51:17 PM EST
[ Parent ]

Obama's Dangerous Health Care Plan (2.00 / 3)

Good god.  I'm trying to make sure that people know the truth about this guy who is not qualified to be president. Hope, my ass.  That won't help people without health insurance, without help for their mortgages and their heating bills, and on and on.  It's rhetorical bullshit.


by susanhu on Sat Feb 02, 2008 at 03:01:49 PM EST
[ Parent ]

Re: Obama's Dangerous Health Care Plan (none / 0)

I suppose the bigger question is:

Will Senator Obama support or oppose President Clinton's Health Care Plan in 2009?  Will he join Lieberman in a filibuster of the bill?


Enough is enough!
by Bear83 on Sat Feb 02, 2008 at 11:01:11 PM EST
[ Parent ]

Awful rant (2.00 / 3)

Funny, I don't see any rant here, nor anything awful. Just a reasonable, factual discussion of why Hillary's health care plan is better than Obama's. What's wrong with that? Can't Obama and his supporters accept any criticism at all?


by freemansfarm on Sat Feb 02, 2008 at 03:10:24 PM EST
[ Parent ]

MYDD is official Hillary blog (2.00 / 1)

Who could have imagined that MYDD would have evolved into a 24/7 Hillary Clinton blog. It is really an amazing transformation over the past 6-8 months. I would say it is a done deal.


by aiko on Sat Feb 02, 2008 at 02:49:04 PM EST

I find it very refreshing. (2.00 / 4)

A haven in the cruel blogosphere.


Our long national nightmare is over.
by Beltway Dem on Sat Feb 02, 2008 at 02:50:42 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 4)

Thank God there is at least one Democrat running for the Democratic nomination!!!!! Go Hillary!!!!!!!!!


Our long national nightmare is over.
by Beltway Dem on Sat Feb 02, 2008 at 02:50:01 PM EST

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

Yeah voting for Kyl-Leiberman is what a real democrat would do.  Or the Iraq War.  Or opposing raising taxes on the rich for social security.  Or voting for No Child Left Behind.  Maybe Obama isn't a democrat's democrat, but neither is HRC.  


by tom32182 on Sat Feb 02, 2008 at 02:52:27 PM EST

Gimme a break! (2.00 / 3)

First off, who was actually in the Senate to take the most egregious language out of K-L while Obama ducked the vote? Who's been offering LEGISLATION to end the war while Obama just talks about it? Who's been working for 16 years to make universal health care a reality while Obama fights AGAINST it? Who's been offering a REAL climate & energy plan that solves the climate crisis and makes our nation energy independent while Obama supports coal and nuclear power?

Get real... Hillary's the REAL DEAL for real progressive change!


We shall overcome!
by atdleft on Sat Feb 02, 2008 at 03:01:00 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

No Child Left Behind, wasn't that Ted Kennedy's bill?


by CVDem on Sat Feb 02, 2008 at 10:15:37 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

Hate to break it to you but merely being a Democrat doesn't mean you are kneejerk anti-war.  

Howard Dean wasn't even an anti-war candidate, he was just anti-Iraq war.  The press and a bunch of other idiots called Dean 'anti-war'.  Lots of people forget that Dean was all for going into Afghanistan and bombing the heck out of it.


by LionelEHutz on Sun Feb 03, 2008 at 02:32:13 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

Why did all the progressives then vote against Kyl-Lieberman - this doesn't have to do with Obama.  Clinton has never been much of a leader on environmental problems in the Senate, and if you think she is going to leave Iraq you are kidding yourself.

HRC is a hawk.  This is her view of the world.  This wouldn't work in a Democratic Primary so she moved to the left.

Furthermore, mandates are not universal health care.  Single payer is the only thing that is worthwhile.  


by tom32182 on Sat Feb 02, 2008 at 03:04:57 PM EST

Re: Common Sense + Expert Opinions (2.00 / 2)

It's not "universal" without mandates.
Obama does not have a universal health care plan.

Oh - and I'm sick of Obama distorting Hillary's (and Edwards) UHC by stating people would be FORCED to BUY insurance!
The rates would NOT be based on current insurance rates - and people would pay based on income.
UHC would be AFFORDABLE for everyone!


Hillary/Obama08
by annefrank on Sat Feb 02, 2008 at 03:30:14 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions (none / 0)

It's not universal with mandates. It's forced insurance.


by illlaw1 on Sat Feb 02, 2008 at 08:37:05 PM EST
[ Parent ]

duh (2.00 / 2)

do you all ever listen to yourselves?  No one is much of a fighter for the environment in the senate, least of all Obama.  Things are changing now.
K-L had not teeth thanks to Clinton and some other people, no thanks to Obama who didn't show up for it and NCLB is not working because it is unfunded.  But we have all come to realize it is crap for other reasons.  That vote was hardly enough to make her a "republican".

We will get to single payer one day, but now with Barry in the oval office. He is opposed to even UHC.


ABO... Anybody but Obama. I LIKE the democratic party.

by MollieBradford on Sat Feb 02, 2008 at 05:04:06 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (1.00 / 1)

If Obama was the nominee, mydd will become a McCain support website.  Pathetic.


by tom32182 on Sat Feb 02, 2008 at 03:06:01 PM EST

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 1)

who here has said they wouldn't vote for Obama?  
This isn't Agent Orange where everyone throws a snit fit and swears not to vote for the candidate if it is not their candidate.

ABO... Anybody but Obama. I LIKE the democratic party.

by MollieBradford on Sat Feb 02, 2008 at 05:05:42 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 2)

Obama is the one threatening that his supporters won't support the nominee.   Publicly.  Twice.

Hillary, on the other hand, is a loyal liberal Democrat who would never dream of inciting division in the party.


by WMCB on Sat Feb 02, 2008 at 06:33:41 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (none / 0)

lol. Is that why Bill is going on a black church tour?


by illlaw1 on Sat Feb 02, 2008 at 08:36:35 PM EST
[ Parent ]

IIRC It Is Senator Obama Making Statements (none / 0)

in the media that his supporters won't support Senator Clinton.


by MOBlue on Sat Feb 02, 2008 at 06:36:17 PM EST
[ Parent ]

Re: Common Sense + Expert Opinions on Obama's Dang (2.00 / 1)

I agree. Making Obama the nominee is giving the GOP a 40 state blowout.


by Safe at Home on Sat Feb 02, 2008 at 07:36:34 PM EST
[ Parent ]

Obama's side of the story: (none / 0)


15 Million and Mandates
January 31, 2008

MANDATES DON'T LOWER COSTS

15 MILLION IS A "DUBIOUS STATISTIC" TO USE WHEN DISCUSSING OBAMA'S PLAN

80 Health Care and Legal Experts: Universal Coverage and the Presidential Candidates' Health Care Proposals
February 01, 2008


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Feb 02, 2008 at 05:06:14 PM EST

Re: Obama's side of the story: (2.00 / 1)

Experts like that learned healthcare scholars at the student newspaper "The Daily Iowan?"  

Because that is whose quote he keeps touting in his mailers.  Which is really, really embarrassing.


by WMCB on Sat Feb 02, 2008 at 06:35:18 PM EST
[ Parent ]

Why not click the link? (none / 0)

it doesn't have any "daily iowan" experts" listed.

It does list:


Stuart Altman
Dean and Sol C. Chaikin Professor of National Health Policy
Heller School for Social Policy and Management
Brandeis University

M. Gregg Bloche, MD, JD
Professor of Law
Georgetown University
Non-Resident Senior Fellow
The Brookings Institution
Adjunct Professor
Bloomberg School of Public Health
Johns Hopkins University

Nicholas A. Christakis, MD, PhD, MPH
Professor
Department of Health Care Policy
Harvard Medical School
Department of Sociology
Faculty of Arts and Sciences
Harvard University

David Matchar, MD
Professor of Medicine
Director, Center for Clinical Health Policy Research
Duke University Medical Center

E. Richard Brown, PhD
Professor of Health Policy
UCLA School of Public Health
READ THE NAMES OF 80 SIGNERS BELOW


Obama's Pop. Vote LEAD = 600K | Clinton & McCain = WAR Authorizers
by NeuvoLiberal on Sat Feb 02, 2008 at 10:20:16 PM EST
[ Parent ]

Re: [UPDATED] Common Sense + Expert Opinions on Ob (2.00 / 1)

Susan, you and Seymor are totally awesome in your support of the Clintons.


by moi moi on Sat Feb 02, 2008 at 06:14:44 PM EST

well (none / 0)

http://robertreich.blogspot.com/2008/01/ democrats-should-stop-squabbling-over.ht ml


by illlaw1 on Sat Feb 02, 2008 at 08:35:36 PM EST

Re: well (none / 0)

Poor Bob. He keeps discrediting himself in his zeal to defend Obama. This was particularly sad of him:

Hillary Clinton says she favors mandates, but isn't sure there should be a penalty for noncompliance.

He fell hook, line, and sinker for Obama's attempt to sidestep mandates by suggesting that mandates are not possible turning around and suggesting that Clinton has stayed agnostic on whether a mandate should be enforced. Newsflash: the definition of a mandate is that it will be enforced. Of course, if we were to take Bob seriously, we should note that children shouldn't have mandated coverage either (a mandate Obama is conveniently but quietly touting) because of the undetailed penalties for noncompliance.


While I could sit in church and pray all I want, I wouldn't be fulfilling God's will unless I went out and did the Lord's work ~ Barack Obama
by bowiegeek on Sat Feb 02, 2008 at 09:29:36 PM EST
[ Parent ]

Don't like any mandates at all. (none / 0)

Mandates stink. Single-payer is the progressive way. Mandates are the simply a jackpot for the insurance industry.


by illlaw1 on Sat Feb 02, 2008 at 09:46:59 PM EST
[ Parent ]

Re: Don't like any mandates at all. (2.00 / 1)

Not exactly, because at least with Hill's plan they will not be able to cherry pick customers in exchange for the business. The problem with Obama's plan is that there's no exchange. He thinks he can do that without covering everyone. He is mistaken.


While I could sit in church and pray all I want, I wouldn't be fulfilling God's will unless I went out and did the Lord's work ~ Barack Obama
by bowiegeek on Sat Feb 02, 2008 at 10:02:25 PM EST
[ Parent ]

Re: [UPDATED] Common Sense + Expert Opinions (2.00 / 1)

susan, THANK YOU for your excellent diaries, which so far have been everything most pro-obama diaries haven't been: sensible, well-informed, wise, and substantively relevant to the issues dems truly care about. :) it's hard to stay focused with all of the glitz, hype, and hysteria mobbing the other camp.
by nance on Sat Feb 02, 2008 at 09:16:34 PM EST

Re: Obama's Right Wing Talking Points, Tactics (none / 0)

These new "harry & louise ads" are positively ROVIAN in their design. Invoking RIGHT-WING smears against Hillary's health care proposals, using RIGHT WING tactics in a repeat of the 1993 RIGHT-WING smear tactics?! It's enough to give Bill Kristol, lead smear-mongerer in the 90s a serious case of the gleefuls. He's sipping champagne and kicking back loving this!

It's infuriating. It should be a serious heads up about this candidate to any reality-based progressive, indeed, to any Democrat.

The framing of Obama's policy is simply right-wing "free market" framing. It's no different than giving people a "choice" of Medicare pharmaceutical companies; giving people the "choice" of having a pension or having a 401-K; giving people a "choice" of setting up their own Social Security "private account."

This is RIGHT-WING STUFF. It's patently designed to undermine government (aka, Reagan's comment that government is not the solution; it is the problem)

And, it's coming from Obama's economic advisors all of whom are "free market" advocates.

Barack Obama is running against the Democratic Party. No truer words were ever spoken.


"I never give them hell. I just tell the truth and they think it's hell." Harry S Truman
by Tennessean on Sun Feb 03, 2008 at 10:01:35 AM EST


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