Obama Open To Individual Mandates But With Robust Hardship Protections

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First Posted: 06-24-09 02:37 PM   |   Updated: 06-24-09 03:04 PM

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In an ABC interview that aired on Wednesday, President Barack Obama acknowledged that his thinking on an individual mandate for insurance coverage has "evolved" since the days of the campaign, when he routinely attacked his primary opponent, then Sen. Hillary Clinton, for the idea.

Later in the day, however, the White House spokesman Robert Gibbs stressed that Obama wasn't straying too far from his initial objections to required coverage, stressing that any mandate would have to include a "pretty stringent hardship waiver" for those individuals who could not pay for insurance.

Speaking at the Daily Press briefing, Gibbs acknowledged that Obama had done some rethinking on the mandate matter. The primary motive, he said, was that major stakeholders in the debate would not support any compromise proposal that did not require the vast majority of 49 million uninsured Americans to be brought into the pool of consumers.

"As the process moves forward in the Senate and the House the president wants to be flexible to the degree to which a piece of legislation will come forward," Gibbs said. "In terms of ensuring that everyone is covered, the president is now open to this idea. I think ... with all the parties and stakeholders involved, there has been discussion that it would be hard to get everyone at the table to stay at the table, if you are not getting that larger universe of people covered."

The remarks cap what has been a gradual, but widely predicted, move by the White House. During the campaign, the president stressed that an individual mandate would be overly burdensome to families who could not afford the costs. But on Wednesday, the president told ABC's Diane Sawyer, "People have made some pretty compelling arguments to me that if we want to have a system that drives down costs for everybody, then we've got to have healthier people not opt out of the system," said Obama.

Adding a bit of meat to the bones, Gibbs said on Wednesday that the president's original concern had not changed and that he would press for additions to the mandate to protect financially vulnerable consumers.

"If the help that they are getting is still not sufficient enough for them to afford it," Gibbs said, "we have to examine a robust hardship waiver."

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In an ABC interview that aired on Wednesday, President Barack Obama acknowledged that his thinking on an individual mandate for insurance coverage has "evolved" since the days of the campaign, when he...
In an ABC interview that aired on Wednesday, President Barack Obama acknowledged that his thinking on an individual mandate for insurance coverage has "evolved" since the days of the campaign, when he...
 
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- rxvette I'm a Fan of rxvette 34 fans permalink

The key to U.S. healthcare reform is the number 300,000,000. Read this for more info:

http://rxvette.blogspot.com/2009/06/biggest-key-to-health-care-reform-in-us.html

    Favorite    Flag as abusive Posted 06:42 AM on 06/25/2009
- PaxEterna I'm a Fan of PaxEterna 66 fans permalink

Thank you for this post, everyone should read it.

I hope Obama's evolutionary path speeds up.

We need patient care not profiteers.

We need it for every American, NOW

SINGLE PAYER IS THE ONLY WAY TO GO.

    Favorite    Flag as abusive Posted 07:19 AM on 06/25/2009
- mutatio I'm a Fan of mutatio 3 fans permalink

Mandates + Mixed bag of largely private vendors + a likely minority public option = crap. The costs, while likely reduced via the public option in the market, would still be too high for a whole host of people. The only way to get a truly affordable mandate is to do single-payer. Let the insurance schmucks sell niche and novelty insurance products. Love what Randi Rhodes said yesterday. "Do I want healthcare coverage by the same people who bring mail to my door? Yes, bring me healthcare to my door!" lol

    Favorite    Flag as abusive Posted 01:40 AM on 06/25/2009
- kgb999 I'm a Fan of kgb999 21 fans permalink

After the whole state secrets thing ... if he caves and forces us to swallow mandates, I give up. That's like George Bush's drug program writ large.

    Favorite    Flag as abusive Posted 01:06 AM on 06/25/2009
- freelyb I'm a Fan of freelyb 23 fans permalink

"The primary motive (for considering the mandate), he said, was that major stakeholders in the debate would not support any compromise proposal that did not require the vast majority of 49 million uninsured Americans to be brought into the pool of consumers.­"

Excuse, please, but isn't the public the most primary of stakeholders in this issue? Why not? Obama inevitably defaults to corporate interests over and over and over again. It's audacious, alright; but this repeated capitulation in the face of lobbying pressure and Congressional ignorance shows little real evidence for an evolved mindset.

    Favorite    Flag as abusive Posted 11:35 PM on 06/24/2009
- YewNeekId I'm a Fan of YewNeekId 26 fans permalink

This is the Wall Street President - get it?

He cares about posing for the camera and helping out his big donors so much more than little people. If you can't afford heathcare, it's very unlikely that you're making big contributions to Obama.biz

    Favorite    Flag as abusive Posted 08:22 AM on 06/25/2009

Health insurance is not like auto insurance. If you dont have auto insurance and you hit someone, you affect them as well. If you dont have health insurance, you must pay your own bills, but it does not affect anyone else. Personally, I'd never willingly choose to go without health insurance, but mandating that healthy people must buy it to keep costs down is asinine. All this means is that healthy people who would not have bills in excess of the amount of their insurance premiums will be subsidizing other people's insurance.

Insurance is not meant to be a discount. If you want it to be more affordable, you need to bring down the root cost, by making drugs cheaper and by protecting doctors from frivolous malpractice suits, among other things.

    Favorite    Flag as abusive Posted 08:46 PM on 06/24/2009
- tangelan I'm a Fan of tangelan 25 fans permalink
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If people can't afford to pay their medical bills, it drives up costs for everyone else. People are not cars so your comparison is ridiculous. I don't mind paying more so that more people are covered. I also don't mind that it's a mandate. How is that a bad thing? Who raised you people?

    Favorite    Flag as abusive Posted 09:31 PM on 06/24/2009
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Exactly!

    Favorite    Flag as abusive Posted 09:34 PM on 06/24/2009

If you hit me on the highway and I end up in the hospital, your insurance pays for my care. That is why everyone is mandated to have it if they drive (although obviously not everyone does). It is not fair to me to foot the bill for your poor driving.

Health insurance simply doesn't work in the same way. If I choose to not have health insurance, that doesn't affect you. If I cant afford to pay for elective care, I should then not receive it. I should be charged for non-elective care I receive.

Note that I am not saying that we shouldnt do anything to help those who cant afford insurance. I am saying that people should have the right to CHOOSE to not be covered.
We should do what we can to reduce the cost of care so that everyone can afford it, if they so CHOOSE. Capping damages in medical malpractice suits, and dissuading frivolous suits would help. As would reducing the cost of drugs. I have also seen a proposal to make medical school affordable in exchange for a doctor's service to underprivileged communities upon graduation.

    Favorite    Flag as abusive Posted 09:49 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

Health care is a personal choice, when it comes to personal choices there should not be mandates! Look at the history patronage with healthcare industry and the government. This is nothing more than forcing us to be customers of businesses we may not approve of. It is fasc.ism. With a capitive customer base and the state as thier patron the hmo's will be able to engage in all the collusion they wish. It will not control costs it will put them through the roof.

    Favorite    Flag as abusive Posted 09:58 PM on 06/24/2009
- zitlight73 I'm a Fan of zitlight73 39 fans permalink

It would be inresting to to know just how many avoidable deaths happen in the USA due to un-affordable healthcare and with people losing their jobs and not being able to find coverage they can afford how that number has climbed. If all these people were taken out all at once due to terroism or even a natural disastor a state of emergency would be declared and executive orders issued but since they die slowly and silently without mainstream media documenting their plight it's all about the politics baby, it's all about the politics.

    Favorite    Flag as abusive Posted 08:15 PM on 06/24/2009
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KQUARK -

"Krugnac the reason Medicare costs are higher than they should be is because PROFITCARE let's provider costs spin out of control. Yet Medicare still has under 3% overhead costs while profitcare overhead costs are over 30%. The more people who have or pay into public healthcare the more leverage the government will have to lower costs that's the point.

Did you even bother to read the link I posted earlier?

http://news.yahoo.com/s/nm/20090624/ts_nm/us_insurance_options_2

"Public health plan could save money faster: policy group"

Sorry, KQuark, but you're simply wrong.

"Profitcare" overhead is about 8% for major insurers. The 30% number is cherry picked from the very most expensive individual plans available anywhere, and are not in any way representative of the true cost. Throwing it around like it's representative is misleading and counterproductive.

I did read your link, and guess what it says? Even a full blown Medicare type option would do NOTHING to reduce health care costs.

"Still, an exchange won't keep health costs from rising, the report added."

Oops!

Since it's the spiraling health costs that are bankrupting us, that's a pretty big flaw, don't you think?

    Favorite    Flag as abusive Posted 08:13 PM on 06/24/2009
- marxmarv I'm a Fan of marxmarv 25 fans permalink
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There's a difference between spiraling and rising. Spiraling implies a positive feedback loop. Find those and get back to me.

    Favorite    Flag as abusive Posted 10:46 PM on 06/24/2009
- lianmolive I'm a Fan of lianmolive 10 fans permalink

Theoretically, what if we had mandates. And people refused to pay. Would they be jailed after they've been fined?

I like Obama but I can't believe that Mandates are up for consideration, especially since he claims Healthcare is a right, not a privilege like a driving a car.

    Favorite    Flag as abusive Posted 07:45 PM on 06/24/2009
- zitlight73 I'm a Fan of zitlight73 39 fans permalink

HE NEEDS TO GO AFTER THE INSURANCE COMPANIES AND THEIR OUTRAGEOPUS PROFITS.

    Favorite    Flag as abusive Posted 07:54 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

Not gonna happen as long as they are recieving patronage from the federal government.

    Favorite    Flag as abusive Posted 07:59 PM on 06/24/2009

Well Mr. Obama my vote for you come 2012 has evolved. You aint getting it. That is change you can believe in.

    Favorite    Flag as abusive Posted 07:43 PM on 06/24/2009
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I doubt he ever had your vote anyways

mirandaphd

Member Since June 2009

tr0ll

    Favorite    Flag as abusive Posted 07:44 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 153 fans permalink
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Republican­srejected,
I voted for Obama-- supported, volunteered and contributed money. If he caves on public option--I will not vote for him and will vote against any of my reps who reject a public option.

    Favorite    Flag as abusive Posted 07:57 PM on 06/24/2009
- zitlight73 I'm a Fan of zitlight73 39 fans permalink

tHE COMPUTERS DO ALL THE VOTING ANYWAY. wHAT WE THE pEOPLE WANT HASN'T COUNTED FOR YEARS.

    Favorite    Flag as abusive Posted 07:56 PM on 06/24/2009
- LKV I'm a Fan of LKV 42 fans permalink

We have to have health care reform and now! People are in desperate need and many are dying because they do not have insurance and no health care. Go to this site and read some of the stories you will see why this is so important.

stories.barackobama.com/healthcarethcare

write your senator and let them know what we expect.

www.senate.gov

and also write the white house and let The President know we have to have universal care there is no other choice if we want to save lives.

www.whitehouse.gov

Let our voices be heard!

    Favorite    Flag as abusive Posted 07:32 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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Back to the article at hand. Mandates ONLY make sense if everyone one has the option to buy into a proper public insurance plan otherwise it's a terrible idea and just a boon to private insurance.

    Favorite    Flag as abusive Posted 07:08 PM on 06/24/2009
- Chaimirija I'm a Fan of Chaimirija 56 fans permalink
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Everyone should read

Health Care Politics and Policy in America, Patel

    Favorite    Flag as abusive Posted 07:11 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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I see you can get it on Amazon but a little pricey for my circumstances.

http://www.amazon.com/Health-Care-Politics-Policy-America/dp/0765614790

    Favorite    Flag as abusive Posted 07:15 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 153 fans permalink
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Chaimirija,
Hi.
You posted earlier that most doctors and hospitals don't like MEDICARE.
That's not true.
60% of American doctors SUPPORT the expasion of MEDICARE to ALL (HR-676)--single payer.
If so many docs don't like Medicade--why would they support HR-676?

Source:
Dr. Marcia Angell--former Editor in Chief NEJM
Dr. David Himmelstein of Harvard Univ.
Dr. Sydney Wolf of Johns Hopkins Univ.
http://www.pnhp.org/

    Favorite    Flag as abusive Posted 07:48 PM on 06/24/2009
- kgb999 I'm a Fan of kgb999 21 fans permalink

I say mandates only make sense in a single-payer situation. If they are going to insist on a system that is subject to market forces, the customer must be able to act as a limit by withholding purchase.

Otherwise, the health care lobbyists can just use their influence to have their legislators game the publicly administered plan and use it to establish an artificial "floor" and they can *guarantee* that insurance costs never have to fall below whatever cost is established for the public plan (think provisions like the ones preventing medicaid from negotiating wholesale drug prices).

    Favorite    Flag as abusive Posted 01:29 AM on 06/25/2009
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Thanks to SOSI! KQUARK says he posted it also! Thanks!

Common Wealth report on the impact of Public Option 6/24
http://www.reuters.com/article/email/idUSTRE55N0SJ20090624

"An exchange that instead offered a plan with rates slightly higher than Medicare but below current private plan rates would save nearly $800 billion over one with only private options, according to the Commonwealth Fund's analysis.

A nationwide health insurance exchange that includes a Medicare-like government option could save $1.8 trillion more than if only private plans are offered, a prominent private U.S. health policy group said on Wednesday.

Federal spending on health-related costs would still rise from 2010 to 2020, but they would be less with a plan that pays doctors and hospital rates similar to the Medicare program for the elderly and disabled, according to a report by the Commonwealth Fund.

The increase in federal budget costs from 2010 to 2020 with the Medicare-like public plan would be $112 billion, it found. That is compared to $232 billion under the public plan with somewhat higher rates and $360 billion under a private plan-only exchange."

    Favorite    Flag as abusive Posted 07:06 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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Commonwealth Fund is an excellent organization.

I check them out at least once a week for updates on the healthcare debate.

They always have great unbiased info.

Here is their analysis in much greater detail.

http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2009/Jun/Fork-in-the-Road.aspx

    Favorite    Flag as abusive Posted 07:12 PM on 06/24/2009

yes all have to pay so increase simply Sales Tax % that extra goes on Health Care for all none over with all fully covered for all purchase everything from soup to nuts...no up front..non profit and your the government­.....and tell poor insurance companies sorry game over....we lost our jobs we know how you feel right?.

    Favorite    Flag as abusive Posted 07:01 PM on 06/24/2009
- schatsie I'm a Fan of schatsie 73 fans permalink

You said a PROPERTY tax right? After all, those tax cuts that the rich got were dumped into property and that would be a way of clawing back the 1.6 trillion dollars in tax cuts and .5 trillion in tax avoidance that Bush left unaudited.­..or a WEALTH TAX,,of 10% Donald Trump recommended that in 1999.... Sales taxes are just about as regressive as the Payroll taxes...co­me to think of it, just take the cap off of Payroll taxes and tax capital gains at the Income tax rate....

    Favorite    Flag as abusive Posted 07:18 PM on 06/24/2009
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Linda Douglas, from the Obama White House last night said we're up for a fight and she is correct.

I remain optimistic that the Obama administration will deliver on the public option, President Obama has NOT failed us yet, and remember when we double guessed him as a candidate in the primaries and the general election, we were consistently proven wrong.

That doesn't mean we shouldn't continue to hold him accountable, as well as our leaders in the Congress, but we should NOT be biting the hand that is attempting to feed us. That was the mistake that was made with both Jimmy Carter and Bill Clinton, Carter got replaced by Raygun, and Bill Clinton ended up with a Republican Congress.

Time to be optimistic, not pessimistic or cynical.

Remember, YES WE CAN AND WILL!

    Favorite    Flag as abusive Posted 07:00 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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I absolutely appreciate what you are saying.

I've had more sh it handed to me in life than most but I'm still optimistic. Most of all I don't stop fighting. If I did I would literally be de ad by now. Not to mention rich doctors and insurance executives got my total 401k savings TWICE. I've beaten cancer only to end up with Class 3-4 heart failure because due to the effects of one of the chemo drugs I took. I'm already three years past my expiration date according to my cardiologist.

So I really have to question healthy people's moral fortitude when all they do is whine in fights like this. If I can fight for this so can everyone else.

    Favorite    Flag as abusive Posted 07:26 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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I absolutely appreciate what you are saying.

I've had more sh it handed to me in life than most but I'm still optimistic. Most of all I don't stop fighting. If I did I would literally be de ad by now. Not to mention rich doctors and insurance executives got my total 401k savings TWICE. I've be aten can cer only to end up with Class 3-4 heart failure because due to the effects of one of the chemo dr ugs I took. I'm already three years past my expiration date according to my cardiologist.

So I really have to question healthy people's moral fortitude when all they do is whine in fights like this. If I can fight for this so can everyone else.

    Favorite    Flag as abusive Posted 07:26 PM on 06/24/2009

You are the government and now you all own the banks . Americans are now the bankers--and you all set your strong terms now plus interest till all paid full......­..........­...looks good on Banks..and auto till they pay all back in full with interest..­.do what the banks did to all,..have them sign and not read the very very fine print..you all rich think about.."yo­ur the government", you all own the banks and auto and you all set the terms till paid in full with interest..­.like your home what banks do to you you do to them...kic­k the bums out. if they miss 3 months of payments..­and hire new people..

    Favorite    Flag as abusive Posted 06:58 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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This is about healthcare.

    Favorite    Flag as abusive Posted 07:00 PM on 06/24/2009
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