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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- apduncan1 I'm a Fan of apduncan1 42 fans permalink
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Pray tell: Why do insurance companies have a say on legislation that 72% Americans would support?

Who cares what they have to say? If they don't like the legislation they can move to China. That's it!

    Favorite    Flag as abusive Posted 04:23 PM on 06/24/2009
- lthuedk 1 I'm a Fan of lthuedk 1 64 fans permalink
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It's Single Payer or nothing! This isn't compromise time but time for change.

Betray us and we just might strike, first selectively, then generally, should our representatives fail. Smiling Blue Dog faces would turn glum and the lobbyists that bribe them would be out of work.

There is really no other choice. Either stand on principle or get out of the way. We have the power and the right to remake our government from the ground up if it no longer represents the people.

It's called a Constitutional Convention and it's a very serious step, fellow Americans. Don't Tread On Me is a timeless statement that the powerful should respect.

    Favorite    Flag as abusive Posted 05:25 PM on 06/24/2009
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It's ok to pay for your health insurance. Whether you pay it through taxes or by paying a monthly premium to the insurance company, what is the difference? But, when you are paying a high monthly premium and you still have to pay exorbitant rates for unnecessary tests, I have to ask why pay for the insurance at all? Why not just pay as you go?

I have a bad feeling about this health care debate. Quite the wake-up call if it fails, I think we will see the emergence of new activism. Health care should not be just for the privileged.

    Favorite    Flag as abusive Posted 04:19 PM on 06/24/2009
- apduncan1 I'm a Fan of apduncan1 42 fans permalink
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The difference is that the insurance companies can take your money and deny coverage claiming pre-existing conditions.

    Favorite    Flag as abusive Posted 04:25 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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They don't even have to claim pre existing. My daughter had surgery... during the surgery they noted that even on oxygen... her blood oxygen level was 70%. It was determined that she had overly large adenoids and the doctor had her admitted (she was in an surgical center at first) to the hospital for a sleep study to determine if she had sleep apnea because if she did... they would want to remove her adenoids right away. If not... it could wait until she recovered from her umbilical surgery. She did not have sleep apnea. The insurance company refused to pay because the test came back negative. They would only pay if the test had come back positive. When I asked the woman working for the insurance company... how would they know UNLESS she had the test... I got the old "I'm just doing my job" line. It's ridiculous... the way they treat us. After paying them thousands of dollars for our coverage... they wouldn't even cover a $600 test !!!!

    Favorite    Flag as abusive Posted 04:47 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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I Miss America,
I take you you have never been sick with a chronic condition, had a terrible accident, never had to fight for coverage, never had your premiums go way up, never been denied coverage.
Pay as you go along. That sounds good it it's just the doctor bill, but what about labs, x-rays, PETscans, MRIs, surgery and expensive medicines such as antibiotics, anti parasitic, anti viral medications--then what???

What the difference between for profit insurance and let's say Medicare--oh, only a world of difference--that's all.


Please educate yourself. Here's a link:
http://www.pnhp.org

    Favorite    Flag as abusive Posted 04:33 PM on 06/24/2009
- ladyvader I'm a Fan of ladyvader 107 fans permalink
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I'm thinking of putting a big sign in my yard that says.....SINGLE PAYER NOW!

    Favorite    Flag as abusive Posted 04:15 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Ladyvader,
Go for it--sounds like a plan to me.

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

Call the White House comment line:
202-456-1111
swtichboard: 202-456-1414

    Favorite    Flag as abusive Posted 04:17 PM on 06/24/2009

Just give us all access to the same insurance that the Senators and Reps are enrolled in. That system is already in place. no need to reinvent the wheel. They work for us, now give us the same damn coverage. End of conversation!!

    Favorite    Flag as abusive Posted 04:14 PM on 06/24/2009
- sc300nc I'm a Fan of sc300nc 62 fans permalink

Yeah, your senator is going to be sitting next to you in the waiting room...How naive!

    Favorite    Flag as abusive Posted 04:17 PM on 06/24/2009
- apduncan1 I'm a Fan of apduncan1 42 fans permalink
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Huh?

    Favorite    Flag as abusive Posted 04:26 PM on 06/24/2009
- PATina I'm a Fan of PATina 258 fans permalink
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She didn't say give us the same doctor... she said the same insurance. How naive !

    Favorite    Flag as abusive Posted 04:53 PM on 06/24/2009
- TJCole I'm a Fan of TJCole 190 fans permalink
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"I see plans within plans...!"

Dune: The Spacing Guild...

    Favorite    Flag as abusive Posted 04:13 PM on 06/24/2009
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It's about time. The idea that on the one hand people should be able to get insurance regardless of preconditions, and on the other hand people should not have to get insurance if they are healthy, was unworkable from the very beginning... which is why Obama's attack on Hillary's plan to have mandates was either naive or insincere.

No one has EVER yet explained to me how you can have a workable system of health insurance that allows you to wait until after you have become sick before you have to opt in. It's the equivalent of saying that people should be able to purchase car insurance after they've crashed, or home insurance while the house is burning to the ground. In such a system, why would ANYONE buy coverage BEFORE they needed it? And where, exactly, would the money come from to pay for all these sick people if they were the only ones who were paying in?

If anyone here can explain to me how Obama's original plan was anything other than a bogus (not to mention cynical) attempt to discredit Hillary, I'd sure love to hear it.

And PS, what America really needs is a single payer system.

    Favorite    Flag as abusive Posted 04:11 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Jeremy,
Have you really thought about this?
I guess you want to keep the insurance companies rich and be forced to be their customer--I don't anymore--they have taken too much out of me and I'll be damned if I am forced to buy into a system--I won't do it.
Single payer--or public option--expansion of MEDICARE for those who want it.

BTW, the forced mandate program in Mass. has been an utter failure--MANY REMAIN UNINSURED. It's a crock!

    Favorite    Flag as abusive Posted 04:22 PM on 06/24/2009
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We probably agree much more than you realise. 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, potential multi-million dollar 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 explain to me how this could possibly work.

    Favorite    Flag as abusive Posted 04:38 PM on 06/24/2009
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...crickets...

    Favorite    Flag as abusive Posted 04:25 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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Wow Jeremy, is that the best you can do? I'm blown away by your intellectual argument.

    Favorite    Flag as abusive Posted 04:38 PM on 06/24/2009
- ron ray I'm a Fan of ron ray 10 fans permalink

Bottom line, Mr. Prez: a single payer system like the ones that deliver better results for less cost all over the world, with those now insured paying no extra costs and covering the uninsured with the money with get from CUTTING THE GREEDY INSURERS OUT.

if this just becomes a complicated hillary-care-like mess to tax those with insurance to pay for those without, it's a nonstarter.

the rest of the civilized world does this already. the insurance cos came out just today and said they can't compete -- bgecause they know a government option produces better results at lower cost.

    Favorite    Flag as abusive Posted 04:10 PM on 06/24/2009
- sc300nc I'm a Fan of sc300nc 62 fans permalink

Is the honeymoon over yet?

    Favorite    Flag as abusive Posted 04:09 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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At this rate, I hate to say it could be drawing to an end........................

    Favorite    Flag as abusive Posted 04:24 PM on 06/24/2009
- teron678 I'm a Fan of teron678 135 fans permalink
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nice read .... but cease spamming

    Favorite    Flag as abusive Posted 04:23 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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In front of our very eyes--he's selling us out! The man I supported and voted for and gave money too--OMG! I had had my doubts that I have voiced here but I still held on.....

He's going to MANDATE people to buy into this maggot infested system?Please tell me this is a mistake--a lie.

Mr. President, you certainly have "evolved" a long way from the man you were in 2003.
Check out this video--I posted it here several times before, but it seems even more fitting now.
This is very sad.

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

    Favorite    Flag as abusive Posted 04:07 PM on 06/24/2009
- smchp I'm a Fan of smchp 77 fans permalink
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Go away then. If it wasn't this issue it would be something else. Great sprits have no use for mediocre minds.

    Favorite    Flag as abusive Posted 04:22 PM on 06/24/2009
- ChelseaC I'm a Fan of ChelseaC 215 fans permalink
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smch,
what?

    Favorite    Flag as abusive Posted 04:39 PM on 06/24/2009
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Totally agree. I also supported, donated and believed. Obama hasn't evolved - he's caved...

Either he was full of b.s. about real health care reform during the campaign or he's got no backbone now. Reform = meaningful public option that forces real change in the private insurers. Instead all we hear is how this or that plan will impact the insurance companies. What the ?

I am sick of hearing about Obama's consensus. As President he could be bully pulpit master, generating all the support and pressure directly from the people, needed to make single payer the option. It at least would have been a great negotiating stance to start with single payer -- instead, he's not even committed to a real public option. Can someone explain what happened?

    Favorite    Flag as abusive Posted 04:26 PM on 06/24/2009
- ElBruce I'm a Fan of ElBruce 19 fans permalink
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F "required mandates." Give me single payer. If not that, give me a public option. "Mandates" is just fancy-talk for "let's give the health insurance industry MORE money for nothing."

    Favorite    Flag as abusive Posted 04:03 PM on 06/24/2009
- Joseph A. Palermo - Huffpost Blogger I'm a Fan of Joseph A. Palermo 409 fans permalink

no public option, no second term

    Favorite    Flag as abusive Posted 04:03 PM on 06/24/2009
- ladyvader I'm a Fan of ladyvader 107 fans permalink
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For me no public option, no more votes for Dems. I already don't vote GOP. An Indy I will be.

    Favorite    Flag as abusive Posted 04:13 PM on 06/24/2009
- greejambri I'm a Fan of greejambri 20 fans permalink

HEAR! HEAR! My sentiments exactly!

    Favorite    Flag as abusive Posted 04:18 PM on 06/24/2009
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The people want single payer, and if he can't or refuses to see that, and act accordingly, by finally demonstrating some backone and respect for the wishes of the nation, then a one-termer he will be. And Hillary can finally clean up the mess next time around. I worked my @ass off for him, and I like him a lot, but I'm sick of his cowardice.

    Favorite    Flag as abusive Posted 04:21 PM on 06/24/2009
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Im with you.

    Favorite    Flag as abusive Posted 04:22 PM on 06/24/2009
- smchp I'm a Fan of smchp 77 fans permalink
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If it wasn't this issue then it would be something else oh spineless one. Just do it now and start planning for the next teabagger rally.

    Favorite    Flag as abusive Posted 04:23 PM on 06/24/2009

I hope they do not mean to cap assistance for these mandated premiums at 150% of the federal poverty level, which is still way below poverty level in large urban areas. It takes at least 4 times that to be completely self-sufficient here, and that's without a car payment or any kind of frivolous extras, like medical insurance or tuition payments.

    Favorite    Flag as abusive Posted 04:02 PM on 06/24/2009
- teron678 I'm a Fan of teron678 135 fans permalink
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I supported the "ObamaCare" .. not "HillaryCare" .... Mandates .......... SUX!!!!!!!!!!!!!!!!

    Favorite    Flag as abusive Posted 03:58 PM on 06/24/2009

Not exactly a scintillating or convincing argument there, Teron.

    Favorite    Flag as abusive Posted 04:05 PM on 06/24/2009
- teron678 I'm a Fan of teron678 135 fans permalink
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this was a statement ... not an argument ..

    Favorite    Flag as abusive Posted 04:08 PM on 06/24/2009

just base it on the free and reduced lunch application amounts and welfare roles, done and done

    Favorite    Flag as abusive Posted 03:57 PM on 06/24/2009

Yeah, because federal 'poverty' guidelines are totally realistic, right? Not.

    Favorite    Flag as abusive Posted 04:05 PM on 06/24/2009
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