Jun 23, 2009 1:50pm

Today’s Q for O

TAPPER:  Thank you, Mr. President.  Before I ask my question, I wonder if you could actually answer David's*:  Is the public plan non- negotiable?

OBAMA:  All right, if that's your question.

(LAUGHTER)

OBAMA: You think you're going to — are you the ombudsman for the White House press corps?  What's your question — is that your question?

(LAUGHTER)

TAPPER:  Then I have a two-part question.

(LAUGHTER)

TAPPER: Is the public plan non-negotiable? And, while I appreciate your Spock-like language** about the logic of the health care plan and the public plan, it does seem logical to a lot of people that if the government is offering a cheaper health care plan, then lots of employers will want to have their employees covered by that cheaper plan, which will not have to be for-profit, unlike private plans, and may, possibly, benefit from some government subsidies, who knows.  And then their employees would be signed up for this public plan, which would violate what you're promising the American people, that they will not have to change health care plans if they like the plan they have. So…

OBAMA:  OK.  You're pitching; I'm catching.

TAPPER:  OK.

(LAUGHTER)

OBAMA:  I got the question. First of all, was the reference to Spock, is that a crack on my ears?

(LAUGHTER)

TAPPER:  No.

OBAMA:  All right.  I just wanted to make sure.  No?

TAPPER:  I would never make fun of your ears, sir.

OBAMA:  In answer to David's question, which you co-opted, we are still early in this process.  So, you know, we have not drawn lines in the sand, other than that reform has to control costs and that it has to provide relief to people who don't have health insurance or are under-insured.  You know, those are the broad parameters that we've discussed. There are a whole host of other issues where ultimately I may have a strong opinion, and I will express those to members of Congress as this is shaping up.  It's too early to say that.  Right now, I will say that our position is that a public plan makes sense.
  
Now, let me go to the — the broader question you made about the public plan. As I said before, I think that there is a legitimate concern, if the public plan was simply eating off the taxpayer trough, that it would be hard for private insurers to compete. If, on the other hand, the public plan is structure in such a way where they've got to collect premiums and they've got to provide good services, then, if what the insurance companies are saying is true, that they're doing their best to serve their customers, that they're in the business of keeping people well and giving them security when they get sick, they should be able to compete.
                                                                                     
 
Now, if it turns out that the public plan, for example, is able to reduce administrative costs significantly, then you know what, I'd like the insurance companies to take note and say, hey, if the public plan can do that, why can't we? And that's good for everybody in the system.  And I don't think there should be any objection to that. Now, by the way, I should point out that part of the reform that we've suggested is that, if you want to be a private insurer as part of the exchange, as part of this marketplace, this menu of options that people can choose from, we're going to have some different rules for all insurance companies, one of them being that you can't preclude people from getting health insurance because of a pre-existing condition.  You can't cherry-pick and just take the healthiest people.
  
So there are going to be some ground rules that are going to apply to all insurance companies.  Because I think the American people understand that, too often, insurance companies have been spending more time thinking about how to take premiums and then avoid providing people coverage than they have been thinking about how can we make sure that insurance is there; health care is there when families need it. But, you know, I'm confident that, if — you know, I take those advocates of the free market to heart when they say that, you know, the free market is innovative and is going to compete on service and is going to compete on, you know, their ability to deliver good care to families. And if that's the case, then this just becomes one more option. If it's not the case, then I think that that's something that the American people should know.

TAPPER:  I'm sorry, but what about keeping your promise to the American people that they won't have to change plans even if employers…

(CROSSTALK)

OBAMA:  Well, all right — when I say if you have your plan and you like it, and your doctor has a plan — or you have a doctor and you like your doctor, that you don't have to change plans, what I'm saying is the government is not going to make you change plans under health reform. Now, are there going to be employers right now, assuming we don't do anything — let's say that we take the advice of some folks who are out there and say, "Oh, this is not the time to do health care.  We can't afford it.  It's too complicated.  Let's take our time," et cetera.
  
So let's assume that nothing happened.  I can guarantee you that there's the possibility for a whole lot of Americans out there that they're not going to end up having the same health care they have. Because what's going to happen is, as costs keep on going up, employers are going to start making decisions.  We've got to raise premiums on our employees.  In some cases, we can't provide health insurance at all. And so there are going to be a whole set of changes out there. That's exactly why health reform is so important.

– jpt

*David Jackson of USA Today.
**President Obama had said “it’s not logical” in his answer to Jackson’s question about the public plan, and he himself has in the past joked about being compared to Spock.

 

User Comments

Reminds me of a M.A.S.H. episode where the General said, “This is a press conference. The last thing we want to do is answer questions.”

Posted by: Traffic Cop Timmy | June 23, 2009, 1:59 pm 1:59 pm

Great Q, thanks.
My dad worked for a large company for 47 years. Part of his benifit package was retirement health care. With the advent of medicare the company capped the number of years the health care benifit would exist and then offered the retirees a supplemental if they went on medicare immeadiatly, thus reducing the companys cost dramatically and shifting the “retirement benifit” to the government

Posted by: TB | June 23, 2009, 2:00 pm 2:00 pm

“then lots of employers will want to have their employees covered by that cheaper plan”
Random thoughts:
With the govt’s track record, the companies would probably switch back after a year of torment with the govt’s plan.
The employees will have to suffer for a year before returning to a private plan (and hopefully be able to go back to it).
Companies that carry the govt plan will have trouble hiring employees.
Only the unskilled labor companies will benefit from this plan because their employers won’t care.

Posted by: Traffic Cop Timmy | June 23, 2009, 2:03 pm 2:03 pm

TAPPER: I’m sorry, but what about keeping your promise to the American people that they won’t have to change plans even if employers…
(CROSSTALK)
OBAMA: Well, all right — when I say if you have your plan and you like it, and your doctor has a plan — or you have a doctor and you like your doctor, that you don’t have to change plans, what I’m saying is the government is not going to make you change plans under health reform. Now, are there going to be employers right now, assuming we don’t do anything — let’s say that we take the advice of some folks who are out there and say, “Oh, this is not the time to do health care. We can’t afford it. It’s too complicated. Let’s take our time,” et cetera.
———————————-
Interesting how he completely ducked the question here. He mentioned his promise, but then went on to a different topic, never addressing what Jake asked – about how he basically is saying his promise to the people is bogus. Obama states his original stance, then totally leaves the subject. This is what someone does when they know they’ve been caught red-handed in a lie!!
Wake up people!! Obama is a liar!!

Posted by: Obama, the Second Coming | June 23, 2009, 2:08 pm 2:08 pm

Elephant being ignored in the room: Will illegal immigrants be covered under the President’s proposed HC Bill? Does anyone in the WH press corps have the nerve to ask this question???

Posted by: Mike in Costa Mesa | June 23, 2009, 2:09 pm 2:09 pm

TB . . .
We’ve seen companies simply ‘cancel’ their retirement benefits to former employees because the company has gone bankrupt. Never mind the health coverage part – the entire retirement package . . . gone. Doesn’t seem right or fair.

Posted by: danita | June 23, 2009, 2:09 pm 2:09 pm

Maybe he’d answer your question Jake if you were more like Jeff Gannon, or Nico Pitney?

Posted by: Slade | June 23, 2009, 2:11 pm 2:11 pm

Wake up people, what he said here is that YES your employer will have to drop health care plans and YES we the government will do our best to run insurance companies into the ground so that your only option for coverage will be coming from big brother. And with that we get to decide the best health care for you! Not you and not your doctor. How long before there is a health care czar?

Posted by: Catherine R-KY | June 23, 2009, 2:11 pm 2:11 pm

Thank you for asking that question. It was refreshing to finally see someone (other than FOX News) actually ask a question that challenges his health care plan. In the Lewin Group report, which was also provided to the President and under testimony to Congress, it even states in there that employers will simply cut benefits and force employees on the public plan. And their other view, even if employers of over 50 are forced to retain private coverage for employees, is that the subsidy private plan participants would bear as the result of so many being picked up by a public plan would be too expensive to sustain and in the end insurance companies will quickly fold. Multiple other independent reports also predict the exact same outcome. Americans know this will be the result, so why does he insist on denying it will occur? And why does he insist that if we’re against a public plan, it means we’re against reform altogether? Not so – we want *private* reform for the insured, and a free-market solution for the uninsured (and one that gives the power back to the states, not the federal govt). The only reason this is unreasonable to him is because it is not the solution that the labor unions are demanding from him. Thank you for asking a legitimate question, and for trying hard to get a legitimate answer – even though he refused to give you a legitimate, honest answer.

Posted by: Liberty_Chick | June 23, 2009, 2:12 pm 2:12 pm

Everybody should watch the ABC town hall tomorrow!

Posted by: Pete | June 23, 2009, 2:21 pm 2:21 pm

” I can guarantee you that there’s the possibility ”
++++++++++++++++++++++++++++++
WOW! Smartest president evah!!!111!
Excellent questions, btw. It would have been nice had he answered it, as well as the one about whether or not Iranian dips. were still invited to the “cookout”. He seemed to be quite irritated today.

Posted by: jennifert7 | June 23, 2009, 2:23 pm 2:23 pm

Haven’t public plans already existed for quite some time in Medicare, Medicaid, and the State Children’s Health Insurance Program (SCHIP)?
Why hasn’t the sky fallen?

Posted by: danita | June 23, 2009, 2:25 pm 2:25 pm

Good question JPT. If all of the questions were like that maybe these performances would be of value. It is good to see ABC is not totally in the Health Care tank in spite of their all day Obama love fest infomercial for health care. The obvious staging with the Huff Po guy was embarrassing. Pretty clear the President thinks us mere mortals can’t see through the BS.

Posted by: ralph | June 23, 2009, 2:27 pm 2:27 pm

Thanks for asking this, Jake. I tweeted you in support of asking this question and I thought he gave a fairly honest response. He admitted that private plans can/will change with government involvement. He admitted that his pledge only means that people won’t be forced to take the government plan, not that people will be able to maintain their current plans.

Posted by: David | June 23, 2009, 2:28 pm 2:28 pm

I also enjoyed the part about how he is a 95% cured, former smoker. It reminded me of the time I was 95% pregnant.

Posted by: jennifert7 | June 23, 2009, 2:31 pm 2:31 pm

Danita wrote: “Why hasn’t the sky fallen?”
Medicare, Medicaid and SCHIP are specifically targeting the poor and senior citizens. The public option discussed is open to everyone. The private sector cannot complete with the federal government because the private sector is in business to make a profit. The federal government will always be able to offer more benefits for a cheaper price.
So the public option will drive the private health insurers out of business. That will mean tens of thousands of workers losing their jobs and a huge drop in local, state and federal tax revenues.

Posted by: James Danley | June 23, 2009, 2:36 pm 2:36 pm

Thanks for asking. I’m shocked that some people find this idea controversial.
Employers always shop for the best plans.
The cheaper plan will translate into more money for employers to churn back into capital investments, higher wages, and/or new hires.
Call your representatives in SUPPORT of the public option.
The only people who will suffer are those insurance companies that are unwilling to adapt to a truly competitive marketplace.

Posted by: borneo | June 23, 2009, 2:37 pm 2:37 pm

My company, 800 employees, changed plans three times in five years and each time i had to pay extra to keep my doctor who is not in the plans network. Deductibles and co-pay also rising. So here in the real world a public option will keep the wealth insurance companies honest.
By the way I have waited 2 months to see the orthopedic of my choice (while in pain) and make routine appointments months in advance. So the false hypothetical fear tactics are not based in the real world.

Posted by: openmind | June 23, 2009, 2:40 pm 2:40 pm

James Danley . .. .
I think the reason a public health plan is under discussion is because millions of americans are working in situations where they are not covered by the current system. Usually these jobs are low paying, but the individual does not qualify as ‘poor’.
We’ve all heard the stories of people bankrupted by illness or hospitalization.
I still think a lot of people are prejudging the discussion – and we do know that the health care industry has funded politicians for years, and will now expend great amounts of money to market in attempts to ensure their own profits.
Does anyone know of good comparative studies of countries with public health care systems?

Posted by: danita | June 23, 2009, 2:44 pm 2:44 pm

Who wants to pay for illegal immigrants insurance?Who wants to pay for all the deadbeat lazy citizens? The answer to both of these questions is the Democrats and Obama,its a shame we don’t have the money for all of this but that won’t stop them from putting it on the backs of the working men and women of America.Shame on ABC News for its one sided news coverage.

Posted by: Johnny L | June 23, 2009, 2:52 pm 2:52 pm

“The private sector cannot complete with the federal government because the private sector is in business to make a profit. The federal government will always be able to offer more benefits for a cheaper price.”
A startling admission.
“So the public option will drive the private health insurers out of business. That will mean tens of thousands of workers losing their jobs and a huge drop in local, state and federal tax revenues.”
So the reason we should not reform health care is that insurance companies may go out of business.

Posted by: Ryan C | June 23, 2009, 2:58 pm 2:58 pm

BK . . .
Thanks for the links.
I would prefer to read studies that give the pros and cons of public health care (and other systems), rather than ones that obviously set out to find everything bad about one system or the other.
When both negatives and positives of systems are presented, it is essentially clean information.
When only negatives are presented it is essentially scare mongering.

Posted by: danita | June 23, 2009, 3:04 pm 3:04 pm

Danita, I have heard reports that 85% of the American people ARE SATISIFED with their current health insurance plans. When the public option drives private health insurers out of business, then that 85% will join the other 15% in NOT BEING SATISFIED with their medical coverage. Once the federal government takes full control of our health care system, IT will become the sole decider on who receives medical care. Neither you nor your doctor will have a say…except when the decisions are within narrowly sanctioned options set by the federal government.

Posted by: James Danley | June 23, 2009, 3:05 pm 3:05 pm

James Danley . ..
Your logic is odd. If you have coverage why wouldn’t you be satisfied? The health care reform underway is attempting to address the fact that millions have no coverage at all – primarily working in low paying jobs but not ‘poor’.

Posted by: danita | June 23, 2009, 3:11 pm 3:11 pm

To those asking why the sky hasn’t fallen yet with SCHIP, Medicaid/Medicare already existing:
1) Read independent studies on the cost of private health care insurance. #1 in every study is the subsidy that private insurers pay to make up for what Medicaid & Medicare aren’t paying on those claims. Govt only pays 60% of *legitimate* charges, so providers charge priv subscribers that extra, which drives up cost.
2) Have you ever been on Medicaid or Medicare? It sucks! Forced to clinics instead of your dr, months of waiting, no one accepts the insurance, and no tests or procedures are covered. It nearly killed me. Imagine that expanded by another 35% year one, doubled in year two when we add to the public system. Not sustainable.
3) Sky hasn’t fallen yet because there aren’t that many on public health care yet. But when you move a whole portion of the country to public plan, you get #1 and #2 above. That’s why.
4) SCHIP is funded by cigarette tax. At the same time, govt is trying to get Americans to quit smoking, and has now regulated marketing, which will all drive down tobacco sales. So how will SCHIP be funded in a year, 2yrs, 5yrs?
5) Labor unions actually surpassed Pharma & Insurance in last election as biggest govt lobbyists. And before that, they weren’t far behind anyway. So who’s REALLY spending all their money on (dismantling) health care? Don’t just listen to the hype, look it up and have all the facts.
All anyone asks is that people read the non-partisan studies before accepting what sounds like a really great thing – there are reasons health care is so expensive, and govt is at the root of many of those. Understand the structure first.

Posted by: Liberty_Chick | June 23, 2009, 3:14 pm 3:14 pm

Ryan, that’s what all this anxiety comes down to.
The Insurance Companies will have to drop their rates if a public option is introduced.
I know, we are all supposed to care… Insurance company bureaucrats have every right to demand high payments from customers.
If you don’t, you might get sick and face financial ruin… or you’ll just drop dead.
It’s a great business model for them. Cut costs, raise prices.
Of course they are scared to death of Health Care Reform.
In a sense, there is some injustice to the public proposal.
But it is a classic case of competing priorities…. what is more important? People getting good health care or insurance companies making obscene profits.
In an ideal world, we would be able to respect the rights that heroin dealers have to make profits from selling poison…. while respecting the rights of citizens to live without fear of being killed by a drug-addled maniac.
But in our imperfect world, you have to limit the freedom of smack-heads to protect the freedom on everyone else.
I wish, earnestly, that Insurance Company Executives could have palaces that would put Saddam to shame and that everyday people could go to the doctor whenever they got sick….
But in this imperfect world of limited resources, the two freedoms are incompatible.
Insurance execs will have to live with smaller houses so that we can all go to the doctor.

Posted by: borneo | June 23, 2009, 3:22 pm 3:22 pm

Liberty_Chick . ..
Okay, I get it now. Unions are bad. Health insurance corporations are good.
Public health care means ‘no one accepts the insurance’ and ‘no tests or procedures’ are covered and that is bad.
Millions not having medical coverage is good.
And no solutions are offered.

Posted by: danita | June 23, 2009, 3:26 pm 3:26 pm

Obama says “let’s say that we take the advice of some folks who are out there and say, “Oh, this is not the time to do health care. We can’t afford it. It’s too complicated. Let’s take our time,” et cetera”
Yeah, let’s brush off fact packed reasons why this is a complicated and expense issue to tackle and do what is needed to make sure we have something that has a possibility of working, but NO.
Let’s also not do any studies on how many jobs in the insurance industry will be lost and etc.
No, let’s not look at the consequences of our policies and try to pass sane policies that count the costs in a multitude of areas.
No, let’s not look at how obvious it is that government has never been successful in running social programs….. Ugh.

Posted by: Sadie | June 23, 2009, 3:27 pm 3:27 pm

Ryan C wrote: “So the reason we should not reform health care is that insurance companies may go out of business.”
There is nothing wrong with reforming our health care system. I object to the complete overhauling of our health care system and forming a single-payer system with the federal government as the sole provider of health care.
We have already seen the beginning steps of nationalizing our financial institutions and the auto industry. Once we allow the nationalization of our health care, where do we draw the line? Will the nationalization of the fast food industry or all eating establishments be next? How about the nationalization of sports in America?
I believe in the Free Market and Capitalism, as they empower the greatest individual freedom. Socialism stymies individual freedom.

Posted by: James Danley | June 23, 2009, 3:28 pm 3:28 pm

Sadie . . .
Because problems are difficult does not mean they can’t or shouldn’t be addressed.
Who’s to say the complexities of the situation are not being seriously studied?
Where would we be if we ran from every challenge because it’s ‘difficult’?

Posted by: danita | June 23, 2009, 3:32 pm 3:32 pm

No offense, but the military is an enormous government program…. and while conservatives do tend to let them run a little wild with their spending….
On the whole, they do a great job.

Posted by: borneo | June 23, 2009, 3:40 pm 3:40 pm

Danley,
That’s why you will love the president’s plan. It’s not single-payer. Rather, it introduces a public plan in competition with the private companies.
This will add a new dimension to the competitive landscape of the health care industry.

Posted by: borneo | June 23, 2009, 3:42 pm 3:42 pm

Danita wrote: “The health care reform underway is attempting to address the fact that millions have no coverage at all – primarily working in low paying jobs but not ‘poor’.”
That may be the discussion, but that is NOT the agenda. The agenda is to nationalize our health care system and make the federal government the sole provider of health care in America.
George Will recently made the comment that of the 47 million people who are uninsured, 14 million are already eligible for coverage but have not taken advantage of the existing programs; another 10 million are in households that make more than $75,000 and can afford insurance if they wanted it. So of the “47 million uninsured” that leaves 23 million people–INCLUDING the 20 million illegal immigrants–who are falling through the cracks of the system. So if you exclude the illegal immigrants, then that means THREE MILLION Americans and legal residents are falling through the cracks. Why not tweak the system to include those 3 million people? Why must we overhaul the entire system? Why must be nationalize the system?

Posted by: James Danley | June 23, 2009, 3:43 pm 3:43 pm

James Danley . ..
“The agenda is to nationalize our health care system and make the federal government the sole provider of health care in America.”
On what authority do you state this?
“that means [only] THREE MILLION Americans and legal residents are falling through the cracks”. I believe this to be complete horse crap. If it’s true I’ll resurrect him from the grave and vote for George Wallace in the next election.

Posted by: danita | June 23, 2009, 3:52 pm 3:52 pm

Tapper shouldn’t have to explain the Spock comment. I understand why he did, but it’s a shame.
That was a deliberate ploy by Obama to put him on the defensive.
If he was read from teleprompter I guarantee it was also a stall so team teleprompter could map out the talking points.
All that aside, this was slick and disgusting. This wasn’t even skilled snake oil sales. I have no idea how he gets away with it.
Thank you, Mr. Tapper for exposing it.

Posted by: Melvin_Udall | June 23, 2009, 3:57 pm 3:57 pm

Borneo wrote: “That’s why you will love the president’s plan. It’s not single-payer. Rather, it introduces a public plan in competition with the private companies. This will add a new dimension to the competitive landscape of the health care industry.”
Introducing the public option will undercut the private sector. Obama’s plan calls for changes in the system–albeit some good elements (i.e., prohibiting insurance companies from denying coverage for existing illnesses). BUT those changes WILL ADD costs to the private sector. Since the federal government will not have to include a profit margin in its cost IT will always be cheaper than the private sector. THAT is the key. And because of that once the public option becomes a reality, it will kill off ALL of the competition.

Posted by: James Danley | June 23, 2009, 4:01 pm 4:01 pm

Danita wrote: “On what authority do you state this?”
Obama’s own words (all capitals-emphasis mine) back in January 2008:
“If I were designing a system from scratch I WOULD PROBABLY SET UP A SINGLE-PAYER SYSTEM…But we’re not designing a system from scratch…And when we had a healthcare forum before I set up my healthcare plan here in Iowa there was a lot of resistance to a single-payer system. So what I believe is we should set up a series of choices…OVER TIME IT MAY BE THAT WE END UP TRANSITIONING TO SUCH A SYSTEM. For now, I just want to make sure every American is covered…I DON’T WANT TO WAIT FOR THAT PERFECT SYSTEM…The one thing you should ask about the candidates though is who’s gonna have the capacity to actually deliver on the change?…I believe I’ve got a better capacity to break the gridlock and attract both Independents and Republicans to work together.”

Posted by: James Danley | June 23, 2009, 4:06 pm 4:06 pm

Jake, I can’t find the video anywhere. Do you have a url?

Posted by: Anne Lieberman | June 23, 2009, 4:10 pm 4:10 pm

But IF the government cannot control costs… and the public plan is doomed to failure… The private insurance companies have nothing to fear from the competition.
You can’t have it both ways.
Out of one side of your mouth, critics of the Obama plan say that public insurance will be too inefficient. Out of the other side, it will be too efficient.
It’s gotta be one or the other. If it is inefficient, then the private plans will compete and prove their worth. If the is too efficient, and the private plans cannot compete…. then what’s the big loss?
I mean, the insurance companies will have to trim the fat, but from my perspective (where my premiums go up every year, while my coverage is actual getting worse), this seems like a win-win.

Posted by: borneo | June 23, 2009, 4:11 pm 4:11 pm

Danita,
Please read the posts better before you criticize and please do your homework on these issues. The combox is not a good place for us to write a thesis on the facts that can easily be found from reputable studies that the Obama administration is ignoring.

Posted by: Sadie | June 23, 2009, 4:20 pm 4:20 pm

James Danley . ..
I disagree with your assessment of what you have President Obama saying.
He is clearly saying that in a perfect world a ‘single-payer system’ might work best, but he states (without question) that we must deal with the situation the way we find it on the ground and offer various choices and options.
I can see how you could stretch his words into an agenda ‘to nationalize our health care system’ but clearly that is not what he said.

Posted by: danita | June 23, 2009, 4:20 pm 4:20 pm

Sadie . ..
Please attempt to stay on topic with the points being discussed and not resort to insult as argument.

Posted by: danita | June 23, 2009, 4:27 pm 4:27 pm

“You can’t have it both ways.
Out of one side of your mouth, critics of the Obama plan say that public insurance will be too inefficient. Out of the other side, it will be too efficient.”
Nail meet head!
Well done.

Posted by: Ryan C | June 23, 2009, 4:38 pm 4:38 pm

“4) SCHIP is funded by cigarette tax. At the same time, govt is trying to get Americans to quit smoking, and has now regulated marketing, which will all drive down tobacco sales. So how will SCHIP be funded in a year, 2yrs, 5yrs?”
SCHIP was funded for 10 years based on cigarette taxes and did just fine.

Posted by: Ryan C | June 23, 2009, 4:43 pm 4:43 pm

Danita, so you are going to completely ignore the comment, “over time it may be that we end up transitioning to such a system?”
What about comments like those of Rep. Jim McDermott (D-WA)? Here are just a couple of excerpts from his speech from July 15, 2008:
“We cannot stand idly by and watch when we know that developing and instituting an American single payer health care program can dramatically improve the health of American business and American families – literally and financially. And for the first time in decades, we have a chance if we are willing to seize the opportunity.”
“I am here to say that single payer is on the table. It is time to breach the dam of opposition and create a single payer health care program for the health and well being of the American people and American business.”
Majority of the Democrats in both houses of Congress have the same viewpoint. The question is whether they can convince the more moderate Democrats to join them. As a unified block, the Democrats can ram any legislation they want through Congress. They can even use the “nuclear option” in the Senate to block a filibuster attempt by the Republicans.

Posted by: James Danley | June 23, 2009, 4:47 pm 4:47 pm

“I believe in the Free Market and Capitalism, as they empower the greatest individual freedom. Socialism stymies individual freedom.”
I happen to think pure systems fail far too many and that a hybrid system is best.
I think certain elements of society should be socialized including education, defense and healthcare.

Posted by: Ryan C | June 23, 2009, 4:47 pm 4:47 pm

“Let’s also not do any studies on how many jobs in the insurance industry will be lost and etc.”
Yes, let’s do this study.
Then let’s calculate how much business and jobs are lost due to the obscene costs of health insurance.

Posted by: Ryan C | June 23, 2009, 4:50 pm 4:50 pm

“What about comments like those of Rep. Jim McDermott (D-WA)? ”
Jim McDermott sets the agenda?
What no Bernie Sanders mention?

Posted by: Ryan C | June 23, 2009, 4:52 pm 4:52 pm

James Danley:”Since the federal government will not have to include a profit margin in its cost IT will always be cheaper than the private sector. THAT is the key. ”
If the private sector is more efficient than the government – as is typically advanced by the right – their efficiency is their profit margin. If they are not more efficient than the government, then that could explain why we spend 2 to 3 times as much per person for health care compared to all other first world nations with no obvious benefits.

Posted by: jhw539 | June 23, 2009, 4:58 pm 4:58 pm

“over time it may be that we end up transitioning to such a system?”
This statement doesn’t scare me as much as it apparently scares you James. I see it more as a ‘may’ statement, not a ‘will’ statement.
Again, I’m looking for good comparative studies that point out the pros and cons of various systems if anyone has such. Not interested in studies that only point out negatives.

Posted by: danita | June 23, 2009, 5:00 pm 5:00 pm

Our current Free Market is a hybrid. There is a lot of government interference and regulation. Granted some of this interference and regulation is good for public safety. But some are intrusive, in spite of good intentions (i.e., minimum wage, dictating additives in gasoline, etc.).
Ryan C, I respect your opinions on socialization. However, the U. S. Constitution limits the powers of Congress and the Executive Branch to those powers specifically identified within the Constitution. It is my opinion that Education and Health Care should be left to the states.

Posted by: James Danley | June 23, 2009, 5:01 pm 5:01 pm

jhw539, it’s not about efficiency. It’s only about cost. We already know how inefficient the federal government is. Just look at how “efficient” Medicare and Medicaid are right now. Imagine adding the entire population into such a system. It will be a disaster!

Posted by: James Danley | June 23, 2009, 5:25 pm 5:25 pm

Danita, if President Obama had announced his true agenda for America during the campaign he would never have been elected. But he is a very smart politician. He knows that even as President, he still has to deal with the moderate Democrats in Congress. So he isn’t going to spell out his entire agenda. Instead he (and the Liberal Democrats in Congress) will use popular issues to fulfill their agenda by way of the back door.
Today was an excellent example. President Obama knows that the public option will mean the death of private insurance. But instead of just coming out and saying their agenda is to destroy the private health insurance industry, under the guise of competition and the Free Market, they want to offer up one more option–the public option–knowing full well that it will eventually end private health care in America.

Posted by: James Danley | June 23, 2009, 5:41 pm 5:41 pm

“Danita, if President Obama had announced his true agenda for America during the campaign he would never have been elected.”
Obama campaigned on raising taxes, serious reform of our healthcare system and the need to regulate business.
Where he has disappointed compared to his campaign rhetoric has been on issues to the left such as gay rights.
So what is the basis for your claim?

Posted by: Ryan C | June 23, 2009, 5:51 pm 5:51 pm

“Ryan C, I respect your opinions on socialization. However, the U. S. Constitution limits the powers of Congress and the Executive Branch to those powers specifically identified within the Constitution. It is my opinion that Education and Health Care should be left to the states.”
I disagree.
I think the education and health of our nation should be a federal priority even if ultimately administered by the states and local governments.

Posted by: Ryan C | June 23, 2009, 5:52 pm 5:52 pm

“Just look at how “efficient” Medicare and Medicaid are right now. Imagine adding the entire population into such a system.”
How is MediCare and MediCaid less efficient than an HMO?
Are wait times longer?
Are medical errors higher?

Posted by: Ryan C | June 23, 2009, 5:57 pm 5:57 pm

Ryan C, then candidate Obama campaigned on populist issues in order to get elected. His true agenda has been forged by his mentors over the past 30 years–specifically Frank Marshall Davis and the Rev. Jeremiah A. Wright, Jr.–and the teachings of Saul D. Alinsky.

Posted by: James Danley | June 23, 2009, 6:07 pm 6:07 pm

“His true agenda has been forged by his mentors over the past 30 years–specifically Frank Marshall Davis and the Rev. Jeremiah A. Wright, Jr.–and the teachings of Saul D. Alinsky.”
Damn and here I thought we were making some headway in discussing issues albeit from different perspectives.

Posted by: Ryan C | June 23, 2009, 6:13 pm 6:13 pm

Ryan C, we are discussing issues from different perspectives. Your’s is more socialist leaning, mine is from a capitalist, free market perspective (or if you prefer a neocon perspective). And President Obama’s is probably further left than your perspective (unless you were also mentored by the likes of Mr. Davis, Rev. Wright and the teachings of Mr. Alinsky).

Posted by: James Danley | June 23, 2009, 6:40 pm 6:40 pm

Opps, I know! There should not have been an apostrophe in “your’s.” I saw it just as I hit “Post.”

Posted by: James Danley | June 23, 2009, 6:45 pm 6:45 pm

Jake,
I appreciate your continuing efforts to pinpoint our president’s point of view on issues even when he would much prefer to gloss over them. You are one of the few left in the MSM to do that. Thank you.

Posted by: DougPete | June 23, 2009, 7:22 pm 7:22 pm

This is what Jake Tapper posts as his in depth question, when all it exposes is the ninny press laughing with their leader who is engaging another plane which will not work.
Hey Mr. Tapper, how about asking this question:
Mr. Obama, as a multi millionaire, will you forgo along with every Democrat in Congress as you control the government from using the cushy health care plan all of you have until this mess is fixed without spending a trillion dollars more?
Ask the questions Mr. Tapper which put heat on the hucksters and stop pretending you are doing the press work of hard questions.
All you did is dust off all old Hillary health care questions. In school you would be flunked, if you are Joe Biden that kind of plagiarism gets you to be Vice President.

Posted by: Lame Cherry | June 23, 2009, 10:05 pm 10:05 pm

I’m confused, is Obama not an advocate of the free market?

Posted by: Mike | June 23, 2009, 10:33 pm 10:33 pm

I have yet to hear why health care is so expensive. According to many doctors, they get paid far less than what they think they should, and many of them less than national or even state averages.
A lot of the stuff they use in surgery can simply be bought through a company like Carolina Biological and autoclaved.
Unless they’re doing surgery with gold catheters and platinum sutures, the costs should in no way be what they are. Heck, dentists at any rate can do X-rays with far less radiation and no film to buy or develop…yet they’re just as expensive as ever.
Speaking of which, it would seem that offering good preventative dentistry programs would go a long way in preventing other health problems in the body. That’s something I could be on board with. I’m amazed that companies don’t offer and bug their employees to get free cleanings twice a year.

Posted by: Yellow Knife | June 24, 2009, 3:43 am 3:43 am

Leave a Reply

Do you have more information about this topic? If so, please click here to contact the editors of ABC News.