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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f- this.

the problem isn't just that people can't afford it, it's also that the insurance companies try their hardest to deny claims and not pay for anything.

this is ridiculous. I didn't like hillary's "plan", and I sure don't like it under obama either.

I can see now that there is going to be no real reform. nothing but mandating profits for private insurers.

    Favorite    Flag as abusive Posted 04:55 PM on 06/24/2009
- BabuS5 I'm a Fan of BabuS5 10 fans permalink

Single payer option is the ONLY option in this damn 21st century, we are so behind on this issue is mind boggeling, I wish for once the american people would stand up and take a look at the facts instead of getting scared when they hear catch phrases such as "Socialized medicine" "Government takeover" etc......so sad

    Favorite    Flag as abusive Posted 04:54 PM on 06/24/2009
- Jlong I'm a Fan of Jlong 15 fans permalink

The best way to get healthy people in a particular risk pool is to get ALL PEOPLE into the same risk pool. No, the kooky insurance exchanges or co-ops by individual states is not good enough. The best risk pool is the one with every healthy person we can get along with all of the older and sicker people. The only way to get this is with single payer. From a risk management standpoint, it just makes sense.

    Favorite    Flag as abusive Posted 04:54 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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No, it doeast make sense, this is why:
1. It failed in Mass.
2. It keeps us paying overhead/admin/profit costs--still keeping the system FAR MORE expensive than a public option or single payer--A.K.A MEDICARE for all who want it.
3.Hospitals/doctors still needs to hire a lot of overhead to file to all these different companies
4. It keeps these bloodsuckers in charge--rather than We The People in charge--we pay for their multi million dollar profits on the backs of the sick.
5. It's immoral to have medicine for profit--the exception is cosmetic medicine (plastic surgery that does not relate to trauma, disease or birth defects), cosmetic dentristry.

    Favorite    Flag as abusive Posted 05:10 PM on 06/24/2009
- PaxEterna I'm a Fan of PaxEterna 80 fans permalink

He (Obama) is becoming idiotic.

We have mandated health care in MA.

Here's how it works:

Everyone has to get health care OR PAY A FINE ON THEIR TAXES.

The plans are expensive, because they are offered by the insurance cos.

If you make 52K or less, you can get help.

If you make 53K or more, you get 1) lousy plans 2) lousy docs and 3) lousy hospitals.
PLUS you have to pay upwards of 1K per month for a couple to get an "authorized" plan by the State.
If you have an "unauthorized plan" - like catastrophic - you are fined because it is not "authorized." Go figure.

The syste,m is neither fair, nor affordable. They (the powers that be) are '"tracking" citizens - just like they used to track students - based on age (primary discriminator), location, and ability to pay.

Just to top it off, in today's Boston Globe, the lead article says that the state is now "slowing enrollment" because there are more people - and less money - to pay for "mandated health care" due to the economy.

Thus the State of MA - after mandating that everyone get health care or pay a fine - is now denying coverage to those in need and taxing them at the same time because they don't have health insurance.

It is f*****ing insane.

Don't buy it, America.

The only fair system is SINGLE PAYER, EQUAL CARE under law.

We need what "they have" courtesy of the

    Favorite    Flag as abusive Posted 04:53 PM on 06/24/2009

He's working to drive the cost down...and the Cost will be much cheaper than you are currently paying in MA. You can blame your past Gov for the high cost.

    Favorite    Flag as abusive Posted 05:22 PM on 06/24/2009
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The ONLY real solution is a single payer system. Period.

That having been said, though, this is not what Obama has been putting forward. He has said (time and again) that:

a. Insurance companies should not be able to deny coverage based on pre-existing conditions, and;

b. There should be no mandate to get health insurance if you are healthy.

There's a MAJOR flaw in this reasoning. Which is that it would mean people could make a calculated decision to wait until they were sick BEFORE getting health insurance, and that, in fact, this would be the ONLY reasonable choice for an intelligent person to make; simply put, I could save the cost of health premiums for ten, twenty, thirty years, and then when I am diagnosed with an expensive (read: potentially multi-million dollar health bill) disease, I can just buy insurance then... which is a great deal, except where are the millions going to come from if the only people in the system are people who require expensive treatment themselves?

And again I have YET to have someone, anyone, explain to me how this could possibly work (including ChelseaC).

    Favorite    Flag as abusive Posted 04:52 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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Which is that it would mean people could make a calculated decision to wait until they were sick BEFORE getting health insurance,

The MAJOR flaw in your argument is that only old people get sick. A friend of mine just lost a nephew to a heart attack at the age of 26 (and no he was not overweight). Also... it doesn't deal w/ accidents. Do you know how many "healthy" young people are injured in car accidents and still need health insurance????

    Favorite    Flag as abusive Posted 04:57 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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Oh... but I do agree w/ you that single payer is the answer !!!!

    Favorite    Flag as abusive Posted 04:58 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Jeremy,
I have put up links to explain--you're just not reading them.If you fail to understand how this works, you need to read.
Why don't you google Dr. Mrcia Angell, Dr. David Himmelstein of Harvard Univ. and Dr.Sydney Wolff of Johns Hopkins Univ.

http://www.pnhp.org/

http://sanders.senate.gov sign petition

    Favorite    Flag as abusive Posted 04:59 PM on 06/24/2009
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No. Your links actually support exactly what I am saying. You need a single payer system. I AGREE WITH THAT. I'm asking, specifically, about Obama's original plan which is to allow anyone to opt in at any time, even after they have been diagnosed with an expensive medical condition, while not requiring healthy people to join. A single payer system is different than this in that EVERYONE pays in and only the sick take out. Simply put, the healthy pay for the sick (it is basically a mandate: everyone is covered and everyone pays). That's a lot different from saying only the sick need coverage. So the sick pay in and the sick take out? How does that work?

PS: I'm a Canadian with Crohn's disease, so I understand the issue quite well, thank you very much.

    Favorite    Flag as abusive Posted 10:32 PM on 06/24/2009
- zizyphus I'm a Fan of zizyphus 110 fans permalink
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Look. We are going to have millions of unemployed who won't be able to afford anything, much less insurance premiums. We need free national health care for all.

    Favorite    Flag as abusive Posted 04:52 PM on 06/24/2009

Free is a misnomer - in Canada we do not have "free" healthcare period! We do however have taxes and provincial medical premiums and employer provided ehc and disability plans (annually a single person pays 10 - 15X less than a US counterpart - $1500 vs $15,000 approx.) and we will never be denied service. You get what you pay for - don't be afraid to pay for what you need, taxation with representation is awesome!

    Favorite    Flag as abusive Posted 05:12 PM on 06/24/2009

Mandate without a public option means 45 million new customers for the private insurance industry!

    Favorite    Flag as abusive Posted 04:47 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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Yeah... that too.

    Favorite    Flag as abusive Posted 04:51 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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Mandate + hardship waiver = uninsured Americans = status quo.

    Favorite    Flag as abusive Posted 04:42 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Patina,
Fanned and faved.

    Favorite    Flag as abusive Posted 05:01 PM on 06/24/2009
- expired I'm a Fan of expired 26 fans permalink

Corporate insurance and "health care"
Here's what they are afraid of losing:

ANNUAL COMPENSATION (2006 and 2007):
� Ronald A. Williams, Chair/ CEO, Aetna Inc., $23,045,834
� H. Edward Hanway, Chair/ CEO, Cigna Corp, $30.16 million
� David B. Snow, Jr, Chair/ CEO, Medco Health, $21.76 million
� Michael B. MCallister, CEO, Humana Inc, $20.06 million
� Stephen J. Hemsley, CEO, UnitedHealth Group, $13,164,529
� Angela F. Braly, President/ CEO, Wellpoint, $9,094,771
� Dale B. Wolf, CEO, Coventry Health Care, $20.86 million
� Jay M. Gellert, President/ CEO, Health Net, $16.65 million
� William C. Van Faasen, Chairman, Blue Cross Blue Shield of Massachusetts, $3 million plus $16.4 million in retirement benefits
� Charlie Baker, President/ CEO, Harvard Pilgrim Health Care, $1.5 million
� James Roosevelt, Jr., CEO, Tufts Associated Health Plans, $1.3 million
� Cleve L. Killingsworth, President/CEO Blue Cross Blue Shield of Massachusetts, $3.6 million
� Raymond McCaskey, CEO, Health Care Service Corp (Blue Cross Blue Shield), $10.3 million
� Daniel P. McCartney, CEO, Healthcare Services Group, Inc, $ 1,061,513
� Daniel Loepp, CEO, Blue Cross Blue Shield of Michigan, $1,657,555
� Todd S. Farha, CEO, WellCare Health Plans, $5,270,825
� Michael F. Neidorff, CEO, Centene Corp, $8,750,751
� Daniel Loepp, CEO, Blue Cross Blue Shield of Michigan, $1,657,555
� Todd S. Farha, CEO, WellCare Health Plans, $5,270,825
� Michael F. Neidorff, CEO, Centene Corp, $8,750,751

    Favorite    Flag as abusive Posted 04:40 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Expired,
Fanned and faved.

    Favorite    Flag as abusive Posted 04:41 PM on 06/24/2009
- lthuedk 1 I'm a Fan of lthuedk 1 64 fans permalink
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Get this on every thread. It's too important.

Thanks!

    Favorite    Flag as abusive Posted 04:55 PM on 06/24/2009
- DonKrieger I'm a Fan of DonKrieger 3 fans permalink
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LIve Poll for Health Care Town Hall Tonight:

Watch the Town Hall live at 10 PM EDT on ABC.
Participate in the lie poll at
http://www.livepoll.net/Obama_PCToday.html

Please participate and relay the word and URL to your friends.

Don
http://www.livepoll.net

    Favorite    Flag as abusive Posted 04:40 PM on 06/24/2009
- sc300nc I'm a Fan of sc300nc 62 fans permalink

Yep, the infomercial should be interesting.

    Favorite    Flag as abusive Posted 04:49 PM on 06/24/2009
- jdw1981 I'm a Fan of jdw1981 44 fans permalink
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Obama gets the best healthcare in the world at taxpayer expense. So does every member of Congress.

Our President's willingness to sell out the American people is disgusting.

    Favorite    Flag as abusive Posted 04:38 PM on 06/24/2009
- sc300nc I'm a Fan of sc300nc 62 fans permalink

Your in good hands with ObamaCare

    Favorite    Flag as abusive Posted 04:31 PM on 06/24/2009
- smchp I'm a Fan of smchp 77 fans permalink
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tr0ll school 101. If you don't want to be exposed don't use the GOP talking points! In other words you fail!

    Favorite    Flag as abusive Posted 04:42 PM on 06/24/2009

Remember the "OMG! Fraud in Iran" graph that circulated? Well it was propaganda, as the same trend can be found within real time US Election data.

http://voteforamerica.net/editorials/Comments.aspx?ArticleId=272&ArticleName=Realtime+Results+From+Iran+and+USA

    Favorite    Flag as abusive Posted 04:31 PM on 06/24/2009
- jdw1981 I'm a Fan of jdw1981 44 fans permalink
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Off topic. Go somewhere else.

    Favorite    Flag as abusive Posted 04:39 PM on 06/24/2009
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Why are these Dem and GOP Senators being given a free pass after being openly bought by millions each in health care industry contributions? Where are the ads that stamp the amounts they were given across their faces as throw out words like "socialism?"

If the Dems weren't prepared to counter them in this way now, then they were planning on losing. And we have Hollywood on our side? Where is the campaign that outsmarts an industry which has openly bought off every one of our Senators?

    Favorite    Flag as abusive Posted 04:29 PM on 06/24/2009
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Stop blaming republican, they;re not in power. The dems are not deaf, they know the people want single-payer universal healthcare. The problem! A President who has not yet demonstrated that he has the mettle to fight for it(72% public support) and a democratic congress who is also in the pocket of the 'for profit' industry.

How can a country not collectively feel ashamed to sell healthcare as a consumer product, and worse, to have almost 50million of it's citizens uninsured? The richest country in the world.

Read what's wriiten on the dollar; 'in god we trust'... on the dollar. Shamefull.

    Favorite    Flag as abusive Posted 04:36 PM on 06/24/2009
- lvogt I'm a Fan of lvogt 26 fans permalink

True but it's a minority of Dems and all the GOP who are the problem.

    Favorite    Flag as abusive Posted 05:09 PM on 06/24/2009
- placpje I'm a Fan of placpje 7 fans permalink

Why is it just the senators that were "openly bought by millions in health care contributions"?

Obama received 18 million himself. http://www.opensecrets.org/pres08/sectors.php?sector=H

    Favorite    Flag as abusive Posted 05:09 PM on 06/24/2009

our only hope is to end the careers of every incumbent Congressman, and every Senator up for re-election in 2010, both Dems and Reps, no exceptions. They all make noise, and then fall in line with what the greedy, exploirtative healthcare and drug companies, banks, oil companies, defense contractors.

    Favorite    Flag as abusive Posted 05:31 PM on 06/24/2009
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I'm so disgusted.

    Favorite    Flag as abusive Posted 04:27 PM on 06/24/2009
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