By Kristina Wong

Jun 11, 2009 5:54pm

President Obama Pushes for Health Care Reform, Pushes Back Against Opponents

ABC News' Jake Tapper, Rachel Martin, Jon Garcia, and Sunlen Miller report:

GREEN BAY, WISC — Green Bay is one of those rare parts of the country where health care providers and employers have worked together to successfully control health care costs while improving quality of service, so it was only natural that President Obama would take his health care message there.

The bottom line, the president told residents of the Badger State: the time is now. He wants a health care reform bill on his desk by October.

“This next eight weeks is going to be critical,” the president said. “And you need to be really paying attention and putting pressure on your members of Congress to say, there's no excuses.  If we don't get it done this year, we're probably not going to get it done. “

Arguing that the nation should study and replicate Green Bay’s success — which has come through transparency, digital technology, preventive care and greater physician cooperation – the president said, “We have the most expensive health care system in the world. We spend almost 50 percent more per person on health care than the next most costly nation. But here’s the thing, Green Bay: we’re not any healthier for it."

The president today said a future "Health Insurance Exchange" would allow consumers "to one-stop shop for a health care plan, compare benefits and prices, choose the plan that's best for you.  If you're happy with your plan, you keep it." None of the plans, the president said, would be allowed to deny anyone coverage on the basis of pre-existing conditions – a personal issue for the president, whose mother was denied insurance because the carrier argued that her ovarian and uterine cancers constituted pre-existing conditions.

The Debate Over a Public Plan

Legislation is making its way through committees on Capitol Hill, the president noted –“It turns out Congress doesn't really like you to just tell them exactly what to do,” the president joked, in his most recent allusion to the failed health care reform efforts of the Clintons in 1993 – with many members of Congress discussing whether a government-run health care plan should be an option.

It's a suggestion that's raised the ire of many Republicans on Capitol Hill who say Obama's reforms would ultimately end up with nothing less than a government takeover of the health care industry.

“If you have a government competitor, virtually every study I'm aware of says that half of the people that get their coverage through their employer now would opt for the cheaper government competitor,” said Rep. Roy Blunt, R-Mo., today, “and, of course, that destroys the system and then you don't have any competitors.”

Even thought a public option is not yet officially part of any legislation, the president today mounted a vociferous defense of it.

“Right now, a number of my Republican friends have said, ‘We can't support anything with a public option,’” Mr. Obama said. “It's not clear that it's based on any evidence as much as it is their thinking; their fear that somehow, once you have a public plan, that government will take over the entire health care system.”

Previewing this as a “significant debate” in the pending health care legislative tug-of-war, the president said, “what we're trying to explain is, is that all we're trying to make sure of is that there is an option out there for people…where the free market fails.  And we've got to admit that the free market has not worked perfectly when it comes to health care, because you've got a lot of people who are really getting hurt:  46 million uninsured, a whole bunch of more people who are underinsured who are seeing their premiums and deductibles rise. “

The American Medical Association, to whom the president will speak on Monday, has also voiced its opposition to a public plan, telling the Senate Finance Committee in a document obtained by ABC News that the “introduction of a new public plan threatens to restrict patient choice by driving out private insurers, which currently provide coverage for nearly 70 percent of Americans.”

The AMA suggested that because such a plan would likely receive “special advantages and government subsidies that would not be available to private insurers” in turn “private insurers would be pushed out of the market entirely. A crowd-out of private insurers and the corresponding surge in public plan participation would likely lead to an explosion of costs that would need to be absorbed by taxpayers.”

The physicians’ organization also suggested that if the government were to use its authority to artificially hold prices below market rates for this public plan, as it has done with Medicare and Medicaid, “the country could see an increase in cost shifting to private carriers and providers” which would lead “to higher costs for consumers in private plans.”

Reform Fight Heating Up

Today’s town hall meeting took place as the health care reform fight is beginning to heat up. 

A new TV ad from a group called Conservatives for Patients' Rights claims that the public health insurance proposal being debated in Congress "could crush all your other choices, driving them out of existence, resulting in 119 million off their current insurance coverage.” That’s a number the author of the Lewin Group study being cited calls overstated, and a claim that Factcheck.org calls misleading since few political observers think a plan like that in the study – a Medicare-like program open to anyone who wants it – would make it through Congress.

Forces on the left are playing hardball as well. A group called “Change Congress” has exerted a great deal of pressure on moderate Sen. Ben Nelson, D-Neb., in recent weeks, who last month called a public plan a “deal breaker.” Change Congress mounted a campaign involving internet ads and direct mail informing Nelson’s constituents of significant political donations he’s received from health and insurance interests. “After an intense 11-day battle with Nelson, he's now publicly ‘open’ to the public option — and this week, he made more news by saying he won't join a filibuster of Obama's plan,” crowed the head of Change Congress in a column at the Huffington Post.

In addition, top aides to Sen. Max Baucus, D-Mont., the chair of the Senate Finance Committee, this week cautioned Democratic lobbyists to tell their health care clients not to meet with Senate Republicans today. “They said, ‘Republicans are having this meeting and you need to let all of your clients know if they have someone there, that will be viewed as a hostile act,’” a Democratic lobbyist who attended the meeting told Roll Call

The president also pushed back against the idea that he wants to run health care, saying despite recent federal government control of AIG, Citigroup, and General Motors – to say nothing of other recipients of federal bailout dollars – the idea he likes running things.

“I'm always puzzled when people…go out there creating this bogeyman about how, you know, ‘Obama wants government-run’ — I don't want government to run stuff,” he said. “I've got enough stuff to do.  I've got North Korea, and I've got Iran.  And I've got Afghanistan and Iraq.  I don't know where people get this idea that I want to run stuff, or I want government to run stuff.  I think it'd be great if the health care system was working perfectly and we didn't have to be involved at all."

Concluded the president: "That would be wonderful.  That's not how it's worked.”

The President also preempted the arguments that will no doubt come up on the Hill in the weeks ahead: that the price of health care reform is too great.

“You'll hear during this debate over the next several weeks is people will also say ‘The deficit and the debt are skyrocketing, and that's the reason why we can't afford to do health reform."  So I just want to repeat the single biggest problem we have in terms of the debt and the deficit is health care, it's Medicare and Medicaid.”

Focusing quite a bit on preventive care, the president said there "is nothing wrong with us giving a little bit of a nudge in moving people in the direction of healthier lifestyles."

Drop the Tater Tots, Kids

He said that needed to begin with adults teaching children to lead healthier lifestyles.

"The cheapest way to feed all the kids is to have the frozen tater tots…and then you've got pizza and fries," he said. "And then the soda companies, they all say, we'll put in a free soda machine in there so the kids can have as much soda as they want.  And pretty soon our kids are seeing their rates of Type 2 diabetes skyrocket.  They're not getting the exercise, because a lot of schools are running out of money when it comes to PE.  Kids are sitting in front of the TV all day long."

The President said that if health care reform is passed this year that families will get some immediate relief, but the whole system realistically would not be “perfectly” set up until four or five years from now.

“If we wait, if we said, ‘well, you know, since we're not going to get it right, right away, let's put this off until two or four or five years from now’ — it's never going to happen.  That's what's been going on for the last 50 years now — people have said, we can't do it right now.  And as a consequence, it never gets done.  Now is the time to do it.”

- Jake Tapper, Rachel Martin, Jon Garcia, and Sunlen Miller

User Comments

“You’ll hear during this debate over the next several weeks is people will also say ‘The deficit and the debt are skyrocketing, and that’s the reason why we can’t afford to do health reform.” So I just want to repeat the single biggest problem we have in terms of the debt and the deficit is health care, it’s Medicare and Medicaid.”
============
If the biggest problem with the debt and deficit is Medicare and Medicaid, how does expanding a public option do anything to control the costs?
Especially if it is going to be expanded to people who currently can’t (or don’t think they can) afford to pay premiums?
What are they going to do to address the fact that under reimbursement from Medicare and Medicaid is a big problem for doctors, patients, and hospitals?

Posted by: MayBee | June 11, 2009, 6:08 pm 6:08 pm

If we don’t get it done this year, we’re probably not going to get it done.
==========
What is his basis for saying that?

Posted by: MayBee | June 11, 2009, 6:11 pm 6:11 pm

if you want health care, you should pay for it. paygo if you will. there ain’t no free lunch barry.

Posted by: paco | June 11, 2009, 6:28 pm 6:28 pm

National Healthcare is a Disaster, heres why:
When the Govt offers National Healthcare to all Americans, it will force millions of Americans off their own private healthcare plans because the premiums will be increased to cover the cost of all the “free” healthcare. This will force manty businesses large and small to opt out of offering private healthcare because of costs. Americans who prefer private but cannot afford to pay will be forced to go on Govt medical coverage. There are currently over 1300 private healthcare companies, most will go under if this is implemented. If you research any other country that offers socialized medical care it is a DISASTER. So the question is why is this administration trying to implement a program that has failed everywhere??? The waiting lists are years long for procedures like hip replacement and radiation for cancer treatment. We will never recover from this if it is implemented. We must not allow this to occur. Stay informed.

Posted by: V | June 11, 2009, 6:36 pm 6:36 pm

“If you research any other country that offers socialized medical care it is a DISASTER”
Hardly.
We are the last of the so called “first world” nations to not have a nationalized healthcare system in place.
We currently rank as 37th in the WHO measurement of overall health care systems.

Posted by: Ryan C | June 11, 2009, 6:41 pm 6:41 pm

I voted for Obama to end the war, I got socialism.

Posted by: nate | June 11, 2009, 6:49 pm 6:49 pm

“We spend almost 50 percent more per person on health care than the next most costly nation. But here’s the thing, Green Bay: we’re not any healthier for it.”
That’s the crux of it – we pay 50% more than the next most expensive nation per capita, and over double the median of first world nations. Documented fact. So we are spending more (we being total payments including insurance, co-pays, cash, etc) and getting about the same care (actually far worse on average if you’re out of work and/or out of insurance).
Health care reform isn’t about creating an entitlement program, it is about eliminating massive waste. My Dr shouldn’t be wasting his two decades of experience arguing with a paper pusher in my insurance company about why I need a specific medicine, or ordering up an xray for a sprained ankle out of fear of being sued. And if the Republicans were interested in actually serving their nation, they’d be working to get appropriate lawsuit control in this bill rather than throwing out stupid soundbites about rationing. (Newsflash guys: if you weren’t a Congressman, your healthcare would already be rationed by HMO or private insurance bean counters, and lets talk about waits after you live on ibuprofen while having a surgery request slow walked through their pre-approval process.).

Posted by: jhw539 | June 11, 2009, 6:54 pm 6:54 pm

V:”The waiting lists are years long for procedures like hip replacement and radiation for cancer treatment. ”
Year long waiting lists for radiation cancer treatment? Citation please.

Posted by: jhw539 | June 11, 2009, 6:54 pm 6:54 pm

A government run health care system would put the government in charge of who gets what health care if any. It will raise the deficit and raise taxes in economic hard times which will further hurt the economy.
The proposals now on the table for a so called “public insurance option” call for keeping costs down by denying care based on one’s “worth” to society. That translates into denying care to the elderly and making decisions on who gets what health care on political grounds, ie. aids treatment may be on a higher politically correct scale than lymphoma.
With the government in charge of our health care, the government will have the power to decide if you get that operation you need or not and even if they ok it, you may have to wait months to get it. Assuming there are any doctors left to provide the care. After all with no “skin in the game” aka “profit” for taking care of you a lot of physicians may well just quit instead of working for peanuts. Just remember, you get what you pay for. Think about it.
Reality Check:UNDER A GOVERNMENT RUN PROGRAM EVERYONE WILL HAVE HEALTH CARE COVERAGE BUT ONLY THOSE WHO ARE DEEMED BY THE GOVERNMENT AS OF “WORTH TO SOCIETY” OR HAS A POLITICALLY CORRECT AILMENT WILL GET THE CARE!!!
So who are the “heartless and greedy ones”? I say the ones who would deny care to the elderly and are for taking food out of the mouths other peoples children in order to pay for their health care.

Posted by: US Citizen | June 11, 2009, 6:56 pm 6:56 pm

Interesting photo…If I were a liberal I would be thinking, “Jesus saith, I am the way, the truth, and the life to a better health care plan”. How many American’s will continue to fall for this con job before it’s too late? Wake up America!

Posted by: ImBehavingDude | June 11, 2009, 7:00 pm 7:00 pm

My Dr shouldn’t be wasting his two decades of experience arguing with a paper pusher in my insurance company about why I need a specific medicine, or ordering up an xray for a sprained ankle out of fear of being sued.
=========
There is nothing being proposed that would indicate your doctor won’t have to fight with someone about why you need a specific medicine. The players will just change.
And you know what, sometimes the doctor *should* have to argue about why insurance should pay for a specific medicine or treatment.

Posted by: MayBee | June 11, 2009, 7:04 pm 7:04 pm

We currently rank as 37th in the WHO measurement of overall health care systems. >>>>>>>>>>>>>>>>
Who is ranking and how? Statistics are a funny thing, they can be used to say anything.
We all just lost 1.3 trillion in personal wealth (thanks) and the health care in this country is best bar NONE.
No one has better cancer treatment, better heart treatment etc.
I am opposed to this move because the government has a great way of making a MESS of regulations and red tape to deny health care. Are you willing to die if you end up on a waiting list?
Happens in Canada.
Also the he complains about medicare drug addition how much is this going to cost? WHO is going to pay for it?
We are BROKE and worse than BROKE we are WAY out of control BROKE.
China wont buy debt, Russia is going to sell dollars. Our manufacturing is ALL BUT GONE. Where are we going to work?
So are we going to have taxes for your own good? AHHH..
This is another power grab.
The economy sucks. Millions out of work and now he wants to CHANGE the subject.
I am sorry the economy is still in the toilet. FIX the economy and defend the nation as North Korea and Iran are giving us the finger.
DONT BURN a trillions of dollars when the economy will FIX itself because we cant afford it.

Posted by: ChicagBob | June 11, 2009, 7:05 pm 7:05 pm

“Who is ranking and how? Statistics are a funny thing, they can be used to say anything.”
The 37th place is by the World Health Organization.
Right wingers object to that because it includes access.
When removing access, the US still does not crack the top 15.
“We all just lost 1.3 trillion in personal wealth (thanks)”
Yes thanks Bush and right wingers who decried any and all regulation as the work of Big Brother.
“and the health care in this country is best bar NONE.”
Unfortunately its not. And no amount of We’re #1 chanting by right wingers will change that.

Posted by: Ryan C | June 11, 2009, 7:13 pm 7:13 pm

A public plan works very well. Look into S. Korea’s health system. For about $35 a month my wife and I have coverage with very small copays. For another $50 a month for a supplemental private plan, nothing comes out of pocket when we go to see the doc, the surgeon, or the pharmacist. Don’t give in to the liars and fear-mongers America, we are better than that.

Posted by: Get out of your zip code, and leave the ignorance behind | June 11, 2009, 7:15 pm 7:15 pm

Re: The Headline
“SMUGRG: I Want A Million Dollars in My Bank Account By October”

Posted by: smugrg | June 11, 2009, 7:16 pm 7:16 pm

Now doctors will have to ask the government if we can have the surgery you need or lab work. Our grandmothers will not get care.

Posted by: CW | June 11, 2009, 7:17 pm 7:17 pm

Get out- how does Korea keep medical costs low?

Posted by: MayBee | June 11, 2009, 7:17 pm 7:17 pm

I agree with the “hybrid” system where everyone would have base coverage. If you choose to have better than you can either get it from your employer or on your own. Whats wrong with everyone get a certain level? Why can’t the “Hybrid” system work with other insurance companies to pay most of the bill. Then the patient pay the rest? I feel there are things that will need to be worked on. President Obama is encouraging people’s ideas. Why can’t we all start going in the correct direction for Health Care Reform and work out the differences as we go?

Posted by: B | June 11, 2009, 7:23 pm 7:23 pm

I like how some hateful nuts are framing this argument. I thought we were all for capitalism. What are we afraid of competing against? If the current system is fine, don’t you think people will willingly stay with their respectives insurers? I guess choice is only good when extremists can freely buy their guns and go on a rampage (not that I’m against owning guns).

Posted by: David | June 11, 2009, 7:31 pm 7:31 pm

Will the rules being shoved down our throats apply to those making the rules? Bet you they exempt themselves like they have done in many other matters. Do as I say not as I do is their motto.

Posted by: Robert | June 11, 2009, 7:33 pm 7:33 pm

millions of Americans travel to foreign countries to get good health care,and at a fair price.Our health insurance companies dont care about our health, they want to make money.But government health care will be also abused by many people.

Posted by: Sam | June 11, 2009, 7:36 pm 7:36 pm

Time is now for health care for all!!!.
They sell health care cupons, but when somebody needs, they do not pay. They need to compete just like auto makers or they will be out of business. Americans voted for change in Helth care Insurance and now is time to get Insurance for all AMERICANS.
AMERICANS MUST HAVE CHOICE TO BUY HEALTH CARE INSURANCE BUT NOT FROM CURRENTly MONOPOLIZED DIABOLICALY PRIVATE insurance.

Posted by: krys | June 11, 2009, 7:37 pm 7:37 pm

I cannot support a system that kicks seniors and the military to the side. I am a vietnam combat veteran. I can’t get insurance because I am diabetic. As soon as the insurance company found that out they cancelled my policy out of the blue and instead offered me one for $2,400.00 a month. The VA won’t cover us either. You get a form letter telling you that you don’t qualify and that it could take up to six months to appeal. I fail to understand how our own country, who we fought and died for can be thrown out with the trash. Obama’s idea, get use to being older. After all, you are no longer a productive citizen. I have zero respect for this country anymore. Good luck with socialism. I may not live to see it, but you are seeing the beginnings of a police state to take down those that believe in the old America. You are being sold a bill of goods and you don’t even know it.

Posted by: J France | June 11, 2009, 7:42 pm 7:42 pm

this will cost my business 3600 more each year for each employee i have . i already pay 600 a month plus 2000 toward their deductable. obamas plan is once again to tax people who employ people for paying for their insurance. dont know what business obama ever ran, oh wait…he never did,but this is a job killer and wage killer. businesses will cut emplyees or reduce their salaries to pay for the health care. what a joke. plus the AMA is saying no way to this race to the bottom.

Posted by: catman | June 11, 2009, 7:44 pm 7:44 pm

citing the WHO…what a joke. the WHO is trying to crate panic over the swine flu. more people died on air france then from the swine flu. the arrogance of elites is mind boggling. thats wahy common sense trumps a 4.0 from the best school every time.

Posted by: catman | June 11, 2009, 7:49 pm 7:49 pm

The government needs to stay out of my personal medical decisions and focus on protecting the country rather than trying to kill me with it’s inefficiency and bloated bureaucracies.

Posted by: Jon | June 11, 2009, 7:50 pm 7:50 pm

“citing the WHO…what a joke. the WHO is trying to crate panic over the swine flu. more people died on air france then from the swine flu.”
I guess when swine flu can’t be used as a weapon to rile hatred against immigrants, it loses its luster to the right wing.
They just declared swine flu a pandemic which means its spread cannot be stopped. That pretty much comports with what many countries health organizations have been saying.

Posted by: Ryan C | June 11, 2009, 7:55 pm 7:55 pm

ryanc…so what are you saying besides the same old bush did everthing bad mantra. this is obama world now…bush is as past as julius ceasar.perhaps when you accumulate some things by taking risk and employing people you will realize this is the best country in the world to be something other than a number and everyone wearing the same clothes.

Posted by: catman | June 11, 2009, 7:58 pm 7:58 pm

“ryanc…so what are you saying besides the same old bush did everthing bad mantra”
I never mentioned Bush in this discussion but I guess you are tired of getting humiliated by facts.

Posted by: Ryan C | June 11, 2009, 7:59 pm 7:59 pm

ryanc…indirectly you hit the nail on the head…illegal aliens….they are costing californians more than our budget deficit and escalting health care costs. i think if obama pushed health care reform while showing illegals the door then you might have something.

Posted by: catman | June 11, 2009, 8:02 pm 8:02 pm

if you want health care then you should get a job that offers it or buy your own. too many lazy people who want something for nothing, they don’t deserve other peoples money. there ain’t no free lunch Barry.

Posted by: marco | June 11, 2009, 8:08 pm 8:08 pm

ryanc…you said thank bush and other right wingers….seems that you did mention bush. try something new. i was raised as liberal and i was taught to challenge authority.too bad modern day liberals march to to authority instead of quetioning and challenging.

Posted by: catman | June 11, 2009, 8:10 pm 8:10 pm

all these health tips from a guy that smokes a couple packs of Newport lights a day. LOL

Posted by: marco | June 11, 2009, 8:13 pm 8:13 pm

CW:”Our grandmothers will not get care.”
? Most of our grandmothers are already on Medicare (aka the government). Except for some hangover classic pension-style supplemental insurance, health insurance companies can’t turn a buck insuring old folks so they don’t.
Please come back to reality.

Posted by: jhw539 | June 11, 2009, 8:13 pm 8:13 pm

Let’s give GOP all the private pay and private insurance increases, and the rest of us have the teaching schools, health science centers, and medical centers take care of the rest of us. That way we have a 2 way tax system: one for GOP to pay high priced health care, and one for the rest of America to receive health care through reform.

Posted by: Elle | June 11, 2009, 8:28 pm 8:28 pm

Shouldn’t it be considered a conflict of interest to flit about in AF1 at a half mil per pop just to rally up support for a bill to place us further into debt. Currently, the U.S. Debt is estimated at: $11,226,807,380,955.11.

Posted by: Ed Taylor | June 11, 2009, 8:28 pm 8:28 pm

“The right wing cares deeply about each and every child till the moment they are born.
Then they could care less.”
Funny! We have a waiting list of over six months for people wating to adopt!

Posted by: Ed Taylor | June 11, 2009, 8:31 pm 8:31 pm

J Frances
Not Obama’s idea. The insurance companies at any level do this so your claim is false. I’ve been in the insurance business for over 35 years and I’ve seen denials all these years. So your claim that this is Obama’s fault is entirely false.

Posted by: Elle | June 11, 2009, 8:33 pm 8:33 pm

ryanc…lets see if you can focus on the the issues…i as a business owner will be forced to pay 3600 more each year for each employee because of the taxability of health care under the prezs proposal.if we are mired in recession how many employers are not going to cut salaries or jobs to equalize the new tax burden? perhaps i am ignorant but only a government owned company could afford to do this.

Posted by: catman | June 11, 2009, 8:34 pm 8:34 pm

CW:”Our grandmothers will not get care.”
WHA? I just want to not have to choose between life (depleting my savings at age 62) or death (leaving my money to my kids and grandkids). Can’t get a policy due to being a breast-cancer survivor.

Posted by: marcie1000 | June 11, 2009, 8:41 pm 8:41 pm

jhw 539…old people have to spend down their assets before they get help via the government. whats good for them should be good for the rest of those who dont pay for health care.

Posted by: catman | June 11, 2009, 8:51 pm 8:51 pm

no one has ever explained how this going to be paid for and how it wont cost jobs or wages.gas is quickly moving to 4.50 a gallon again as well and interest rates are rising which spells a prolonged bleak economic future. where is the money going to come from…just a small detail.

Posted by: catman | June 11, 2009, 8:55 pm 8:55 pm

The Republicans are alienating more of their base by defending the corrupt insurance companies and hospitals. The lie about people losing their insurance is a total manipulation of the truth. People would leave their insurance for a better option, unless insurance companies gave a better option. I know I would. Remember dear Republican Congressmen, both conservatives and liberals (and us in the center) get sick, and we know how much the health care system sucks.

Posted by: Joseph | June 11, 2009, 8:56 pm 8:56 pm

too bad we all start dying the day we are born. some people act like we humans don’t have to die someday, alas, we all do in the end, even lord barry.

Posted by: marco | June 11, 2009, 9:02 pm 9:02 pm

seems like no one knows how this will be paid for?

Posted by: catman | June 11, 2009, 9:04 pm 9:04 pm

I don’t get it. The age old conservative argument over public vs private is that the government can’t do anything efficiently enough, (like with public school for example) so we should do things privately, but now they say the government is so efficient they can outcompete the privates? This is a bad thing?

Posted by: colinalcarz | June 11, 2009, 9:09 pm 9:09 pm

colincarz…no argument but how will it be paid for? simple question that no one has an answer for? so far it looks to me that busineeses will be taxed in a recession to pay for this thing. when there is not enough money how will this be paid for.

Posted by: catman | June 11, 2009, 9:15 pm 9:15 pm

colinalcarz- ‘government efficiency’…
-The ‘competetive efficiency’ of a government plan comes from the fact that the government prints the money. No private company can compete with that on price to stay in business, but in the longer run, no outfit that has free access to the money supply and a monopoly on an industry has any reason to improve itself.

Posted by: MarkLeavenworth | June 11, 2009, 9:21 pm 9:21 pm

Medicare already pays below the cost of the private market. If private companies are footing the bill, they will have difficulty turning a profit where 100% of people are receiving government care at a price below the cost set by the market.
I think the problem is that using market in the context of health care does not indicate a private, competitive market, it means a market riddled by government (federal and state) control.
Econ 101: In a competitive industry firms are profit-maximizing, meaning they are cost-minimizing. If cost-cutting truly is the panacea that the OMB and Obama believe it to be, then why don’t our legislators strive to make a transparent and open market.
We don’t live in a world where the only choices are unregulated markets and command and control. The government can create institutions (like insurance exchanges, grouping uninsured individuals) to facilitate the exchange of information. This will allow individuals to account for all costs and benefits to make the correct decision for themselves.
I think Friedrich A. Hayek said it best: “It is rather a problem of how to secure the best use of resources known to any of the members of society, for ends whose relative importance only those individuals know.”
If the problem is that individuals do not internalize the full full value of health care, benefits can be withheld or penalties mandated to make people fully realize the costs to society of not insuring. Of the tens of millions of uninsured in America, there are many that are well above the poverty line that choose not to be insured, those people fit in this category.
For the group of people that cannot afford insurance, Medicaid is available for the severely poor. Government can facilitate the purchasing of private insurance for people not covered by medicate. Putting purchasing power back into the hands of consumers and allowing states to group the uninsured for more favorable rates are two possible solutions.
The point is that we have not exhausted or options for getting every American insured in a market-oriented system. Surely a well-running market (note: as stated above a well-running market includes government support sometimes through institutions that facilitate information exchange, etc.) will increase coverage and cut costs.
If we think that a central-decision maker(s) can do a better job of deciding what services we need, how much insurance we need, and when we should be able to go to the doctor, then the government is the right entity to insure our nation. I suspect this is not the case, particularly in times of recession where governments (see California) are forced to cut back on services. Do we want this to be our health care? Do we want a government health care entitlement to force other things out of the budget?

Posted by: spencerb | June 11, 2009, 9:33 pm 9:33 pm

I don’t think I’ve heard the actual proposal for how it is paid for but why would it be different regular insurance? Taking money from my paycheck before taxes and then investing in various funds the way insurance now works.The choice is do I trust an elected official with the responsibility more than the CEO of an insurance company? Both are notoriously corrupt but only one is elected. Health care should be by the people for the people.

Posted by: colinalcarz | June 11, 2009, 9:34 pm 9:34 pm

Error: *Medicaid

Posted by: spencerb | June 11, 2009, 9:36 pm 9:36 pm

colinalcarz,
Think about everything you consume on a daily basis, most things probably don’t come from the United States. Yet, you trust the corrupt-CEO’s of some products with your life. If trust is a issue, I’m sure you’ll be excited to start purchasing government-subsidized cars. They will probably receive higher safety ratings…right?
How many government programs do you know that quickly and adeptly respond to changes in consumer tastes and demands? I haven’t seen any dramatic cut in DMV lines recently. People complain about slow iPhones…a new, faster model comes out a few months later.
I’m not saying health care is the same making a phone, but I think your burden of proof is pretty high for assuming that the government will be a better provider of health care because they will make better decisions on our behalf.

Posted by: spencerb | June 11, 2009, 9:42 pm 9:42 pm

catman:”so far it looks to me that busineeses will be taxed in a recession to pay for this thing.”
Depends on how it is done. If the businesses see their cost of providing healthcare to employees drop from $12k a head to $4k a head, and get taxed $5k extra per person they end up saving money.
The median per capita price of healthcare for first world nations with national systems is less than half pwhat Americans – primarily American businesses – spend on health care. Business stands to save a bundle and catch up competitively if we get even a mediocre model in place to control costs.

Posted by: jhw539 | June 11, 2009, 9:44 pm 9:44 pm

I don’t think health care responds to traditional models of economics. I don’t understand why 3 new hospitals can be built in my area in the past 6 years and even with greater competition the cost of health care goes UP. I don’t understand the economics of health care in the US. In Taiwan, the entire population has prime health care, able to see specialists within a DAY for only 11% of their GDP, whereas in the US, 17% of our GDP goes to cover the majority but not all and not without waiting months for appointments. Let the rich have the club med hospitals and rockstar docs, I’ll take single payer if it means we all get covered and people don’t have to crash the ER to get seen.

Posted by: colinalcarz | June 11, 2009, 9:48 pm 9:48 pm

Enough of all the Republicans are evil capitalists and Democrats are evil socialists. I have never seen such division and social wars since Vietnam!
Has this country become nothing more than groups of people hating each other and the businesses that are employing everyone?
There is no conspiracy to take you to the cleaners. Stop watching too much TV. Life is not that way.
This is about reforming our health care system. I’m not a big Obama fan – but one thing he does say over and over again makes a lot of sense to me. Too many people in this country are excluded because of prior conditions, or age, or all of the above. We need to stop that. We need to find an equitable way to make it available to everyone. We can’t give free everything to everyone – no more than we can tax everyone until the sun stops shining.
So lets stop calling each other names and come up with a solution. This applies to the President and Congress also – they are fueling the fire with all of their party lines and divisiveness.

Posted by: Jon F | June 11, 2009, 9:50 pm 9:50 pm

The gameplan is to get rid of insurance companies but setting up the public funded plan and under cutting the private plans. We can not afford this. Obama’s debt plan will only make things worse and he trying to jam this through just like he did with the stimulus package. The people need to let him know that this is not accpetable.

Posted by: jschmidt | June 11, 2009, 9:51 pm 9:51 pm

catman:”old people have to spend down their assets before they get help via the government. ”
This is NOT TRUE. Medicare does not have a means test. Come on, this is basic knowledge stuff.
catman:”i as a business owner will be forced to pay 3600 more each year for each employee because of the taxability of health care under the prezs proposal.i”
This is NOT TRUE. What you are describing is actually SENATOR MCCAIN’S proposal. Obama has recently taken flak for not taking any solid position yet, preferring to let Congress and industry hash it out.
catman:”seems like no one knows how this will be paid for?”
This is true – so you appear to actually realize that you were just making stuff up with that absurd $3.6k per employee comment.

Posted by: jhw539 | June 11, 2009, 9:55 pm 9:55 pm

spencerb-
Most people should recognize that any insurance product is SUPPOSED to equal its own value, regardless of when you either pay for the insurance, or pay for the services or products that are insured, when they are needed. Obviously, that is not the case with health-care insurance, but it should be. To enable an insurance system that is not worth its own value is poor economy.

Posted by: MarkLeavenworth | June 11, 2009, 9:57 pm 9:57 pm

Has anyone bothered to study Australia’s healthcare??? Australians I have met love it! Medicare for EVERYONE! It works there! I have spent 32 yrs. in nursing & I have observed a lot in our healthcare system as it is currently (not) working for everyone!!! Without good healthcare, why bother about anything else in our country!

Posted by: S. Sawyer | June 11, 2009, 10:05 pm 10:05 pm

THIS ISN’T FREE! We will pay DEARLY. We will get sub standard care. We will not have new cures. Ask my relatives in Canada!

Posted by: Anna | June 11, 2009, 10:14 pm 10:14 pm

President Obama promised people they would be able to keep their doctor. He can’t keep that promise.
Doctors choose to participate or not participate in insurance plans. Doctors even can choose not to participate in Medicare and Medicaid.
Currently, if a doctor does not accept Medicare, they are not to accept medicare patients for direct payment.
Unless Obama is planning to force doctors to accept all private insurance plans and the new public plan, this is a promise Obama can’t keep.

Posted by: MayBee | June 11, 2009, 10:20 pm 10:20 pm

@MarkLeavenworth
Mark, I’m not sure what you’re getting at. The market value does not always indicate the true cost. This is the theory behind instituting a cap and trade system for carbon. Proponents believe that carbon emitters are not fully internalizing the cost of their actions. Therefore, they should buy and sell credits in a market to pay that cost.
I think that there is also a potential externality in the realm of health care. The more people that receive preventative care and take care of themselves, the less strenuous and costly it is for the health care system to care for the population. Therefore, by taking care of myself, you (and society) receive a benefit that I receive no compensation for. This will cause me, generally, to under-insure.
Maybe you could clarify your comment?

Posted by: spencerb | June 11, 2009, 10:21 pm 10:21 pm

If you like the economy now you’re going to love Obamacare.

Posted by: drjohn | June 11, 2009, 10:36 pm 10:36 pm

There is going to be a political conflagration, if some kind of low cost, governmental health care doesn’t pass in the Senate. The lobbyists are far to powerful, with their copious deep pockets. When are the legislators we place in office, going to finally work for the majority of the American people. When are the lobbyists of K Street going to be thrown out, along with their political puppets. We need health insurance without co-pays, premiums and clauses that deny care to people with pre-existing conditions. We need a health care for everybody who lives in this nation legally. We need medical care that everybody can afford, without deductibles and that doesn’t drown car makers, small and large companies in red ink. If the ultra wealthy health insurance industry cannot achieve some kind of workable compromise–dump them as they dump their insured. If this paramount issue cannot be negotiated agreeably, then eliminate the commercial health insurance providers for a Universal, single payer system just like some European countries. The multi-million dollar lies are already contaminating TV, Radio and magazines, so learn from other sites that are not for profit. Businesses that have everything to gain, and much to lose.

Posted by: Brittancus | June 11, 2009, 10:45 pm 10:45 pm

My daughter-in-law is from Canada. When she got here, she had to go to doctors to help her with her health issues, she wasn’t getting the right help for, over there! In fact, she didn’t even know what was wrong with her until diagosed here! That’s scary.

Posted by: Anna | June 11, 2009, 10:47 pm 10:47 pm

MayBee:”Unless Obama is planning to force doctors to accept all private insurance plans and the new public plan, this is a promise Obama can’t keep.”
First, could you cite his actual “promise” quote? People have a nasty habit of making up promises out of long exploratory speeches and claiming Obama said them. (Of the 500 some promises being tracked at politifact, the one you cite is not there leading me to believe you are exaggerating.)
Secondly, it’s not actually hard to offer a public option alongside all the existing private options. The only people who would see a change are those who choose to quit their current plan and those tens of millions with no insurance at all. Unless you’re going to blame Obama because every year some Drs retire or something random.

Posted by: jhw539 | June 11, 2009, 11:09 pm 11:09 pm

spencerb-
“If the problem is that individuals do not internalize the full full value of health care, benefits can be withheld or penalties mandated to make people fully realize the costs to society of not insuring. Of the tens of millions of uninsured in America, there are many that are well above the poverty line that choose not to be insured, those people fit in this category.”
You compare “internalize the full value of healthcare” to “costs to society of not insuring”.
An insurance is a product that covers the cost of an improbable outcome. But it is also lately called ‘insurance’ to make regular payments for a future service ahead-of-time (like a 401k). I take ‘full value’ of an insurance to be the price exchanged for the service, either well before or long after. That’s the way an insurance should work, and that’s way it does work. That is the limit of the services that can be provided long-term. A person’s cash-flow can go to an early payment, or it can go into their estate and be re-invested and then be payed out later, when they need to liquidate the value for the needed service. In that view, a mandated health-care payment is very much like a 401k plan, which didn’t work out well for many people.
On the ‘social cost’ concept, I have trouble understanding what you are calling the ‘social cost’ of not paying for healthcare services earlier through a mandate, rather than later through their estate. It isn’t like the car insurance mandate, where a person could do serious injury and inflict financial damage on another vehicle. You seem to have for your only argument that people who pay for healthcare regularly will come out ahead compared to the individual who never goes to the doctor until a crisis comes along. That is not a ‘social cost’, but only becomes a ‘social cost’ to the extent that the government decides to underwrite their expenses. We can’t have a government that goes around deciding that whatever it chooses to pay for is a ‘social cost’ and a ‘burden that must be shared’.

Posted by: MarkLeavenworth | June 11, 2009, 11:35 pm 11:35 pm

How is Social Security doing? Oh yeah going bankrupt. How is Medicare doing? Oh yeah going Bankrupt. We have so many programs NOW that are so broken and will soon be out of money why is Obama bothering with this? Its just stupid.
If he wants to PROVE anything to me FIX whats already broken beyond repair first before adding more government programs..

Posted by: ChicagBob | June 11, 2009, 11:49 pm 11:49 pm

Anna – When looking at the quality of health systems it is a mistake to go by the experiences of individuals. Your daughter had a bad experience in Canada, mine had a very good one with France’s system. Neither really tells us much. The best way to compare them is through national statistics. The infant mortality rates are lower and life expectancies are higher in Canada and France than here in the U.S. Our medical delivery system is bloated and dysfunctional and needs fixing now.

Posted by: Mark from atlanta | June 12, 2009, 12:45 am 12:45 am

First, could you cite his actual “promise” quote?
Posted by: jhw539 |
——————-
Here you go from today in Green Bay…
I know that there are millions of Americans who are happy, who are content with their health care coverage — they like their plan, they value their relationship with their doctor. And no matter how we reform health care, I intend to keep this promise: If you like your doctor, you’ll be able to keep your doctor; if you like your health care plan, you’ll be able to keep your health care plan.

Posted by: Foghorn Leghorn | June 12, 2009, 12:46 am 12:46 am

If it’s merely reform, then wouldn’t legislation alone be enough?
With more than half a trillion set aside, how could that be for anything other than socialized medicine?

Posted by: Dugan | June 12, 2009, 1:39 am 1:39 am

Dugan- I think it’s just a bailout. With so many accounts built up in the shadow banking system, every major industry has needed a bailout to balance the books. Why should healthcare be different? Only, this one is being billed as a tax-payer burden instead of a tax-payer ‘investment’.

Posted by: MarkLeavenworth | June 12, 2009, 2:13 am 2:13 am

The system needs to be reformed now…not perpetually put on the back burner…and as mentioned of those 46 million insured, how many are underinsured? 15% uninsured and 25% underinsured…the republicans have belittled the plan the president has set forth but they have not provided a reform on their behalf…apparently they believe status quo is fine…this is one reason why they are being defined the party of the stone age…very little recruitment of youth…especially today, everything is at the speed of light-technology and the republicans aren’t keeping up-this president is tech savvy and thereby gets his info fast…one learns to read fast and comprehend fast…the republicans are as slow as molasses and are living in the past.

Posted by: phallon | June 12, 2009, 4:41 am 4:41 am

Health care reform is desperately needed. Just like changing a baby’s diaper, conservatives will cry and wail during the process then be happy once it’s in place.

Posted by: Eric | June 12, 2009, 6:39 am 6:39 am

This is a great picture of Obama. Under the picture the caption should read: “So far, I’ve lied to the American people this much”.

Posted by: Machod | June 12, 2009, 6:59 am 6:59 am

It is simply inhumane to not have health insurance available to all regardless of ability to pay for it. Any civilized country that has it will probably look at America as backward and might look elsewhere to buy products and services. If we are that heartless and shortsided in providing coverage for those in need then I’m sure the rest of the world will take notice. And, it’s kind of sad really. A country that used to be looked at as a leader in innovation and compassion now will no doubt be looked at quite differently.

Posted by: John | June 12, 2009, 7:43 am 7:43 am

Please, if Someone willing to tell this id..t that election is over, and he is already the president?
I ask seriously, whether it’s time to add on to the shaky economy?

Posted by: Ofer | June 12, 2009, 7:52 am 7:52 am

The idea of a government health insurance plan scares anyone working for (or getting big political donations from) private health insurance companies. Remember that when you hear opposition to change. They are making a lot of money and want to keep their profits the same. They will try to mislead the public by calling the plan socialized medicine, which it clearly isn’t.
Besides the 47 million Americans who can’t afford insurance, most of us ‘insured’ lack enough coverage in the case of a catastrophic health problem. A new CNN story stated that 60%of all bankruptcies were from medical bills. And 3/4 of these people had medical insurance. This is a huge potential problem for any of us.
With a public plan providing some healthy competition, the private plans will be forced into improving their coverage or lose customers.
While our country spends the most per patient we are only rated 37th in overall performance of our health care system! What we have now is too expensive and isn’t working well. A public health insurance plan is a big step in improving our health care system.

Posted by: Lydia | June 12, 2009, 8:14 am 8:14 am

Now that’s worth repeating…
If you like the economy now, you are going to LOVE Obamacare.

Posted by: Rock | June 12, 2009, 8:41 am 8:41 am

While I empathize with anyone who does not have health coverage, I cannot justify me having to pay for your coverage. Sorry, but that’s just the way it is. If you go to the hospital for whatever reason and cannot pay….you are not denied. Need prescriptions? Tons of programs out there to help you. I can barely afford my own coverage let alone paying for yours. Your insistence that I do pay for it is SELFISH. How about you people paying my rent for me? Or my car payment? I have heard few, if any, stories in this country that someone died because they were denied needed medical attention. I went 15 years years without coverage, making about $10 an hour, and I am a type 1 diabetic. Never once did I go without medication or treatment. Stop the whining and work to better yourselves. Stop telling the rest of us what you think you are entitled to!

Posted by: PWC032096 | June 12, 2009, 8:44 am 8:44 am

Give up your beer and cheese curds.. and jump on the health care bandwagon..

Posted by: DontGet818OnMeNow | June 12, 2009, 9:13 am 9:13 am

Lydia, I found your latest comment thoughtful and interesting, even though I do not agree with your basic premise or your conclusion. I hope that the folks who post here can continue to have a useful conversation about this highly contentious issue without allowing it to degenerate into “right wingers lie” vs. “if he’s so smart, where’s his birth certificate” nonsense.
I notice that you have adopted the attitude same straw man that President Obama used yet again at his town hall meeting yesterday, dismissing opponents of the Democratic approach to health care reform as “opposed to change”– I think that most serious Republicans, including myself and most (not all, admittedly) Republican members of Congress, want some change of the status quo. But we have a more cautious, market-based approach and especially do not want to do anything that would lead to government-run health care.
You start by saying that it is big insurance and those beholden to it because of financial connections who oppose the president on health care reform and label this approach socialized medicine. I hope you are not implying that everyone in opposition falls into this camp. I have no connection with the health insurance industry beyond the premiums I pay, but I am extremely concerned about the mess I think the Democrats are preparing to make of our health care system.
Actually, I heard a financial consultant on CNBC this morning talking with Howard Dean (Howard scared me pretty bad) who made a great deal of sense. He talked about the need for cost containment and transparency about costs of health services. He also made a distinction between catastrophic health care costs (the ones that drive people into bankruptcy and rightly terrify the uninsured) and ordinary health care costs. I would like to hear more discussion of other such matters rather than the current focus solely on universal insurance– along with providing insurance somehow to those who lack it and want it, we should be concerned with things like reigning in malpractice lawsuit costs, dealing with spiraling costs of medical tests and medications.
You argue that a public option would provide “healthy competition” in the insurance field. The competition, I fear, would be anything but healthy.
You go on to point out that while our health care spending is extremely high, our performance does not rate as high as it should. That is an excellent point, but I can’t understand why you would link that to the insurance debate. This is the issue I wish people were more focused on– how to get the most value and quality for the money spent. Making sure everyone has access to the system is important, but so is making sure that the system provides quality, affordable health care is equally important. And while there is a connection– uninsured people using the emergency room for primary care does drive up expenses for everyone, for example– the two issues both require attention and should be treated.

Posted by: moderate | June 12, 2009, 9:15 am 9:15 am

“Change Congress mounted a campaign involving internet ads and direct mail informing Nelson’s constituents of significant political donations he’s received from health and insurance interests. “After an intense 11-day battle with Nelson, he’s now publicly ‘open’ to the public option — and this week, he made more news by saying he won’t join a filibuster of Obama’s plan,””
Vote for our healthcare plan or we mount a public campaign to your voters and demonize you. Thats change you can believe in. Are Americans going to tolerate this kind of political thuggery? This is exactly what Hugo Chavez does in Venezuela. What is happening to our country?

Posted by: KR | June 12, 2009, 9:23 am 9:23 am

How is Social Security doing? Oh yeah going bankrupt. How is Medicare doing? Oh yeah going Bankrupt. We have so many programs NOW that are so broken and will soon be out of money why is Obama bothering with this? Its just stupid.
If he wants to PROVE anything to me FIX whats already broken beyond repair first before adding more government programs..
Posted by: ChicagBob | Jun 11, 2009
—————————————-
Great point Bob! It would seem more logical (and a lot less expensive) to fix the programs we already have, instead of spending more money to create new programs that will eventually fail anyway. It is starting to look more and more like this administration is h-e-double hockey sticks bent on taking over medical care, just as it has the banking and car industries.

Posted by: dragoon70056 | June 12, 2009, 9:25 am 9:25 am

“If you have a government competitor, virtually every study I’m aware of says that half of the people that get their coverage through their employer now would opt for the cheaper government competitor,” said Rep. Roy Blunt, R-Mo., today, “and, of course, that destroys the system and then you don’t have any competitors.”
================================
These “competitors” were not even in the game a little over a generation ago! Where was Blunt when the for-profits used their monetary leverage from life, property, etc. insurance to drive the non-profits that ensured almost all of America out of business, or else into mergers or for-profit status?
And it’s wrong for anyone to prefer the “cheaper, government competitor”?
I’m concerned what will happen to my pension’s health coverage – which is available to us ONLY as a reward from retired from our employer and not switching to another employer and driving salaries up, yet there’s no guarantee of its future form.
But, without a major reform, I wonder how my employer can possibly bear the costs in the long run for our current, antiquated, inefficient system?

Posted by: The_Mick | June 12, 2009, 9:28 am 9:28 am

“And it’s wrong for anyone to prefer the “cheaper, government competitor”?”
This can be explained very simply. If, an average worker in the US and his employer are paying for health insurance (usually shared costs), and its a benefit so it’s not part of the employees pay, and government insurance is available (at no visible cost to the employer or employee), the employer will opt to drop paying that extra money for the benefit and the employee will have to make a choice… suck up the cost that the employer has opted to drop (and usually, they suck up the majority of that cost, like 80%) or take the government insurance.
No brainer. The roles for government insurance will swell and explode overnight, and costs will consistantly go up and up until half of America is on the roles.
And as price controls come in because the system spirals out of control, the quality health care providers will migrate to the private insurance side.
And the result will be only the rich will get the best health care. I suspect many of the premier treatment facilities in the US, over the long term, will deny holders of government insurance. This has already happened in Europe. If curious, check out the hospital in munich. It has two tabs, one for government insured, the other for private insured. The private is far quicker and has way better service, as well as better equipment not available under government insurance.

Posted by: KR | June 12, 2009, 9:40 am 9:40 am

Of the supposed 50 million give or take who lack coverage more than half lack coverage for reasons other than affordability.
The largest group simply chooses not to pay for insurance
Another portion of the group is already eligible for insurance paid for by the government, but have not bothered to sign up.
When those are removed we are left with 15-20 million uninsured based on affordability.
It is less expensive and less risky to plug that hole than to destroy the best health care system in the world.
It has failed in Europe, and in the elections last Sunday, across the range of euro countries, France, Germany, Spain, Great Britain, the tax and social spend group were universally thrown out of office with great gains made by those who do not approve.
The citizens of those countries are tired of the very high taxes the very rationed care, the government deciding if you live or die, the high cancer, heart disease death rates compared to ours, the wait to see a doctor, the second wait for diagnostic tests, the third wait to see the specialist and further years of waits for surgery if required. The stories are not few and not rare.
If you thought is was a problem when insurance companies balked over over “experimental” bone marrow transplants, you ain’t seen nothing yet.
The government will by necessity have to raise taxes ON EVERYONE, there will be a health insurance premium paid to the government, it is not free, but no one is telling us what that is.
Obama has consistently underestimated costs and given us rosy economic projections that have proven false over and over again. We need the numbers and they must be subject to independent analysis. Obama numbers have not once been reliable or honest.
There is no majority of the public who want a government controlled health care system. The public is evenly divided.
The claim that this is a government option and Obama does not want the government to run health care is as true as it was for the auto industry, which the government now runs.
Dem. Congressman Debbie Wasserman Schultz was caught on tape telling a special interest group that of course a government option will kill private insurance and we will end up with a single payor.
She laughed on this tape like it was a fabulous inside joke on the rest of us.
Google it, look up the Wasserman-Shultz tape.
Google the statistics of who are the uninsured and so on.
The government has never run anything efficiently. The government has bankrupted social security and medicare.
There is no successful model for national health insurance.
The ones that do the best are in the countries that severely restrict immigration. WE are not one of those.
Taxes in Europe are up to 70% with “regular folks” paying up to 60%, not including their health care premium and other contributions that we would still have to make such as social security and medicare.
After all of that wouldn’t it be safer and cheaper to simply plug the 20 million uninsured hole??
We cannot afford more reckless spending.

Posted by: MNM | June 12, 2009, 9:43 am 9:43 am

I forgot to mention that those countries with national health care, due to the high taxes, which are a disincentive to work and hire, suffer unemployment rates, chronic unemployment rates averaging 10%. With the most liberal Spain at 17-18 percent unemployment.
The social national health care experiment has failed.
Obama and the dems need to pay attention to the election losses in their elitist euro countries.
Not one of these countries has enough money left over for national defense. When they get in trouble they call us, even in their own European Union. Examples such as Bosnia, and Yugoslavia come to mind.
They all have very small, very inadequate militaries and we will fall into the same situation. I wonder who we will look to then?

Posted by: MNM | June 12, 2009, 9:48 am 9:48 am

I ponder why the liberals would like to persue a national health care really. They should know well the failing outcome elsewhere this had been tried. In their sane mind, they would not be willing to stand in line or wait weeks/months for treatment..and other string of inconveniences. It doesn’t make sense, so What is it?
Another thing is, just like in California, you can fit so many in a life boat; save the 20 that fit, why drowning everyone?. Doesn’t Arnold know this? How much more is he is going to borrow? to keep up, to include the Tsunami of illegals that require health care. Just do a drastic move to straighten the state up, and be strong to manage it economically before you go back and save or improve the lives of illegal immigrants. And why does this need to involve the Federal Gov?
So, what is it, I ponder some more; the mases of population the majority poor and middle class, ( the ill informed and/or careless for the america we know ) would welcome this move, suerly constituents; whom would be happy to keep them in power for entitilments and hand out. ( which are short term ans misserable vs the long term limitless creative private enterprises jobs and opportunities )
Liberals elite – the rulers – would not see a line or waiting of any sort. I don’t believe they care about the future, or helping anybdy, see if they did, they would work truly with the rest of senators and reps to keep the legacy of America being free and unique. It is seems to me they are selfish and just want power today and as long as they live.

Posted by: piggy15 | June 12, 2009, 10:14 am 10:14 am

I ponder why the liberals would like to persue a national health care really. They should know well the failing outcome elsewhere this had been tried. In their sane mind, they would not be willing to stand in line or wait weeks/months for treatment..and other string of inconveniences. It doesn’t make sense, so What is it?
——————
It is about controlling the money. It is a sure fire way to skew things to stay in power.
Every thing the democrats do from the failed fake stimulus to the massive debt spending, to taking over and controlling banking and auto industries, to controlling the health care system, and now we have a pay czar who will decide initially what some business leaders make but once the precedent is set Obama will move to control salaries in every part of our economy.
However, even with his auto industry overhaul he has not recommended that union bosses salaries are limited, and likewise with health care there is no provision to control frivolous malpractice awards or the percentage of an award that a lawyer receives which is now 40-50% plus expenses.
Obama has moved so swiftly to socialize this country even the Pravda ran an article telling us they would not stand for such corrupt ways.
Chavez told us he will end up to the right of Obama.
The national health care push is about control and power. They will tip the money to those that support them such as GE (who owns NBC) who has technology to get all our health care records online.
And for those that believe we won’t have rationed health care, may I remind you that the stimulus bill paid for and set up a board to investigate the manner and method that the Brits use to decide who is deserving of health care. For example, Teddy Kennedy would not have received any treatment for his illness.
And if the fake stimulus board doesn’t convince you, read Tom Daschle’s book. He is the dem who was supposed to run health care but was sidelined for being a tax cheat like the guy who is running our financial destruction, Geithner.
Daschle’s book on health care will tell you flat out how we should ration treatment and make patriotic choices when deciding who is entitled to treatment.
I guess the dems will tell us when it is patriotic to die, and that is not a joke.

Posted by: MNM | June 12, 2009, 11:07 am 11:07 am

Piggy15, you’re almost there! The Liberals DON’T care about healthcare for the poor or the middle class. The Liberals really want to control every aspect of ALL of our lives. And the means to that end is to advance class warfare and use the poor and middle class–a very large voting bloc–as pawns in implementing their agenda. The Liberals want to destroy capitalism, the free market and suppress the American Dream as they pose the greatest threat to their socialist ideals.

Posted by: James Danley | June 12, 2009, 11:33 am 11:33 am

“I forgot to mention that those countries with national health care, due to the high taxes, which are a disincentive to work and hire, suffer unemployment rates, chronic unemployment rates averaging 10%.”
That is a lie.
There are more than a dozen countries with national healthcare whose unemployment rates are below our own.
The lesson as always? Right wingers lie.

Posted by: Ryan C | June 12, 2009, 12:20 pm 12:20 pm

“Vote for our healthcare plan or we mount a public campaign to your voters and demonize you. Thats change you can believe in.”
That’s exactly how the Republicans passed the IWR you are so proud of.

Posted by: Ryan C | June 12, 2009, 12:21 pm 12:21 pm

“There is no successful model for national health insurance.”
Except for every 1st world nation except the US.
Other than that its a failure.

Posted by: Ryan C | June 12, 2009, 12:42 pm 12:42 pm

There is no successful model for national health insurance.”
Except for every 1st world nation except the US.
Other than that its a failure.
Posted by: Ryan C | Jun 12, 2009 12:42:15 PM
——–
If you consider high cancer death rates, high heart disease death rates (compared to ours)
If you call waiting months for a dr. appt. waiting more months for diagnostic tests, and yet another wait to see a specialist, followed by another wait, often in years for surgical correction, if you were approved and deemed worthy at all and not written off.
Chronic unemployment averaging 10% with a high of 18% in Spain.
If you consider the average person will pay at least 60% in taxes, plus the usual social security and medicare deductions, as do all these “first world countries:
If you consider the proponents of the program in those countries just got the boot in last sundays elections because as polling showed the people were sick and tired of the chronic downturn fueled by the high taxes to support social programs that discourage productivity.
so if you call all of that successful we will have to disagree

Posted by: MNM | June 12, 2009, 1:03 pm 1:03 pm

“I forgot to mention that those countries with national health care, due to the high taxes, which are a disincentive to work and hire, suffer unemployment rates, chronic unemployment rates averaging 10%.”
That is a lie.
There are more than a dozen countries with national healthcare whose unemployment rates are below our own.
The lesson as always? Right wingers lie.
Posted by: Ryan C | Jun 12, 2009 12:20:42 PM
———-
Name them! they are few and far between and are typically ones that severely restrict immigration, which we clearly do not.
The average is 10%, those that restrict immigration are lower but many are much much higher.
Germany, Spain, Great Britain, France all have very high unemployment rates.
People got sick of it and last Sunday started booting these tax and spenders out of office.

Posted by: MNM | June 12, 2009, 1:08 pm 1:08 pm

There are more than a dozen countries with national healthcare whose unemployment rates are below our own.
———-
Of course you are referring o the current 9.4% and rising unemployment rate caused by Obama’s massive spending.
Remember when this liar Obama told us to hurry, hurry, hurry and pass his stimulus so that we could keep unemployment below 8%
9.4% and rising unemployment in the US will not be temporary if the health care, rationed care Obama wants is passed. We too will suffer chronic double digit unemployment, meaning fewer people paying taxes meaning those that actually work will pay more, just as they do in europe and canada where the bums who had this idea are getting thrown out of office as these countries move to the right.
Again we are told hurry, hurry hurry. Short on details we will figure out later, numbers not subject to independent analysis to sort through his always inaccurate projections of costs and savings.
So if you claim that some countries are less than our 9.4% and climbing that ain’t saying much!

Posted by: MNM | June 12, 2009, 1:16 pm 1:16 pm

You will not like nationalized health care! we are already experiencing it thru medicare/medicaid (gov’t health care) and it is not effective! more and more doctors are opting out of medicare/medicaid because they are not getting reimbursed on time. the long wait for an open appointment just to see a dermaologist, if you are lucky the closest available appointment is Jan 2010.
the American physician association recently announced that they do not support socialized health care.

Posted by: jaj | June 12, 2009, 1:39 pm 1:39 pm

“Of course you are referring o the current 9.4% and rising unemployment rate caused by Obama’s massive spending.”
Actually I could be referring to two months ago when you first started posting this right wing lie and I refuted it but today works as just as well.

Posted by: Ryan C | June 12, 2009, 1:43 pm 1:43 pm

MNM- Of course you are referring o the current 9.4% and rising unemployment rate caused by Obama’s massive spending.
Remember when this liar Obama told us to hurry, hurry, hurry and pass his stimulus so that we could keep unemployment below 8%——-i think you meant to say that this is still Bush fault, not Obama! i mean didn’t you get the memo, our state run media and NYT is still putting the blame on Bush, come on- get on the “blame Bush/Republican” bandwagon! sadly, it will always be Bush/Converatives/republicans fault as long as the messiah is president.

Posted by: jaj | June 12, 2009, 1:47 pm 1:47 pm

“If you consider high cancer death rates, high heart disease death rates (compared to ours)”
2008 – “Where you live plays a role in cancer survival, according to a new study that shows the U.S., Japan, and France recorded the highest survival rates among 31 nations for four types of cancer. Algeria had the lowest survival rates for all four cancers.
The highest survival rates were found in the U.S. for breast and prostate cancer, in Japan for colon and rectal cancers in men, and in France for colon and rectal cancers in women
In Canada and Australia, survival was also high for most cancers.”
Looking at stats from 2005, US ranked 13th in death rate from heart disease with quite a few countries with nationalized healthcare ahead of them including France, Spain & Japan.

Posted by: Ryan C | June 12, 2009, 1:52 pm 1:52 pm

“Germany, Spain, Great Britain, France all have very high unemployment rates.”
“Unemployment in the 16-member euro region increased to 9.2 percent from 8.9 percent in March, the European Union statistics office in Luxembourg said today. That was the highest since September 1999 and exceeded the 9.1 percent rate expected by economists, according to the median of 29 forecasts in a Bloomberg News survey.”
Germany’s unemployment in May was 8.2%
France’s unemployment in April was 8.8%
Great Britain’s unemployment in May was 7.1%
Spain is very high at over 17%.

Posted by: Ryan C | June 12, 2009, 2:01 pm 2:01 pm

“So if you claim that some countries are less than our 9.4% and climbing that ain’t saying much!”
So even though they have better health care and less unemployment, we’re still #1 right?

Posted by: Ryan C | June 12, 2009, 2:02 pm 2:02 pm

I sit on the board with Utah association of Health underwriters and for health insurance reform. Several interesting changes took place with H.B. 188 passage earlier this year that seems all too familiar on the federal level. The spirit of the bill allows private market place remedies. It essentially guarantees insurance providers a “no loss” or “no gain” over competing carriers in the insurance exchange portal which is On the surface it seems not to be attractive to participating carriers (voluntary at this point). But you have to understand the carriers’ goal is to cover their administration fees. That can be accomplished now. The other half of the equation is providers and their billing practices that need to be reformed. That is on the agenda. Keep an eye on Utah because the national health care debate seems much the same ground we have already covered.
In the beginning of a state sponsored program addresses issues on a local state level that the federal level might look at. Coming from an underwriting background I know where the dime falls. I am of the opinion that large waste occurs from providers billing for procedures that developed “no outcome”. Insurance carriers are not the only bad guys on the block. In most of our purchasing decisions….don’t we pay ONLY when we know that we will get a desired outcome? Why is it if you ask the doctor how much this test or procedure is he doesn’t know? Shouldn’t providers be held to a transparent cost standard?
You must be in the health care business from some touch point to make statements of fact in face of historical proposed changes. When you are in the system from any touch point (insurance, provider, hospital, Medicare or patient) you get it because of real time experience.
I often quote the Switzerland health care system as an example of tough questions that we will have to face at some point down the time line. Did you know that premature babies there are not resuscitate upon birth if they cannot draw breath? Did you also know that is the same with senior care with system failure? They don’t extend life of a senior with multiple failures like intubation as example. Anyone in the business of paying claims knows that single most expensive bill in NICU for newborns and seniors in acute intensive care / hospital.
These decisions were made based upon cost vs. quality outcome. Are we as a nation prepared to make that type of decision or definition of when to incubate a newborn or a senior? To define the conditions? With a litigious society I think not. This is why we need tort reform. Without tort reform medical provider costs will never drop. Liability costs with medical providers are nearly half of operating expenses. With health insurance carriers it translates to about 10% of every premium dollar collected.
I don’t think we are hearing about tort reform because most of the house and senate are lawyers. In the healthcare system there is no total innocence. Insurance executives with bonuses, doctors overbilling, hospitals overbilling because the street gang thug got dropped at their door with no insurance.

Posted by: mike oliphant | June 12, 2009, 2:28 pm 2:28 pm

“So if you claim that some countries are less than our 9.4% and climbing that ain’t saying much!”
So even though they have better health care and less unemployment, we’re still #1 right?
Posted by: Ryan C | Jun 12, 2009 2:02:40 PM
———–
I do believe they still average more than 10%. Any of the unemployment rates you quote are very high. During the Bush years libs complained when unemployment ranged from 4.5-5.5%. And yes I know it climbed a bit higher at the very end.
So now, because we have under the Obama spending and massive debt plan, excluding health care and the bankrupt social security and medicaid, we have a huge 9.4% unemployment rate you suddenly think rates with a low of 7.1 percent are good???
You must be kidding.
7.1% the lowest listed, most are higher, is still an extremely high unemployment rate, and theirs is chronic, not a recent occurence, all due to the massive social spending that discourages work and output with the massive 60-70% plus tax structure.
Which is of course why last sunday, across the board in the euro elections they threw out the tax and spenders and moved right. They know their social experiment has failed, but Obama is too stupid to change course. He is a looney megalomaniac.
Massive social spending for rationed health care, that is wholly unnecessary as opposed to plugging the holes will be just another massive spending disaster of the Obama administration.
There is no plurality of the public that wants this. The public is evenly split on this topic.
They are evenly divided because the details of the horrific survival rates and long waits for treatment, if approved at all, have trickled down the general public.
And while Obama’s personal approval remains high, the approval of his actions and spending are not.
The public is on to this moron’s inexperience and socialist agenda and the spending is frightening the public.
Every step of the way Obama has lied, I mean miscalculated the cost and results of his massive, quadruple the deficit spending. While he boasts that he will cut the deficit in half he neglects to tell us it will still be double what he inherited.
NONE of which includes a fix for social security and medicaid, which means there is still tax and spending to come.
None of what he tells the public about savings with a government run health care plan is true. He is lying like he did with the auto disaster.
Time to see the details and assumptions for this rationed health care plan, have an independent analysis and not rush headlong into this disaster because Obama is afraid if the details leak no one will want this.
In fact a plurality of the public would like to rescind the rest of the stimulus spending too, because it did not save or create jobs and keep unemployment at or below 8% as Obama claimed.
Teddy Kennedy would not have received any treatment for his cancer had it occured in any of the national health care countries you mention.
We won’t get a say in our own health care, the government will decide for us. Anyone who wants a hint of what is to come should read dem. Tom Daschles book. He is the tax cheat that Obama had wanted to run Nat’l health care.
READ Daschle’s book. It will scare the daylights out of you when he tells us it is patriotic to die for your country and he doesn’t mean fighting in the military.

Posted by: MNM | June 12, 2009, 3:10 pm 3:10 pm

hey don’t extend life of a senior with multiple failures like intubation as example. Anyone in the business of paying claims knows that single most expensive bill in NICU for newborns and seniors in acute intensive care / hospital.
These decisions were made based upon cost vs. quality outcome. Are we as a nation prepared to make that type of decision or definition of when to incubate a newborn or a senior? To define the conditions? With a litigious society I think not. This is why we need tort reform. Without tort reform medical provider costs will never drop. Liability costs with medical providers are nearly half of operating expenses. With health insurance carriers it translates to about 10% of every premium dollar collected.
———–
Lawyers groups contribute more to democrats than the unions do. There is no tort reform in the health care bill, and there won’t be.
Just as Obama moves to limit the pay of business leaders he has not moved to limit the salaries of Union bosses, he has only given the billions of tax dollars in rewards as with the auto company takeover, while small investors, such as the Indiana teachers retirement plan lost everything.
Obama is nothing if not self serving.
There will be no tort reform and in fact I think we can be certain Obama will find a way to increase medical costs by force unionizing healthcare, as they are trying to do with card check now and with Fed Ex (another attempt to ruin a company that is not unionized, in case you haven’t heard)

Posted by: MNM | June 12, 2009, 3:17 pm 3:17 pm

“I do believe they still average more than 10%.”
Nope, the OECD countries in Europe have an avg unemployment of 9.2%.
“During the Bush years libs complained when unemployment ranged from 4.5-5.5%. And yes I know it climbed a bit higher at the very end.”
That was because the U6 figure for that time was still quite high.
“all due to the massive social spending that discourages work and output with the massive 60-70% plus tax structure.”
This lie again?
Even with VAT, taxation tops out at 50% for most countries…much like our country.
“Which is of course why last sunday, across the board in the euro elections they threw out the tax and spenders and moved right.”
Record low turnout and outwardly racist right wing parties gaining seats.
Woo-hooo.

Posted by: Ryan C | June 12, 2009, 3:39 pm 3:39 pm

Mr. Oliphant, you will notice that our own Ryan_C, Mr. Take on All Comers, won’t touch your comment. He has no real answer for the tort reform argument, so he will go after what he considers lower-hanging fruit to get his quota of responses for the day. It’s hard to work in “all right wingers lie” in response to your sensible call for tort reform.

Posted by: moderate | June 12, 2009, 9:48 pm 9:48 pm

Yes, the average European country maxes out at about 50%. However, their VAT rates average about 22% – that’s a healthy chunk of change.
The post-Obama rates for 2010 will be 39.5% plus about 10% state tax – or about 50%. If more tax brackets are added on – as he seems to be itching to do, we will go much higher than the 50%. We also have FICA or self-employment tax, and the runaway Alternative Minimum tax which hits 20 million middle class Americans.
Lets just say, that even without heath care – we are paying quite a bit. Our current rate of indebtedness is not sustainable, and will call for higher taxes beyond what I’ve just described at some point.

Posted by: Jon F | June 13, 2009, 6:38 am 6:38 am

We are 37th in healthcare, but pay more than any country in the world for it. We have the richhest doctors, and billions are made in CEO pay and corporate profits, on the backs of the sick. ALL, repeat ALL, of the top ten counties have some sort of nationalized healthcare. Of course, with so many making such a (‘scuse the pun) killing off of healthcare here, there is a roar of protest, but the truth is that our privatized, for profit non-system is a disaster. We need to stop with the knee-jerk reactions and learn what is working in those top countries, those with the most accessible, effective systems. We should be one.

Posted by: Trish | June 14, 2009, 4:53 am 4:53 am

Why would the US want to invite bankruptcy and corruption with the “free healthcare” that works so poorly in Russia and is a waiting-line DMV system in much of the rest of the world? Bribes help the wealthy push to the front of the line in government care where free healthcare is worth even less than free advice. Remember when the borders open the lines will get longer and rationing tighter.

Posted by: Denise | June 23, 2009, 8:55 pm 8:55 pm

I do not want nationalized healthcare, why can’t we make some changes in a slow thoughtful manner and review the unintentional consequences rather than ramming this through like we did the stimulis package and now find it was a waste of money and the unintended consequences was overspending on special interest because no one read or thought through what they were doing.

Posted by: Linda | June 24, 2009, 12:33 pm 12:33 pm

Many an administration has fallen into the deep abyss of health care reform, but none have had the political capital and forces that support the Obama administration. The recent 2009 proposal has probably the best chance to get approved that any in the recent past. The question is will health care reform in America work?

Posted by: Andy | July 15, 2009, 12:20 am 12:20 am

H. Edward Hannaway earns 1,170,087 in salary. As CEO of CIGNA H. Edward Hannaway earns an additional $1.5 Million in stock options priced below the fair market value of the current shareprice. Throw in the private Jet, o% loans for his home and $4,000,000 home. You do the math. No, I’ll do the math.
Eds,tri daily compensation is $3,130,000, divided by 12 and then divided by by 30, times 3.
Ed earns $37,000 every THREE DAYS. Not a bad living. This number makes up part of the 40 cents of every dollar that is wasted in our Healthcare system.
Ed, is not the highest paid CEO in the health care industry.
Suffice to say ED does not earn in three days what most Americans earn in a lifetime. But there are tons of CEO’s who do. So Ed earns more in three days then most under executive employees earn in a year.
SECREG_756

Posted by: SECREG756 | July 25, 2009, 8:45 pm 8:45 pm

When are you SHEEPLE going to understand the provisions of the health care bill have not yet been written nor voted upon?
The cost to do the bill is what is creating the stir, and no one knows how to get the uninsured insured.
So to those of you talking about the good and the bad provisions of a new health care policy, forget it. As of now there are NO provisions. Just a bunch of ideas that will need to be forged into a plan suitable to our elected officials bosses, the CEO’s OF THE CORPORATE WORLD.
SECREG_756

Posted by: SECREG756 | July 25, 2009, 8:50 pm 8:50 pm

It’s amusing that most SHEEPLE vote against their own best interests.
It’s more important for you all to diss Obamma or praise him. Claim any new health care bill will be socialistic.
Folks, stop baaaing, turn off the talking heads, don’t listen to the politicians, read. Open your eyes to what is really going on ion the world around you. Stop playing the blame game. Stop calling each other names. We are all we got. If Americans continue to dumb themselves down any further, your CORPORATE obermeisters will have everyone working for $8.00 an hour.
Where have all the manufacturing jobs gone? Over seas.
America does not build anything anymore.
We buy things. 70% of America’s G.D.P. is consumer spending. Levi Jeans closed its last manufacturing plant in the United States three years ago.

Posted by: SECREG756 | July 25, 2009, 8:56 pm 8:56 pm

Fact; 85% of Americans health care is provided by their employers.
Fact I watched R- Sen. J.Boehner slamming his fist on a podium claiming, no government entity will dictate to HIM WHO or WHAT doctor he can see.He’s right. Regardless of what healtcare looks like in the future, his coverage is not changing.Good stage.
IE; Bill’s employer has had the same insurance carrier for years.Times are hard and he looks at what other opportunities are out there. His employer finds a better plan? Cheaper, Higher deductables? Who knows. But he decides to switch plans to United Health Care.
Nancy, one of Bill’s employees has been seeing the same doctor for years. After the switch she calls her doctor to schedule a routine appointment. She gets there,is examined by her usual doctor. On the way out, Nancy hands over her new health care card and her co payment.
Dr. James does not accept United Health Care members. he’s not in their system.
Nancy is responsible for the full cost of the visit. She must also find a new gyn. doctor, one who is on her NEW plan.
Who is telling Nancy what doctor she can or can not see? It’s the Health Insurance Company.
Mr. Boehner’s theatrics had little to do with you, me, or his constiuents. It’s all about theatre with politicians on both sides of the isle.
So stop the name calling. No one politician is better than the other. They ALL take orders from CORPORATE AMERICA’S CEO’s.
SECREG_756
Example

Posted by: SECREG756 | July 25, 2009, 9:10 pm 9:10 pm

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