By Kate Barrett

Jul 28, 2009 4:29pm

Obama to AARP: Health Care Reform “Not That Costly If We Start Making Changes Right Now”

ABC News’ Karen Travers Reports: As lawmakers on Capitol Hill continued to work on health care reform legislation, President Obama took his case to the nation’s retirees in a tele-town hall meeting at the AARP studios in Washington, a setting that resembled a coffee shop open mic night.

The president took 10 questions, from the in-studio audience and several from callers on the phone around the nation.

Obama did not issue any strong words or ultimatums for members of Congress, but did try to calm fears over the price tag on the pending legislation.

“You know, you get these stories where, oh, there’s a trillion dollars here, a trillion dollars there, after a while, it starts being real money, even here in Washington,” he said. “And so I understand people being scared that this is going to be way too costly. It’s not that costly if we start making changes right now.”

In his opening remarks, Obama noted that today was the 44th anniversary of Congress passing legislation to create Medicare and said that the debate going on on Capitol Hill today is similar to the debate back in 1965. “Everybody who was in favor of the status quo was trying to scare the American people, saying somehow that the government is going to take over your health care, you won’t be able to choose your own doctor, they’re going to ration care, they’re going to tell you, you can’t get this or that or the other,” he said of the conversation over Medicare back then. “And you know what?  Medicare has been extraordinary popular.  It has worked.  It has made people a lot healthier, given them security. And we can do the same this time. Obama had a brief moment of candor, expressing his frustration over the current health care debate. “We’re not going to have a perfect health care system. It’s a complicated system. There are always going to be some problems out there. But we could be doing a lot better than we’re doing right now,” he said. Obama addressed worries of one caller, Mary in North Carolina, who said she has heard a lot of rumors about the new plan containing a provision where “everyone that’s Medicare age will be visited and told to decide how they wish to die” Obama first deflected the woman’s concerns with a joke. “I guarantee you, first of all, we just don’t have enough government workers to send to talk to everybody to find out how they want to die,” he said. He went on to explain that what is being proposed in some of the bills would actually make it easier for Americans to fill out a living will. He cited his grandmother, who passed away last October, and how a living will “gave her some control ahead of time” and gave her “some decision-making power over the process.”

“So I think the idea there is to simply make sure that a living will process is easier for people.  It doesn’t require you to hire a lawyer or — or to take up a lot of time, but everything is going to be up to you,” the president said. 

Obama stressed that the government is not going to force anyone into end-of-life decisions.

“Nobody is going to be knocking on your door. Nobody is going to be telling you, you’ve got to fill one out. And certainly nobody is going to be forcing you to make a set of decisions on end-of-life care based on, you know, some bureaucratic law in Washington.”

- Karen Travers

User Comments

“Obama stressed that the government is not going to force anyone into end-of-life decisions.”
Even though the term ‘end-of-life’ is used several times in that section of the bill. Page 425 of HR 3200 specifically uses the term “end-of-life”:
(E) An explanation by the practitioner of the continuum of end-of-life services and supports available, including palliative care and hospice, and benefits for such services and supports that are available under this title.

Posted by: Traffic Cop Timmy | July 28, 2009, 4:52 pm 4:52 pm

If elderly people are gullible enough to give thousands to telemarketers–they will certainly believe the most dangerous smooth talker in America.
I pray that most are too smart to believe him.
Say no to the pill-pusher.

Posted by: nick | July 28, 2009, 4:54 pm 4:54 pm

Wasn’t this the argument for the highly sucessful bailout and stimulus package?

Posted by: Broke | July 28, 2009, 5:15 pm 5:15 pm

old people know when AARP is full of it. they took major heat for supporting this initially. time we move on to something else.

Posted by: catman | July 28, 2009, 5:24 pm 5:24 pm

>>>>>>If elderly people are gullible enough to give thousands to telemarketers–they will certainly believe the most dangerous smooth talker in America.
I pray that most are too smart to believe him.
Say no to the pill-pusher.>>>>>>
This only happens to elderly people? You did give me my laugh for the day!!!:)

Posted by: veronica | July 28, 2009, 5:24 pm 5:24 pm

Well of course limiting health care is not that “expensive”.
Under government involvement in the health care system, your doctor will be obligated to assess your QARY index. This is your Quality Adjusted Remaining Years. Based on that, you may be denied surgery or other needed health care. Note this will not be personal decision you or your family makes, this decision will be made from a chart based on the cost of the treatment and your QARY index. If the cost per year of remaining life exceeds a government determined amount, you will be denied care irrespective of any other consideration.
The government will argue that the other considerations were taken into account when the doctor determined your QARY index.
How will the doctor determine your QARY index? The government will provide a detailed checklist with the amount of points to assign to each consideration.
Note that the government will be issuing guidance directly to doctors and hospitals, by passing your insurance company, so it won’t matter which plan you have.
As for single payer, if that ever gets approved, a necessary component will be to outlaw any privately purchased heath care. If the government wont allow you to be treated, it will be illegal for a doctor to offer the treatment for direct payment. This was the system until recently in Canada.
Oh, brave new world!

Posted by: Terry | July 28, 2009, 5:27 pm 5:27 pm

Posted by: Terry | Jul 28, 2009 5:27:19 PM
And will this nullify my Long Term Care insurance I’ve been paying for all these years?
Will physicians have to take a new oath? Physician do no harm seems like so much old fashioned mumbo jumbo somehow.

Posted by: Traffic Cop Timmy | July 28, 2009, 5:31 pm 5:31 pm

And if you can convince someone to die with dignity, do you get bonus points added to your QARY Index?

Posted by: Traffic Cop Timmy | July 28, 2009, 5:33 pm 5:33 pm

TCTimmy,
You quoted: “Obama stressed that the government is not going to force anyone into end-of-life decisions.”
Of course not. It will all be very mathematical. Your doctor will determine your QARY Index (Quality Adjusted Remaining Years) and then the government provided chart will determine what care you will be allowed. Once that is known, you will be allowed to live or die as you choose. Of course “pain pills” will always be provided. We are not cruel after all…

Posted by: Terry | July 28, 2009, 5:33 pm 5:33 pm

“And will this nullify my Long Term Care insurance I’ve been paying for all these years?”
Who knows? Probably. But you can count on it being taxed.

Posted by: Broke | July 28, 2009, 5:34 pm 5:34 pm

The delays in Congress may work to the president’s advantage. It gives him more time to appease Blue Dogs and moderate Republicans while bolstering public support for reform via events like the one today.

Posted by: matt | July 28, 2009, 5:35 pm 5:35 pm

Under NO circumstances should older Americans be denied a longer more porductive life, bases on some useless chart. My father lived to be 94. What age goes the obama plan allow us to live to? I refuse to have lived my live in the servioce of my country, family and as a failthful tax payer, to be discarded , like an old coat to allow some illegal to take advantage of my life time of faithful servic. I deserve, and have earned the right to be happy and pass on the good I have attained during my 69 years.

Posted by: ZK | July 28, 2009, 5:39 pm 5:39 pm

TCTimmy
You asked:And if you can convince someone to die with dignity, do you get bonus points added to your QARY Index?
——-
Hmmmm, I don’t know but that is an interesting question. If you can convince someone else to sacrifice some “remaing years of quality life”, can you get those added to your own QARY?
Or better still, can you donate some of your QARY to someone else? For example if your wife has a low QARY and needs a hip-replacement, can you give her enough of your QARY to get the surgery?
How about a QARY Cap and Trade market place. If I don’t want to get health care in old age, can I sell some QARY to an older person so I can live better now?

Posted by: Terry | July 28, 2009, 5:55 pm 5:55 pm

Today, I’m hearing reports about Obama in 2004 complaining in a radio interview that Bush was pushing his budget through before anyone had time to read it. Now that is C-O-M-E-D-Y-!

Posted by: Traffic Cop Timmy | July 28, 2009, 5:56 pm 5:56 pm

The truly disgusting part is that, when this woman called HER PRESIDENT with a VALID CONCERN, what did the arrogant jerk do?
HE “DEFLECTED THE WOMAN’S CONCERNS WITH A JOKE.” Any idiot who still believes this man gives a rat’s a- about “ordinary people” deserves to be the first in line for the blue pill. You know, the (pain)killer. Because, heaven knows, the “people” are getting to be a real pain to him. Hence the “frustration.” He’s not getting his way anymore. And he’s made it clear that he won’t tolerate defiance. That makes him very dangerous.

Posted by: Eyes Open | July 28, 2009, 6:43 pm 6:43 pm

I am glad someone asked about the end-of-life counseling matter, because there has been misinformation about whether that was mandatory, as some feared, or just being added to Medicare coverage, as seems now to be the case. I must admit I am rather confused about the need to include payment for such counseling. Wouldn’t health care providers do such counseling in the course of their other work with a patient, so there was no need for an additional charge? For example, when I was in the hospital for angioplasty, a hospital worker visited me prior to the procedure to ask about a living will and my wishes should things take a terrible turn in the OR. I am not aware that there was a charge for this service on my (quite considerable) bill. When my grandmother entered a nursing home, she and my parents sat down with a representative of the home who talked about all those end-of-life decisions with them and witnessed the signing of a ‘power of attorney’ and other documents related to my grandmother’s wishes. Again, no charge. One of my relatives who is over 65 was recently complaining about her physician bringing up the subject of a living will with her during an office visit, which he did during a routine physical, not in response to a particular deterioration of her health. Again, the information was included in the price of the office visit, not as far as I can tell charged as a separate service.
So why is it necessary to add “end of life counseling” to the long line of things that the government is willing to pay for through Medicare? I mean, seems like the health care industry is already providing the information for free, but if the government tells them they should be charging for it, I suspect they will– and it probably won’t be cheap.

Posted by: moderate | July 28, 2009, 6:58 pm 6:58 pm

Obama is playing games and the AARP is helping him, end of life couseling wasn’t an issue. Not providing care for elderly because they aren’t deem worht the cost is. Obama backs the Daschle plan which thinks it is a good cost saving measure to not give hip replacement surgeries for elderly because they are old. Smoke and mirror pumpkins…

Posted by: PotatoeGater22 | July 28, 2009, 7:00 pm 7:00 pm

“I guarantee you, first of all, we just don’t have enough government workers to send to talk to everybody to find out how they want to die,” he said.
We would if we could but we just don’t have enough workers. Though… We might use ACORN workers for this important and sensitive job. There on the government dole already… It’s a win-win.
What a comedian!
News is that Republicans on the Hill are taking a renewed interest in finding out what role Mrs. Obama and her Chicago buds (Valerie Jarrett, David Axelrod, Susan Sher) played in the University of Chicago Medical Center dumping scheme.
It’s all in the family!

Posted by: Fan of Timmy the Cop | July 28, 2009, 7:06 pm 7:06 pm

“News is that Republicans on the Hill are taking a renewed interest in finding out what role Mrs. Obama and her Chicago buds (Valerie Jarrett, David Axelrod, Susan Sher) played in the University of Chicago Medical Center dumping scheme.’
______________________________________
Slimy allegations with nothing to back them up – is smear and fear still all you have?

Posted by: danita | July 28, 2009, 7:14 pm 7:14 pm

By the way, a fair portion of the current (“Obama is to blame”) budget has to cover somewhere around $412 BILLION in interest on the national debt – which as you know doubled under Bush from approx $5 TRILLION to $10 TRILLION.
$412 BILLION of interest on the national debt DOUBLED by Bush. Compare that (2008) to NASA at $15 Billion, Education at $61 Billion, and Department of Transportation at $56 Billion.
Credit where credit is due.

Posted by: danita | July 28, 2009, 7:28 pm 7:28 pm

Michelle and Valerie Jarrett worked together at the University of Chicago Medical center to develop a new plan to save the hospital money at the cost of POOR. Basically, the hospital would kick the poor who had no insurance out of the hosipital telling them to go hit the clinics down the street. Victims included a 12 year dog attack victim.

Posted by: PotatoeGater22 | July 28, 2009, 7:37 pm 7:37 pm

Hi Danita,
You said: …$412 BILLION in interest on the national debt – which as you know doubled under Bush from approx $5 TRILLION to $10 TRILLION.
So Mr. Obama’s answer was to double it again in just 6 months? How is that going to help?

Posted by: Terry | July 28, 2009, 7:42 pm 7:42 pm

So Mr. Obama’s answer was to double it again in just 6 months?
____________________________________
First of all, the national debt has NOT doubled in the past 6 months, so put that LIE away. You can check the figures at the national treasury website.
Second, I was pointing out that part of the reason the CURRENT budget IS high is BECAUSE it has to accommodate paying the interest on the national debt that doubled under George Bush.

Posted by: danita | July 28, 2009, 7:51 pm 7:51 pm

Please note that our system as it is will be broke soon so lets solve the problem now!If we do not get a handle on medicare our economy is going down,so please conservatives come up with an alternative plan!

Posted by: gay roberts | July 28, 2009, 7:52 pm 7:52 pm

I’d put up a bill with the public option plan, let the Blue Dogs vote it down and then stand for their next election on the basis of having trashed health care reform. To me it is undemocratic that a majority of the Senate (elected by a majority of the people) can’t pass something. They have to have 60% so that the minority Republicans and a few recalcitrant Democrats can trash the whole thing.
As I see it, if you don’t have a public option, all you’ll get is another Medicare Drug Plan. Remember that fiasco? Huge donut hole, skyrocketing insurance and drug prices after first year. That bill was pushed by the GOP after it was written by the health, drug and insurance industries to put billions in their pockets, and that’s what it did.
I think the majority of Americans, even the insured ones, know they will lose their health care or job (to keep from having to insure them) as soon as someone in their family gets an expensive illness. It happens to tens of thousands each month. They call it rescission.
Better no so-called reform at all if we can’t get a public health care option. Let those who are owned by the lobbies and the big companies vote it down, and then face the voters.

Posted by: CAB | July 28, 2009, 7:53 pm 7:53 pm

@moderate, to answer your question, it is because of Bush Jr. regulations that mandate providers provide legal advice to patients, and that outline how to talk to them about it.
I used to come to politicalpunch to find out the latest wingnut talking points, but now it seems that nothing shows up here until it has been thouroughly debunked already.

Posted by: Flash Override | July 28, 2009, 7:56 pm 7:56 pm

Second, I was pointing out that part of the reason the CURRENT budget IS high is BECAUSE it has to accommodate paying the interest on the national debt that doubled under George Bush.
Posted by: danita | Jul 28, 2009 7:51:59 PM
__________________________________
Credit where credit is due then. We’ll be sure to add Obama’s debt to whomever follows him as President. Because there WILL be one…

Posted by: Traffic Cop Timmy | July 28, 2009, 8:28 pm 8:28 pm

“Obama stressed that the government is not going to force anyone into end-of-life decisions.”
Translation: It’ll be a coalition (of the willing to end your life).
HR 3200, Page 428:
“A program for orders for life sustaining treatment for a States described in this clause is a program that:
- “is guided by a coalition of stakeholders includes representatives from emergency medical services, emergency department physicians or nurses, state long-term care association, state medical association, state surveyors, agency responsible for senior services, state department of health, state hospital association, home health association, state bar association, and state hospice association.”
No mention of family or personal legal counsel. They would only get in the way anyway.

Posted by: Traffic Cop Timmy | July 28, 2009, 8:41 pm 8:41 pm

All his performance today did for me is get me to cancel my aarp membership.

Posted by: puma | July 28, 2009, 8:46 pm 8:46 pm

The beauty of the plan is that with QARY you don’t have to get involved with all that sticky emotional stuff.
Your doctor, using the government provided form calculates your QARY (Quality Adjusted Remaining Years) and enters into the new national health care database. The QARY is calculated and applied at the caregiver level (under strict federal guidelines) so it doesn’t matter if what health care plan you have.
Let’s say you need a certain operation. Your current life expectancy is 5 years, but the remaining two years will be of “low quality”. That gives you a QARY of 3. Let’s say the operation you need costs $30,000. That is $10,000 per QARY year. So if the current federal guidelines only permit $9,000 per QARY year, you will be denied the operation. However, “pain pills” will always be provided.
Let’s consider the case where you fall off a ladder at your house and break your back. The responding ambulance will query the National Health Care Database (NHCD) and determine your QARY. This will be plugged into an algorithm to further adjust it based on your current injuries. A calculation will be made to determine if the cost of your extended care warrants taking you the hospital or directly to the funeral home where there will be federally funded “waiting rooms” and plenty of pain pills.
How clean, how neat, how cost-cutting.
Contact your senators and representative now. We don’t need the Federal Government any more involved in health care than it already is!

Posted by: Terry | July 28, 2009, 9:06 pm 9:06 pm

How interesting will be your QARY index. QARY stands for Quality Adjusted Remain Years. It will not be determined by some faceless bureaucrat, but by your own heath care provider using a government provided matrix.
You receive QARY points in a number of different areas. Then all the data will be plugged into a computer which will calculate your QARY. It will be very fair, no matter who you are, or your station in life, the QARY will be the great equalizer.
Your QARY Index will be used at the caregiver level to determine what heath care options you will be allowed. Let’s say you are 72 and have a life expectancy of 5 years. But due to your current health, you physician, using the government matrix determines the last two years will be “low quality”. That will give you a QARY of 3. Let’s say you feel pretty good, but you have a consistent pain which could be fixed with an operation costing $30,000.
Let’s say the current government guidelines state that only $9,000 per QARY year can be spent. You will be denied the operation and be prescribed “pain pills”.
The QARY will be a lot like your credit rating. You will be able to influence it somewhat. So when you visit your doctor, make sure you are really upbeat and optimistic. And don’t dwell on too many minor aches and pains.
Good luck!

Posted by: Terry | July 28, 2009, 9:31 pm 9:31 pm

Danita, since you love to nitpick and to challenge people on sources, I would point out that the deficit did not quite double during Bush’s 8 years (if you count from inauguration day to inauguration day). Almost, to be sure, but not quite.
And as you say, the current president did not double it again yet. What he DID do, using the same treasury department sources you tout, is add close to 981 billion so far this year (since inauguration day), a rate that puts him on pace to add as much to the debt in 2.5 years as Bush did in 8. That’s quite an acceleration, and that’s without adding in the further piling on of debt from any future programs. (come on, you don’t really believe the health care reform will not add to the deficit, do you?)

Posted by: moderate | July 28, 2009, 9:39 pm 9:39 pm

Really, do you want Mr. Obama’s hand on either the thermostat for the planet or the off/on switch of your life support?

Posted by: Terry | July 28, 2009, 9:47 pm 9:47 pm

Flash, thanks for the info– I’ll look into that because all I know along those lines is that during the Bush administration, Medicare patients were given more rights to be involved in making decisions about end-of-life care for themselves. I did not know there were mandates about legal advice; so is the provision in the new house bill related to having medicare pay for LEGAL end-of-life counseling, rather than MEDICAL counseling? I did not read it that way.
Just curious, though– did the second half of your comment, the part about “wingnut talking points,” refer to my comment? How is my observation about the end-of-life “counseling” experiences of my family a “wingnut talking point” and how has it “already been debunked”? Or were you just agreeing with my comment that there had been a lot of misinformation about the end-of-life counseling provision? Is that “misinformation” the “wingnut” stuff to which you refer?

Posted by: moderate | July 28, 2009, 9:57 pm 9:57 pm

Obama says that Medicare has worked well? In what universe? It is almost broke. Recipients need supplemental insurance to cover what Medicare doesn’t. And it doesn’t pay providers enough to cover their costs for those patients.

Posted by: ellsbells930 | July 28, 2009, 10:06 pm 10:06 pm

Why should anyone believe Obama? Of what value is his word? he also promised no signing statements and he promised to keep lobbyists out of the White House.
No Obama promise or pledge holds any meaning or value. He is not a man of his word.

Posted by: drjohn | July 28, 2009, 10:30 pm 10:30 pm

There are a lot of good reforms for health care, lets start with tort reform and loser pays. Lose the public option, medicare, medicaid, and the prescription program all cost more than double the predicted price, if you can’t do it in the free market you can’t do it at all. Who but the government would pay 400 dolars for a hammer, government never controlls cost, government run means disaster.

Posted by: Philip V. | July 28, 2009, 10:37 pm 10:37 pm

Re: Counselling on how to die…if I were his mother in law I would be afraid, very afraid…she is like 71? What is her QARY? He is truly showing what his fiber is (or isn’t)…can’t protect the most defenseless of God’s creation, this plan will pay for abortions…babies that cannot defend themselves…then at the other end of life…a way to “put down” elders. EVIL

Posted by: CWG | July 28, 2009, 10:56 pm 10:56 pm

Don’t worry at all. The gov’t funded “waiting rooms” at the funeral homes will be very comfortable and fully equipped. There will be wall size video screens, soft music and amazing video. There will also be plenty of “pain pills.” If you remember the old movie “Soylent Green” you will get the picture.
You’ve had a great life, time to move along.

Posted by: Terry | July 28, 2009, 11:05 pm 11:05 pm

Bill Kristol explained it clearly on TDS, and now it makes perfect sense. We can’t have a government health care system for all because if we didn’t have a crappy health system, nobody would join the military to get a first class one.

Posted by: Flash Override | July 28, 2009, 11:48 pm 11:48 pm

Bill Kristol’s comments on TDS were LOL hysterical. Jon Stewart did a great job with that moron! Rachel Maddow’s show tonight (7/28/09) discussed the idiotic comments and lies being made by conservatives to spin the truth on the need for health care reform.
The truth is that if we don’t implement health care reform, this country and the middle class are doomed. It’s simple! With the powerful insurance companies and pharmaceutical companies manipulating health care costs, the middle class will NOT be able to afford even the most basic health care in just a few short years. Without reform, we will end up with an upper class and a lower class — just like the poorest third world countries — we will have NO middle class! That’s scary, folks!

Posted by: jmb | July 28, 2009, 11:58 pm 11:58 pm

Join the political punch poll, to explain these comments by congressman Louis Gohmert (R-Tex):
Well, if you go to the socialized medicine countries, you find about 20 percent worse results. You get it? One in five people have to die because they went to socialized medicine! Now, I’ve got three daughters and a wife. I would hate to think that, among five women, one of them is going to die because we go to socialized care, and we have to have these long lists.
A. He learned math in Texas
or
B. The GOP is now including their mistresses
or
C. He has some “personal lifestyle” issues

Posted by: Flash Override | July 29, 2009, 12:01 am 12:01 am

Just remember they are modeling this legislation after what they have in England and Canada. Anyone under age 59 it is great, but over age 59, you are out of luck. Just check it out. This is bad for Seniors. This will be the Seniors death warrant.

Posted by: rick | July 29, 2009, 12:07 am 12:07 am

“This will be the Seniors death warrant.”
_________________________________________
Oh those evil Democrats!
I just knew they were waiting to kill us all!
Those evil killing Democrats!

Posted by: danita | July 29, 2009, 2:42 am 2:42 am

There was a moving in the late 60′s or early 70′s – one of the stars was the late Farrah Fawcett. It was called “Logans Run.” The whole premise of the movie was that you got to live to a certain age and (for the good of society) you were then “eliminated”.
In about 40 years who would have ever guessed that it would become true.
As a kid in the 50′s and 60′s I always dreamed about the endless possibilities of the future. We always though it to be this “star Trek”- like society, where man had grown better to help each other. Boy were we wrong!
The future now is all about money and trash and the welfare-state, and the people that live on this planet giving nothing to it, taking everything from it and do nothing at all.

Posted by: Jon F | July 29, 2009, 6:07 am 6:07 am

Flash Override said “if we didn’t have a crappy health system, nobody would join the military to get a first class one.”
First of all, out of all the people I know who are in the military, NOT ONE has joined for the healthcare. They joined because they love this country and feel it is important to serve.
Second, you obviously haven’t been reading the comments from people involved in military healthcare. For every 1 that gives it a thumbs up – there are 5 or more who give it a thumbs down.

Posted by: ellsbells930 | July 29, 2009, 6:38 am 6:38 am

jmb – there are many ways to reform healthcare that don’t involve taking away our freedom.
1) Dismantle Medicare – the creation of this bureaucratic, bloated, ineffective program was the beginning of our healthcare problems – during the transition give seniors $ to upgrade their supplemental insurance.
2) Allow insurance companies to sell products across state lines (and across county lines within states)
3) Give incentives to pharmaceutical companies to charge other countries the same as what they charge us – why should we fund the research for the rest of the world?
4) Encourage the legal system to throw out frivolous lawsuits and juries to award appropriate amounts instead of the millions they do now (I would say ‘tort reform’, but that is still too much government intervention)
5) Allow small businesses to form healthcare consortiums (with 501(c)3 status) to purchase insurance at reduced rates.

Posted by: ellsbells930 | July 29, 2009, 6:41 am 6:41 am

The normal thinking people in this country will not stand for government to tell them they can’t have a surgery for this or that because they are too old and just take a pain pill and enjoy the rest of your life. When it gets too damn bad then you can get hospice care until you hurry up and die.
If they do anything like this in AMERICA there will be a march on Washington like you have never seen before in a lifetime.
Our government is not GOD.
To hell with their health care bill.

Posted by: Martha43 | July 29, 2009, 6:51 am 6:51 am

i thought that the reforms were supposed to reduce costs. now the president is saying it won’t cost as much as critics say. the president said from the beginning that the plan was designed to provide health care to the uninsured AND to reduce costs. the reduction in costs was supposed to be one of the big factors in fixing the economy. so, now the president is saying that it won’t cost as much as critics say. so, i guess that means it won’t actually save us money, which means 50% of his rational for the reform is out the window? obama sure is all over the place and pretty oblivious on this topic considering this is/was his main domestic priority.

Posted by: davidfrat21 | July 29, 2009, 7:32 am 7:32 am

OBAMA: “I guarantee you, first of all, we just don’t have enough government workers to send to talk to everybody to find out how they want to die.”
NOT YET! When his 1.2 million strong national civilian thug-army is activated with their $500 billion budget, the government will be able to not only find out how people want to die BUT this thug-army would be in position to convince the dying that they should will some or all of their assets to the federal government.

Posted by: James Danley | July 29, 2009, 8:23 am 8:23 am

jmb, you and I are not necessarily on the same page when it comes to seeing what “the truth” is. You wrote, “The truth is that if we don’t implement health care reform, this country and the middle class are doomed. It’s simple!”
We’re still on the margins of the same page here– we do need to implement SOME FORM of health care/health insurance reform. However, it is not SIMPLE, as you claim. I do not think implementing reform that includes a public option or that does not include tort reform, for example, will make the situation better. If you read the comments on this site alone, you will see that my perspective is not shared by everyone who wants reform.
You claim, “With the powerful insurance companies and pharmaceutical companies manipulating health care costs, the middle class will NOT be able to afford even the most basic health care in just a few short years.” This argument does not seem to hold up when you consider simple economics. You claim “powerful” big companies are “manipulating” costs, and will continue to ratchet them up until the middle class can’t afford their products. Does this make any sense as a business model? Do you truly believe that Big Pharma, for example, wants to price the majority of its customers out of the market? How does a company make the big bucks if no one can buy what it is selling? It is not in the economic interests of insurance and/or pharmaceutical companies to price themselves out of the market. So I think your “simple” observation is quite an exaggeration.
I would also take issue with your contention that it is those businesses easiest to demonize– insurance and pharmaceuticals– that are to blame for the rising costs of health care, which I quite agree we need to find a way to slow. It’s easier to rail against insurance companies than against the nice hospital where your family member’s life was saved. It’s easier to blame a faceless drug manufacturer than to blame the family physician who provides your care. The local hospital and family doctor are the faces of that part of the health care system for most of us, and the corporations you prefer to shift all the blame to do not have the personal connection to most people’s lives that garner them goodwill. I’m not saying that they have not played a major role in rising health care costs, only that it is a very complex situation and they are not SOLELY responsible.
I still want to see the inclusion of tort reform and a sustained effort to reduce defensive doctoring, much of which is driven by malpractice fears. I want to see the pooling of risk for small businesses and individuals, whether that is through co-ops or consortiums or whatever you want to call them. (but NOT through a public plan– that should be last resort, with a trigger, to be used only if the private sector does not come through as they should). But I recognize this is not simple, nor will it be easy. That does not mean it cannot be done.

Posted by: moderate | July 29, 2009, 8:42 am 8:42 am

“You receive QARY points in a number of different areas.”
Hmmm! I wonder if you will get extra QARY points if you are a registered Democrat, more points if you actually voted, and even more points if you actually voted Democrat?
OR instead of being quite so obvious, maybe the government counselors will encourage registered Democrats to extend their lives longer–more elections coming up; and encourage registered Republicans and Independents to die quickly before the next election!

Posted by: James Danley | July 29, 2009, 8:55 am 8:55 am

He’s still pushing this thing as if we don’t do it NOW, we’ll be in more trouble than ever. And I thought Bush used scare tactics!

Posted by: LongT | July 29, 2009, 9:06 am 9:06 am

I spend more on eating in any given month than what my insurance cost me through my employer. I spent more on my vacation than what a years worth of premiums cost me and in the past two years I have been to a GP for two quick visits that cost my insurance less than 200 dollars. I suspect that there are many who have similar stories, many perhaps yet we all know that there does need to be reform, real reform, not Government take overs. In one state where a single payer plan was introduced their expenses went from 2 billion to 8 billion in a short time, it increased so much because employers started dumping plans knowing that their employees could just get the state plan and as a result the state started limiting care.
To those who want this so called free health care…be careful for what you wish for ….and go watch Logans Run.

Posted by: david | July 29, 2009, 10:03 am 10:03 am

How would Obama know? He admitted the other day he does not know everything that is in this bill.
Just like John Conyers, democrat from Michigan who said it was ridiculous to expect them/him to read a 1,000pg document, yet he votes in favor for it even though he did not read it.

Posted by: KMDay | July 29, 2009, 11:08 am 11:08 am

Some care more about defeating Obama than they do about providing Health care for Americans. It is political, not ethical. I have heard it said that the Government will stand between you and your doctor if we elect a Public Health Care option when the only people who are between me and my doctor are Insurance Companies and certain political parties.
I’ve also heard it said the millions of people who are uninsured in this country are “Mexicans”. Well, spoken like a true party of hate, however it simply isn’t true. A nice old man who lived next to me had been faithfully paying into his insurance company for forty years when he developed throat cancer. His Insurance Company refused payment and denied his prescribed treatments. He fought them, but he died before his case got to court. He was as “American” as they come and his story is not unique. This is happening all over America. No PROFIT based insurance company should be between us and our doctors, as they are right now.
Finally, I have heard some political parties claim that everyone’s taxes will increase. Well, that is not what our President said; it is what a political party is saying as an attempt to defeat Obama and the American people. The proposal, as it stands, will increase taxes on anyone making over $350,000 a year. That probably does not apply to anyone reading this post.
We need a Public Health Care option to compete with the insurance companies and I don’t care if the insurance companies don’t like it. The Public Health care option has my vote.
WATCH SiCKO with Michael Moore it will explain a lot about Health Care. WARNING, some people won’t want you to see it!

Posted by: cincibaron | July 29, 2009, 11:26 am 11:26 am

America is a superpower and world leader in technology. We are the wealthiest country in the world. So why is it that out of thirteen countries studied, when it comes to health care, the United States ranked an average of twelfth (second from bottom) in sixteen available health indicators? It is not the lack of technology and our lifestyle is not the worst, so why do we rank number twelve? Unfortunately, the U.S. health-care system itself is actually the major contributor to our low ranking and our poor health. Citizens who are not insured cannot easily get coverage if they have any pre-existing conditions and those who are insured often get declined or rejected when it comes time to receive payment. Others simply cannot afford the out-of-pocket deductibles and co-pays required to receive the necessary care. Many American citizens die or simply remain untreated and ill for years, before they expire. How can we stand by and let this happen? Big insurance and pharmaceutical companies directly profit by stopping the American people from “voting in” competition and of course, they have their own best interest at heart. They have donated hundreds of thousands of dollars to purchase politicians who are siding with them. As it stands right now, insurance companies, not doctors, are making the decisions regarding your health care coverage. Business 101 teaches these business mangers how to make a PROFIT, and that is what they are practicing (which is fine, I just don’t want them to continue making my health care decisions while contemplating how much money they need to make for their company that month). These big insurance companies stand to lose billions if the American people succeed in creating a Public Health Care option that would serve as a competitor and as an alternative insurance for those who wanted it. Yes, it might cost the richest people in our country (those earning over $350,000.00 a year) a few extra dollars, but I’m willing to let them make that sacrifice! We cannot afford to allow the Republican party to deny us affordable Health Care for ALL Americans. INSURANCE FOR ALL AMERICANS… it’s the right thing to do.

Posted by: cincibaron | July 29, 2009, 11:28 am 11:28 am

Cincibaron wrote: “We cannot afford to allow the Republican party to deny us affordable Health Care for ALL Americans.”
The Democrats have a 78-seat majority in the House and a 60-40 voting majority in the Senate. The Republicans CANNOT deny the Democrats a single bill they want to pass.

Posted by: James Danley | July 29, 2009, 11:46 am 11:46 am

Obama said: “And certainly nobody is going to be forcing you to make a set of decisions on end-of-life care based on, you know, some bureaucratic law in Washington.” ”
What a liar. He obviously hasn’t read the bill. Why on earth should senior citizens be required to receive “end of life” COUNSELING? It’s in the bill. If one wants it, ok, but if they don’t why should my grandparents be forced? My family takes good care of them on our own! Why waste taxpayer money on this? No one wants to be told they’re going to die and be made to feel unwanted by society. In 1930′s Germany maybe but not in the USA!

Posted by: Where are the real journalists? | July 29, 2009, 11:58 am 11:58 am

Obama spent 5 minutes discussing “living wills”. Barak, I have 3 letters for you, DNR do not resusitate. Why are we duplicating things that already exist? The problem with “pushing” health care is there is too much fraud, waste and abuse right now. We need to clean up all aspects to change the system starting with illegal immigrants. Problem, Dems won’t touch illegals with a 10 foot pole. Illegals are the largest drain on our health care system.

Posted by: lfrichar | July 29, 2009, 12:01 pm 12:01 pm

AARP is a leftwing organization, I doubt that O’Babble will have any difficulty getting them behind his Socialist scheme.

Posted by: Ron | July 29, 2009, 12:01 pm 12:01 pm

Here’s some quick math for Obama. 50 million people do not have coverage. To get them coverage, it will require a serious amount of cash. Cash, it would appear those 50 M people do not have. How the he!! do you think you can add that many people without a huge bill paid for by the rest of us? Without curbing fraud and bolstering infrastructure, it won’t work, but you can continue to pile on the debt while telling us you won’t.

Posted by: lfrichar | July 29, 2009, 12:06 pm 12:06 pm

If you figure QARY points on the house and senate, half of them would be dead by the end of the year. That’s why they won’t be on this program. Term limits NOW!

Posted by: lfrichar | July 29, 2009, 12:12 pm 12:12 pm

I hope this works.Get some plan going and make changes along the way to work out the kinks.Now go sip some beer.

Posted by: charlie | July 29, 2009, 1:01 pm 1:01 pm

Does anyone, democrat or republican think that the government can administer ANY program efficently! This is just another way to grow government. I choose to take public transportation, therefore I do not pay automobile insurance. This is about choices, which our form of government assures us they we can have these choices.

Posted by: Bill | July 29, 2009, 1:38 pm 1:38 pm

“We’re not going to have a perfect health care system. It’s a complicated system. There are always going to be some problems out there. But we could be doing a lot better than we’re doing right now,” he said.
A good start would be taking the insurance companies out of the equation. Most people pay more for health care insurance premiums then they would pay doctors in a cash-based system. I never understood why the idea of tax-free medical savings accounts never took off the way 401Ks did.

Posted by: my two cents | July 29, 2009, 2:07 pm 2:07 pm

I’m also curious about how this mandate to buy health insurance impacts those who avoid traditional western medicine and find treatment through alternative sources like herbal remedies, acupuncture, midwives (for home births and gyno care) and chiropractors (which usually aren’t covered by insurance). Also, what about those folks whose religion prohibits using western medicine — will they be forced to either buy medical insurance or face a fine?

Posted by: Another thought | July 29, 2009, 2:09 pm 2:09 pm

To KMDay: You are misinformed.
You said:
“In one state where a single payer plan was introduced their expenses went from 2 billion to 8 billion in a short time.”
In fact, no state has ever had a single payer system. Studies of the costs of a “medicare for all” type system show that it would cost less than the current system or other reform proposals. And health care actually does cost less in countries where for-profit insurance companies are out of the health care business, whether it is a “medicare for all” or “VA for all” system.

Posted by: Rose | July 29, 2009, 3:21 pm 3:21 pm

There are so many complicated turns and twists. The average American can’t make heads or tails of it. One thing I can understand is supply and demand. Health providers will be bailing like lice off a corpse if a few million newly made citizens from our latin neighbors enrolled in the new national plan should effectively kill our health coverage.

Posted by: Vickie803 | July 29, 2009, 3:41 pm 3:41 pm

ASK YOURSELVES ONE QUESTION: WHY DID OBAMA HESITATE AND FAIL TO ANSWER TEH SIMPLE QUESTION – HOW ARE WE GOING TO PAY FOR IT? AS A FORMER LIBERAL, I REALLY WANT TO KNOW.

Posted by: Vickie803 | July 29, 2009, 3:43 pm 3:43 pm

“We’re not going to have a perfect health care system. It’s a complicated system. There are always going to be some problems out there. But we could be doing a lot better than we’re doing right now,” he said.”
Well, since the federal government caused most of the complications, perhaps they should just stay out of it. The complicated, contradictory,bureaucratic Medicare regs have caused most of this mess.

Posted by: ellsbells930 | July 29, 2009, 6:49 pm 6:49 pm

Obama is a lawyer and if you were wondering, a living will is an easy way for a lawyer to make money. Until Obama tackles insurance, litigation and fraud in the system, we won’t have a system.

Posted by: lfrichar | July 30, 2009, 8:40 am 8:40 am

What I don’t understand is why we can’t get our hands on the bloomin thing to read it for ourselves. They say we won’t understand it. Well, why not? Inform the people, Wasington. Put this thing in plain English for the people to read and understand for themselves. Then they can contact their representatives with their thoughts.

Posted by: luna511 | July 30, 2009, 11:15 am 11:15 am

Its unfortunate that most people are attacking the wrong party in this whole mess. The problem with our healthcare system is undersupply of providers, especially doctors along with the attendant high cost. Yes, we all seem happy to blame the insurance companies. You know guys, it is easy to bypass the insurance companies and attempt to pay cash for your healthcare, if you can pay $5300/ night for hospital stay and even more thousands for MRIs and medicines.

Posted by: Spencer | July 30, 2009, 4:10 pm 4:10 pm

The reason Obama is not giving any details is because he did not read it. On pg 29 it admits health care will be rationed, on pg 30 a government committee will decide what treatments and benefits you get. Pg. 50 all non-Us citizens, illegal or not, will be provided with free health care. Pg 59, the federal gov will have direct, real time acess to all individual bank accounts for electronic funds transfer. Pg 65: Taxpayers will subsidize all union retiree and community organizer health plans (read: SEIU, UAW and Acorn) . Pg 84: All private healthcare plans must participate in Healthcare Exchange (total govt control ). Pg. 95: The govt will pay Acorn and Americorps to sign up individuals for Govt run healthcare program. We our just to pg 95, see anything you do not like. We are not being told the truth by the president. If Meicare is costing so much now what do you think it will cost when we add 50 million more to it. The govt can not even run a cash for clinkers for one week and not get it all screwed up. What happened to individual responsibility.

Posted by: Rfletch | August 1, 2009, 4:06 pm 4:06 pm

The government has bankrupted Social Security, Medicare, Medicaid and every other program they have been involved in.
There is no reason to think they can run heath care.
The only way I would even consider the Obama plan is that he and all Congressmen and Senators are REQUIRED to
enroll and not be allowed to opt out.
Gerald E Hall

Posted by: Gerald E. Hall | August 3, 2009, 3:16 pm 3:16 pm

You are not going to have true health care reform until the cost of waste and corruption are addressed and I don’t hear that being mentioned at all. In fact I hear very few specifics of this plan. Is it that these people are not even reading it. These people are a little to concerned with the political ramifications
of an issue than the issue itself. As responsible Americans we should be calling for TERM LIMITS.

Posted by: World Vitamins | August 3, 2009, 4:43 pm 4:43 pm

I’m cancelling my AARP membership. You traitors. I don’t want government counseling me on when I have to end my life. You are suppose to be looking out for us. Obama is a liar and you know it. Just research how old people are treated in other socialists countries. Shame on you.

Posted by: Darlene Daily | August 4, 2009, 5:37 pm 5:37 pm

I’ve been throwing the AARP propaganda in the garbage. At one time I was a member but I won’t give them another dime now that I know they are supporting this Health Care Reform garbage that the government is trying to force down our throats. Why does our government refuse to listen to what the American people want? They will do whatever they want with no regard to what millions of people are asking for.

Posted by: Lynda | August 5, 2009, 2:42 am 2:42 am

I gave up my AARP membership due to your support of the Health Care Reform. As a rep of the seniors you bare not looking after our interest. Did antone read the Bill?? Congress didn’t then AARP probably did not either. Careful what byou wish for, it may come through.
J Durkin

Posted by: j durkin | August 5, 2009, 10:47 am 10:47 am

Please eveyone wake up, this man has not been transperant or told the truth since he took office. He is getting to the point of being out of controll; there is no free lunch. Wake up while we still have half a chance

Posted by: Thomas G Rogge | August 7, 2009, 11:54 am 11:54 am

I was, for 35 years, a proud health care provider. Proud to be a part of the best care that can be found in the world. I am a two time cancer survivor and personally received the best care that could be found in the world. Patients came to our University setting from all over the world to receive this care. I have not heard praise for our care from this administration. While I agree that the system is not perfect, I believe that tort reform, insurance reform, and pharmaceutical company reform would go a long way toward correcting the small flaws in our system. The government fails at everything that it runs: the postal service, medicaid, medicare, and social security all are broke. Please don’t throw out the baby with the bathwater by imploding the greatest health care in the world. Get a bipartisan group, use common sense and fix problems. STOP SPENDING MONEY WE DON’T HAVE.

Posted by: Lyn Frederickson | August 7, 2009, 2:39 pm 2:39 pm

There is no real plan, there is no real focus in the proposed Healthcare reform. There is simply >1Trillion USD in band-aids. It is time to stop spending money attacking insurance companies, pharmaceutical companies, and most of all doctors! Instead focus on where we are really losing money and that is in the overall inefficiencies of the Healthcare system. If hospitals (which account for most of our national healthcare cost >1/3 versus drugs which are <10% (with 70% of all drugs filled with generics already) learned to run themselves more like an insurance company, or drug company, or manufacturer of many of the durable goods they use in the Hospital we would save a trillion dollars instead of spending it. It is time to spend some money teaching hosptials about better operaitonal efficiency (i.e. Lean, and Six-Sigma strategies). It is time to stop pointing fingers and start funding real lasting solutions, a real cure for Healthcare, not more band-aids.

Posted by: Chris | August 8, 2009, 9:51 pm 9:51 pm

AARP is a propaganda machine for socialized medicine. Traitors all. Kill them quick by withdrawing your membership. I am not renewing. They don’t listen, just like the elected representatives and president. They talk and don’t listen. They are liars and thieves and will not quit until we starve them of money and forums. SHOUT them down, they don’t listen to us anyway.

Posted by: Roger | August 10, 2009, 7:01 am 7:01 am

I have resigned by membership in the AARP and returned my membership card. I also advised them that I will not renew my membership with their organization in the future because of their support of the Obama Health Care Reform Program that is in line to be forced on the American people. I have express to AARP that they should represent their members, not the government take over of our medical program and the doctor patient relationship. We all need to let everyone know how we feel about this.
J.Gary

Posted by: James Gary | August 10, 2009, 9:59 am 9:59 am

AARP stands to gain billions with a new health insurance policy granteed by OBAMA if AARP gets us to throw in the towel and play sheep.Canceled car insurance life insurance meembership and every thing goes in the trash untill AARP gets the message.Obama Check list
Ck. 1 Obama says he does not want a single payer to the Feds. LIE stated other wise 3 seperate times on TV.
Ck2 Obama said 8 percent un employment .Lie we have 10 percent unemployment
Ck3 ear marks were a thing of the past and wont be tolorated in his ADMIn .Lie 1000 ear marks just got signed off
CK4 ADMIN will be transparent.LIE jhides every thing and cant even explain health care issues.
SHALL I CONTINUE.The FEDS cant do anything right.I dont believe anything that comes out of this ADMIN or ARRRP.

Posted by: Dave | August 10, 2009, 2:10 pm 2:10 pm

Welcome to the New Democrat Progressive Communist Party. Kiss it good-bye. You that voted for this idiot have got what you deserve. The only problem, you took the rest of us with you. Keep the tea parties going and watch out. The good old government are after your guns. They are sneaky. 535 people are telling the USA what to do. Stand-up..Be heard..Stop this Congress….

Posted by: cindy | August 13, 2009, 11:09 am 11:09 am

Do you want to be forced to give the government your bank account routing numbers?? Can’t they verify your income using your W-2 submitted to the IRS? sounds suspicious to me!

Posted by: Dean | August 15, 2009, 1:09 pm 1:09 pm

I will resign from membership in AARP, the organization is not working in our best interest.

Posted by: Paul Brandt | August 15, 2009, 4:58 pm 4:58 pm

I’m cancelling my AARP membership. You traitors. I don’t want government counseling me on when I have to end my life. You are suppose to be looking out for us. Obama is a liar and you know it. Just research how old people are treated in other socialists countries. Shame on you.I’m also dropping my AARP insurance
and so are my other family members!

Posted by: Robert Matson | August 20, 2009, 2:48 am 2:48 am

as i write this i will be dropping out of aarp . do u know the va nas a death book that Obama has resuscitated Your life choices great . i went to war for this usa vote everyone out of office dam

Posted by: lk | August 22, 2009, 2:39 pm 2:39 pm

To the people at AARP. I am 78 years old and I AM 100% IN FAVOR OF HEALTH CARE REFORM PROPOSSED BY OUR PRESIDENT BARACK OBAMA. If it can’t be bypartisan so be it. People, particularly Seniors, are very reluctant of change and there is a lot of ignorace and fear among our citizens so, LETS DO WHAT WE HAVE TO DO AND FORGET THE RELUCTANCE AND IGNORANCE OF PEOPLE THAT MOST OF THE TIME ARE GUIDED BY SELFSERVING INDIVIDUALS!!! AND ENEMIES OF OUR GREAT PRESIDENT BARACK OBAMA AND HIS GOVERNMENT!
GOD BLESS OUR NEW AMERICA, SELFLESS AND TRULY CARING FOR ALL, NOT A FEW!!!
CORA MERUELO

Posted by: Cora Meruelo | August 29, 2009, 9:52 am 9:52 am

cancel my plans to sign up with aarp. the seniors need to be able to trust someone , aarp and the government are not trustworthy.

Posted by: Rick Horn | August 29, 2009, 11:12 pm 11:12 pm

I have AARP heath insurance plan…when I can find a new plan to enroll in…I will no longer be a member of AARP. Very disappointed in their support!!

Posted by: Rita | November 6, 2009, 12:25 pm 12:25 pm

i believe im going to look over different health for my mother nobody should have to wonder if whats going too happen w meds everythin else

Posted by: susie | February 7, 2010, 7:20 pm 7:20 pm

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