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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"Half-A$$" should be his MOTTO!

Half-A$$ on Credit CARD BILL!
No-A$$ on Foreclosure Bill!
No=A$$ on helping Main Street!

Full-A$$ on helping Wall Street CR00KS!

    Favorite    Flag as abusive Posted 05:32 PM on 06/24/2009
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If you want Rebellion in the streets of America SIMPLY "Do not allow a PUBLIC OPTION!"

The savings are massive as the overcharging and skimming by the Insurance and Health Care Industries has been on PAR with WALL STREET'S Skimming and Th_eft!

    Favorite    Flag as abusive Posted 05:36 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

Haha there will be no rebellion, there will be a new season of american idol on to distract us.

    Favorite    Flag as abusive Posted 06:07 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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Philip,
Fanned and faved.

    Favorite    Flag as abusive Posted 05:39 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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So did I miss something?

Everyone is acting like this fight is over. The fight is just heating up and progressives are already whining like we have been defeated. Remind me not to rely on you people in a tough fight.

This is probably what is going to happen acourding to a member in the house backing public healthcare.

The House will end up passing a bill with a strong public option before August.

There is a 50/50 chance the Senate will pass a bill with some sort of public option before August.

Then the real fights get going when the bills need to be reconciled.

Then and only then is it time for the president to draw a line in the sand if necessary.

    Favorite    Flag as abusive Posted 05:30 PM on 06/24/2009
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Congress is still suffering "sticker shock" from the CBO estimates that reform would cost $1.6 trillion.

If they use budget reconciliation to pass it on 51 votes, they have to pay for every dime. That CBO estimate has shifted the debate from one about efficacy to one of affordability and sustainability.

That's the nail in the coffin for single payer, AND a public option, since both would drive up government costs dramatically. Even if it saves money overall, all the bureaucrats care about is how much they have to raise taxes to pay for it.

    Favorite    Flag as abusive Posted 05:34 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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The fact is reform with public healthcare is far less expensive than reform with only profitcare.

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

    Favorite    Flag as abusive Posted 05:40 PM on 06/24/2009
- MoeB I'm a Fan of MoeB 48 fans permalink

We aren't giving up. I'm constantly sending emails out to my senators. Our problem is that if we don't get a VERY strong public-option from Obama, it will just get watered down first in the House, and then the Senate will completely water it down...we also know that this is probably our best moment for healthcare reform.

My biggest concern with healthcare isn't Obama...it's the Senate and these "centrist" democrats.

    Favorite    Flag as abusive Posted 05:38 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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I know exactly who the fight is with now too.

But how does all this defeatists talk help?

    Favorite    Flag as abusive Posted 05:41 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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My concern is with all of them who have NOT publically supported single option--Obama included.

    Favorite    Flag as abusive Posted 05:49 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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KQ,
You're right--IT'S NOT OVER, but we are venting our disgust and fighting back.

Sign this petition everyone:
http://sanders.senate.gov

Call the White House comment line tomorrow (they're closed now)
202-456-1111
202-456-14­14--switch­board

Call your reps.

    Favorite    Flag as abusive Posted 05:42 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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I saw a couple posts from you that sounded like the fight is over.

I don't give up that easily and contact congress and the white house almost every day.

    Favorite    Flag as abusive Posted 05:48 PM on 06/24/2009
- J-Rome I'm a Fan of J-Rome 19 fans permalink
    Favorite    Flag as abusive Posted 05:43 PM on 06/24/2009
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Kiss goodbye to any real reform. This is turning into the biggest corporate welfare plan for health insurers imaginable. Of course, who is going to pay for it, everybody else. No corporate welfare left behind.

    Favorite    Flag as abusive Posted 05:30 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

Continuing down the road that the HMO act opened I see. This is not good. It basically requires by law that we be "customers" (more like prisoners) to the government subsidized and priveledged managed care insurance companies. This isn't reform it's corruption.

    Favorite    Flag as abusive Posted 05:28 PM on 06/24/2009
- Chaimirija I'm a Fan of Chaimirija 56 fans permalink
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I thought of you when I read what he said...

    Favorite    Flag as abusive Posted 05:41 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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I agree. Fight against this.

    Favorite    Flag as abusive Posted 05:51 PM on 06/24/2009

http://www.ocala.com/article/20090624/ZNYT04/906243015?Title=Obama-Says-Government-Health-Coverage-Plan-Would-Not-Hurt-Private-Insurers

Insurance companies are being disingenuous -- this has been coming for a long time, and they've done nothing to lower their administration costs, which includes the millions of dollars paid to the executives of those companies. They also said they would not stop canceling the coverage for those who are sick. They said they would continue to pay bonuses to their employees who found ways to deny claims and cancel polocies for sick customers. They haven't even given a olive branch. They are willing to do nothing to help lower the cost!

They aren't worried about not being able to compete, they're worried about their huge salaries and huge bonuses! WHEN ARE THEY GOING TO PUT A STOP TO THIS CULTURE OF GREED?

They are sucking all of the money out of the country, then they want to complain because no one has the money to buy what they are selling!

    Favorite    Flag as abusive Posted 05:28 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

Well we could start by repealing the HMO act and all the special protections they recieve.

    Favorite    Flag as abusive Posted 05:38 PM on 06/24/2009
- reddflagg I'm a Fan of reddflagg 8 fans permalink

The DLC Democrats call the private insurance companies and other parts of the healthcare mafia "stakeholders".

Were they try to solve the problem of drive-by shootings I'm sure the DLC Democrats would approach it the same way: "Let's get all of the stakeholders involved, including the drive-by shooters."

Private health insurance companies are the enemy of an efficient, effective healthcare system and should be treated as such.

    Favorite    Flag as abusive Posted 05:28 PM on 06/24/2009

What about the 3/4 o f Americans wanting a public option? Aren't we stakeholders?

    Favorite    Flag as abusive Posted 06:00 PM on 06/24/2009
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Nearly 3/4s of Americans support for some form of government­-generated health insurance.

The latest polls show that 72% of Americans want a choice between a government run plan & private one; 57% are even willing to pay more taxes to get it. 72% supported a government­-administe­red insurance plan — something like Medicare for those under 65 — that would compete for customers with private insurers. 20% said they were opposed.

That 72% support figure is everybody. When further broken down, Democrats surveyed in this poll are 87% in favor, 9% against. Among Republicans, it‘s 50% (in favor), 39% (against).

64% said they thought the federal government should guarantee coverage, a figure that has stayed steady all decade. Nearly 60% said they would be willing to pay higher taxes to make sure that all were insured, with 4 in 10 willing to pay as much as $500 more a year.

A plurality, 48%, said they supported a requirement that all Americans have health insurance so long as public subsidies were offered to those who couldn't afford it, versus 38% that said they were opposed.

The poll also shows Americans trust the government more than private insurers. 50% say Washington would do a better job at providing coverage; 59% say government would be better at holding down costs (up from 47% in 2007).

http://www.nytimes.com/2009/06/21/health/policy/21poll.html

    Favorite    Flag as abusive Posted 05:27 PM on 06/24/2009

In sense we have mandated insurance coverage now. You can pay for it one of two ways, through: working for an employer who is pay for it (considered part of your salary) or by yourself. Most people really try to pay for their own health insurance, if they don't get it through work, and stop when they have to choose between food and health insurance. It won't be any different under a mandated system.

The bottom line is the price of health insurance is being inflated as fast as the large corporate health insurance company can get away with. My guess is we will be paying out that trillion dollars whether we go with a single payer system, public option or just stick with system we have now. The big difference will be the number of people who will have to live without access to health care.

I have noticed that no one talks about what our current system will cost in same time period as the trillon dollar cost of a single payer system. I can't believe that its free. Nor do they break the cost down to an individual yearly cost. For myself I would find it hard to decide which I would like unless I can compare choices by both costs and services. I wonder if the trillion dollars would sound so bad if it was compared to the cost of the current system.

    Favorite    Flag as abusive Posted 05:26 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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Why don't you read what single payer would cost?

http://www.pnhp.org/

    Favorite    Flag as abusive Posted 05:53 PM on 06/24/2009

We are about to be totally scr*ew*ed on health care. He got our hopes up for nothing.

    Favorite    Flag as abusive Posted 05:25 PM on 06/24/2009

We are about to be totally screwed on health care. He got our hopes up for nothing.

    Favorite    Flag as abusive Posted 05:22 PM on 06/24/2009
- glockman I'm a Fan of glockman 40 fans permalink
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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."

In other words, "I said what I needed to get elected and you fools fell for it."

    Favorite    Flag as abusive Posted 05:22 PM on 06/24/2009
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I think that people mistakenly believe that Obama wants public health care.

If the Bush administration taught us nothing else, it's that anyone can sell to (and anything can get sold to) the American people. If you are stolid and relentless in your sales pitch and tactics.

Obama didn't get to be the first black president, vanquish the Clinton machine and the oldest and most experienced politicians in our nation's history by not having mastered these skills. Nor do Democratic politicians (more incumbents than ever, in office longer) not know how to do it. How do you think Democrats managed to keep impeaching Bush and Cheney off the table and have us still reelecting them, not marching on Washington with torches and pitchforks?

Obama and Democrats know how to do it -- They don't want to do it. The trick for them is to keep us believing that they do, and are merely inept. And to keep voting for them in spite of their failure to deliver on any of our alleged shared objectives.

Our mistake is in believing that Democrats want to pass public health care, single payer or not. If Democrats could get away with forcing universal health care (forcing all Americans into for-profit insurance policies), they'd do that.

The DLC, which is in control of the Democratic Party, is not a populist group of people. They are in bed with Big Business, just like Republicans.

    Favorite    Flag as abusive Posted 05:19 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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Marco,
I don't believe it anymore.Sadly, I think he's on the take.

2003 was a different story--unless this was a lie too.
see the video at the bottom of the page:

http://www.pnhp.org/change/

    Favorite    Flag as abusive Posted 05:25 PM on 06/24/2009
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ChelseaC, I don't know what he is ("on the take", "a lie, too"), but I know what he isn't: He isn't into single payer universal health care, or populism or public social welfare programs, or even the concept of 'for the common good'.

If Obama's into a 'public option' at all for health care, it's as an incremental step that he's being forced to take (by We The Noisy & Inconvenient People) before all public programs are bankrupted. Big Insurance would prefer no public option, but if it's a choice between Obama's 'public option' or single payer universal health care, Big Insurance will privately rejoice while publicly clenching its fist at us all because it will let Big Insurance carry on, as usual.

Obama's 'public option' will lead to the same end that doing nothing about health care reform would do: Bankrupt public health care completely, and leave Big Insurance as the only show in town. How?

BigInsurance will cherry-pick & take the youngest&h­ealthiest, lock them in at dirt cheap rates for multi-years (that's what will make it into the bill, out-options only every few years), leaving everyone else on the government plan. Then Republicans will do everything they can to block money for Medicare (Obama started that last week), ration the care for those on it. We're already seeing that in state budgets, the end of programs because there's no money to pay for them.

    Favorite    Flag as abusive Posted 05:56 PM on 06/24/2009
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ChelseaC: Obama, in 2003, was it a lie?

I have my thoughts about it, standing back and looking at the big picture. Too long to go into in HP space (and also not relevant to the task at hand: Getting us healthcare at reasonable costs).

But if we were at a coffeehouse outside of YouTube, I'd urge you to revisit all known clips, speeches, public comments made by him. And listen to it all again, carefully, with 6/24/09-ears. Compare is with what you know now (of what President Obama says now and what he's done since 1/20/09) and what Candidate (and pre-candidate) Obama said and did.

Then get yourself a blog ("Tapping The Rage", perhaps) and start typing.

:::::bread­crumbs::::­::::::::::­::::::::::­::::::::::­::::::::::­::::::::::­::::::::::­:::::::

    Favorite    Flag as abusive Posted 06:37 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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So now you are a mind reader.

    Favorite    Flag as abusive Posted 05:32 PM on 06/24/2009
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If you listened to Obama yesterday, Obama's got all the time in the world to let insurance companies have their way, try to conform to the needs of the people: Obama Press Conference, on "No line in the sand" on public plan - http://www.youtube.com/watch?v=Kk0JTQa5OVY

What does Obama's "all the time in the world" attitude do?

It effectively destroys the movement for single payer universal health care. It interrupts momentum at a time when more people than ever before in our history are paying attention and are as well informed about what it is and what it means to them than they're ever going to be. And stops it. Now it's a numbers game, of attrition, to beat the people back before they realize their power, to achieve success in getting a real democracy.

Obama's not unaware that he's negatively impacting getting universal public health care. This is what you do when you're trying to stop a populist movement before it gets going. Before you would have to show your hand, about who you really work for as president, have to declare martial law and call in the troops to patrol American cities to quell the discontent of the people.

    Favorite    Flag as abusive Posted 05:18 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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The president is pushing for public healthcare and liberals are whining about it.

    Favorite    Flag as abusive Posted 05:13 PM on 06/24/2009
- Chaimirija I'm a Fan of Chaimirija 56 fans permalink
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You'll be squealing when your premiums go up:)

    Favorite    Flag as abusive Posted 05:16 PM on 06/24/2009
- KQuark I'm a Fan of KQuark 267 fans permalink
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LOL I can't get heealthcare coverage in our current system.

    Favorite    Flag as abusive Posted 05:32 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 152 fans permalink
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No mandates to keep the maggots in business.
It failed in Mass.

    Favorite    Flag as abusive Posted 05:18 PM on 06/24/2009
- Chaimirija I'm a Fan of Chaimirija 56 fans permalink
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I know...why is this not front page news? Check out the problems in Switzerland...and they VOTED for it, 52%....

    Favorite    Flag as abusive Posted 05:20 PM on 06/24/2009
- Lyr I'm a Fan of Lyr 35 fans permalink

This is bad I don't know how anybody can be for mandates.

    Favorite    Flag as abusive Posted 05:30 PM on 06/24/2009
- unbozo I'm a Fan of unbozo 11 fans permalink

I predict the death of the republican party and in its place will be corporate democrat party when they split from the Democratic party.

    Favorite    Flag as abusive Posted 05:11 PM on 06/24/2009
- teron678 I'm a Fan of teron678 124 fans permalink
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same here .....

    Favorite    Flag as abusive Posted 05:38 PM on 06/24/2009
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