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Krugman Hits Obama Again, This Time For "Harry And Louise" Health Care Mailer

Paul Krugman takes another whack at Obama on health care. He points out that this new mailer dropped by the Obama campaign, which hits Hillary on health care, is subtly playing on "Harry and Louise" imagery, meaning it's reminiscent of the infamous ads attacking Hillarycare. If so, the suggestion is that the mailer is intended as a reminder of her health care debacle.

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142 Comments

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This is a very smart ad by Obama. Of course Krugman hates it, but he's made himself irrelevant with his obvious hatred of Obama. The fact is that those Harry and Louise ads were very effective and this one will be as well.

Yes, it does suggest Harry and Louise, as it should. Real people will not want Hillary Clinton telling them what they must buy, and they won't want her deciding whether they can afford it or not. She blew it once, and that cost us sixteen years. Don't let her make it thirty-two. And pay no attention to Krugman, he's just a stooge.


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I'm tired of Krugman, he is obviously biased, obviously a Hillary supporter, and obviously hates Obama because he is the opponent. He has lost ALL credibility with me and I think it is really pathetic of him. This is the same asshole who attacked Obama for the Reagan comment, just as disingenuously as the Clintons, trying to exploit the ignorance of the casual listener to make them think that Obama somehow praised Reagan or loves Reagan. He is a tool and he makes me sick.

And he is trying way too hard on this health care thing. It is funny that he has no problems with Hillary attacking Obama on "raising taxes" or distorting his record on abortion or with Hillary using Republican fearmongering tactics to scare voters into voting for her so they don't get attacked by terrorists. He is so one sided, so hypocritical, so transparent. He is a tool, and I've lost all respect for him.

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Ok- as an Obama supporter- perhaps I am a little blind on this- so I am legitimately asking- what's wrong about this mailer? How is it different than her hitting him that hsi plan doesn't have universal coverage? Bringing up Harry and Louise (which to be honest I think is pretty subtle here. Man +woman= harry and Louise?), I think is legitimate. Hillary is partly to blame for the health care catastrophe of '93. She (admittedly) bungled it. Why isn't it a legitimate point to say- she failed last time- why should we trust her with it again?

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It's misleading because Hillary's plan is designed to ensure that everyone can afford health insurance. The mailer suggests that lower-income families will be left twisting in the wind.

you are so anti Hillary it shows.....maybe you are a Republican in disguise....you have no idea what her plan was before and how she has improved upon her plan in detail....obama blows to the wind....quite frankly I find him frightening!

you are so anti Hillary it shows.....maybe you are a Republican in disguise....you have no idea what her plan was before and how she has improved upon her plan in detail....obama blows to the wind....quite frankly I find him frightening!

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Polls suggest the public is predisposed against mandates. Whether or not mandates are essential is a matter of dispute (see the letter from public policy professionals at Huffington Post), but politically, they may very well be fatal to any health care plan.

If political weakness dooms universal healthcare for another generation, then Clinton isn't the only one who has failed to learn from her prior experience.

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Polls suggest the public is predisposed against mandates.

And isn't one of the Obama camp's criticisms of Sen. Clinton that she is too poll-driven?

The public could be educated, could be brought to understand why mandates are in the plan, but incendiary propaganda like this flier works does exactly the opposite, fouls the public discourse with disinformation.

"A new kind of politics" my ass.

slb

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Mandates will get us a bunch of people with insurance and insurance companies that say to the insured, "sorry, that's just not covered". We don't need more insurance, we need to totally rethink the issue of medical care for Americans.

My own situation is illustrative. I have insurance with a firm cap of $4500 for medical expenses for any given year. In the past three years, I have accumulated $100,000 in "sorry, that's not covered", unreimbursed medical bills. No matter how you slice it, that number is way over my yearly limit.

What good did insurance do me? Well, I could be facing $135,000 rather than the 'bargain' of unreimbursed medical expenses I now face, on top of the $7500 I pay per year in premiums. Think about it. In three years, without insurance, I'd only owe about $10,000 more than without any coverage at all.

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1) I am voting for Obama on Tues.
2) I read Dr Krugman faithfully and have long admired him.

With those caveats made, I would say that Dr Krugman's argument is both 1) correct and 2) irrelevant. Yes, the Harry & Louise ads used against Clinton in the early '90s were bogus. Yes, this does bear a remarkable similarity to them. Meanwhile, however, one knows that this is exactly the argument that will be advanced by the right next year should the democrat win in November anyway. Obama is not ceding anything here to the other side that they do not already have in hand. To call it "poisoning the well" as he does rather naively pretends that the well is still drinkable. This is poison that is already in the well and which would be poured in again anyway. As Clinton's own supporters never tire of pointing out, if you are not playing to win you should not be in the game in the first place.

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I think this is just Krugman making something out of nothing. Is there anything inaccurate or misleading in the mailer? My assessment is that there is not. By the way, how is Hillary going to enforce her mandate? She didn't answer the question when asked last night in the debate.

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Billary Care is never going to happen

Krugman's new hobby seems to be attacking Obama for anything and everything. It would be more honest if he joined Clinton's campaign and end the charade.

Krugman has lost all credibility with me. I know that my Obama support makes my perspective biased. But he seems to be using his column for spin rather than for analysis or opinion. I think his column "The Edwards Effect" illustrates this dramatically. He panders to Edwards voters then makes the case against Obama. I expect columnists to provide analysis not pitches ...

look who is biased....you didn't even read the content nor listen to the explanation of the two health care plans....do you want to pay health care premiums for people who can afford to pay something and decline to and then pick up their payments and costs when they get sick. Obama needs to rewrite his plan again and again before it makes sense....where is he going to get the money for his plan?....you should put yourself in a realistic mind set.....stop being inspired and start using your brain!

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Yes, I think your support of Obama has biased your perspective. What in Krugman's current column do you consider "spin" rather than straightforward analysis, opinion, or description of the facts? And how is expressing approval of Edwards's health care plan "pandering" to Edwards voters? What is an opinion column for if not to express an opinion?

TheGolux - the problem I have with this mailer (along with his attacks) is that they not only use the right-wing socialist frame - government forcing you to spend money on something! - but also it's patently false - you will be covered by the government plan if you don't pay for your own plan. It's a very deceptive, in my opinion, and really is the number one reason I oppose Obama.

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FYI, you can respond to a particular comment and have your comment indented under theirs by hitting the "reply" button below that comment.

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What you have said is "patently false". Hillary's plan does not "give" coverage to everyone who does not buy it. Poorer people will be "given" health care, but that happens already (its called Medicaid). People who do not qualify for free coverage will be forced to pay for it.

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Many people will not be covered, because they will have too little money for health care and too much to get government subsidies. In Massachusetts, 20 percent of those applying for waivers from the state's mandatory health care plan are receiving them--which means they are not getting health care. Nationally, that would translate to 10 million people. Obama made this point at last night's debate, and Clinton did not challenge him on it.

The mailer is simply despicable, but not likely to be challenged much in the "Progressive" blogosphere where gaining control of the Democratic Party is clearly the only objective.

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Right wing socialist? Huh?

I posed a few questions to a Hillary supporter on their diary concerning healthcare, maybe those can be answered here:


1. How are these mandates enforced: Fines or Tax Credits?
2. If either, how much?
3. If the idea is to increase the number that are in the premium-paying pool, how does that lower premiums to other people? Doesn't that, instead, raise demand for premiums, thus raising their prices?
4. In essence, doesn't this plan confuse the situation more?
5. If people are required to buy health insurance, wouldn't the allocation of risk then drop to the worker, instead of the employer?
6. What incentive do companies have to continue providing health care to their workers?

In the meantime, MoveOn goes for Obama. Progressives are coalescing around Barack.

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It seems to me that a lot of these things are details that would be open to debate further down in the process (wasn't one of the mistakes of the Clintons' first health insurance effort that the plan was presented as a fait accompli rather than being open to input by other psrties?), but to comment on a couple of these:

3. If the idea is to increase the number that are in the premium-paying pool, how does that lower premiums to other people? Doesn't that, instead, raise demand for premiums, thus raising their prices?

Um, no. This is not a "supply and demand" situation. It's not like you have a limited supply of health insurance policies to sell. The idea of a mandate is to avoid the problem of adverse selection, in which the only people buying insurance are the ones who expect to have to use it. If everyone is paying the same premium, and if only people of relatively high risk are part of the insurance pool, then it increases the premiums that have to be charged to everyone in the pool in order to pay the expected claims. That's one reason group insurance is cheaper--the group pool includes young and healthy people as well as those with pre-existing conditions or who are not so young, lowering the overall risk level. Everyone in the group pays the same premium levels, nobody is excluded, and nobody is allowed to opt out. That's the way it works with my employer: you are only exempted from buying health insurance if you can show that you are covered through a spouse's employer.

5. If people are required to buy health insurance, wouldn't the allocation of risk then drop to the worker, instead of the employer?

Huh? I don't understand what you mean by this question. Please explain what sort of risk you are talking about.

6. What incentive do companies have to continue providing health care to their workers?

Assuming there is no employer mandate (I can't remember whether there was in Sen. Clinton's plan or not), why would that change? Why wouldn't employers have the same incentives they have now?

In the meantime, MoveOn goes for Obama. Progressives are coalescing around Barack.

Not this one. I have yet to understand why so many progressives have gone so wild over him. I cannot see that he is all that progressive.

slb
(signing here since my posts seem to be going up without a name on them)

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Paul Krugman has fallen a long way. He is just a pitchman now, and not a very convincing one. Kind of reminds me of Carville.

Guest at 12:11,

Pardon me, but I always thought socialism was a LEFT-wing "ism".

http://en.wikipedia.org/wiki/Socialism

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I'm pretty sure what he was saying was that the right wing criticism Obama was using was to frame mandated insurance coverage as a Socialist program.

Dear Greg,

I've tried to register, and the site won't accept my username, because I already have registered, and it won't accept a new username, because my e-mail account is already on record, AND, the link that already registered users are supposed to click is dead.

Krugman is correct to "attack", if that's the word, Obama, because Obama's plans simply are more vague that Clinton's, and, because Obama has a tendency to co-opt right wing talking points. Social Security in "crisis" for instance.

And before everyone flames me for daring to criticize Obama, I'm an Obama supporter, people.

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What I had to do was to click on the "forgotten password" link so that the system would reset my password. That process sends a confirmation e-mail to the e-mail address you registered with, with a link that takes you directly to a login that takes you to your account settings. From there, you can change your password back to what it was before.

But I found that after I did that for the home page login, I had to go through the process again to get to the Election Central login. (It remains to be seen whether I will have to repeat the process for Muckraker.)

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And even then it's not working correctly -- I'm not seeing my name in the "Posted by" field. :-(

slb

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Great, a closet Republican? Maybe fifth column to undermine Democrats--first by picking Republicans and Reagan over Democrats and anything even remotely nice about Clinton, then pulling out the Republican playbook to start attacking Clinton with. We already see so much Republican-inspired propaganda against Clinton by fellow Democrats. It is a real shame to see Obama stoop to the same low level.

For the earlier writer, TheGolux, I guess you were too young to remember...

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Guest--Are you sure Hillary's plan will cover you even if don't buy private insurance? I haven't seen anything to suggest that Hillary reaches universality in any way other than forcing purchase of insurance through mandates. Is there something in her plan that provides automatic coverage even for those who say "screw it, I'm not giving any money to the insurance companies"?

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One more endorsement:

Representative Jim Oberstar (DFL-MN 8) switches from Edwards to Obama. This guys is a powerfully influential representative from the arrowhead, which includes the over-represented strength of the Iron Range in the MN delegate apportionment. This endorsement has the chance of tipping Minnesota firmly into Obama's camp.

Just shocking. Krugman hitting Obama. What next, the sun rises in the east?

I see you not only lost your glasses but some of your ability to understand.....Obama is a preacherman who sounds good but misrepresents...look at Hillarys plan yourself and compare it to the blurriness of Obama's and then decide what plan is in your best interest. Obama's lacks clarity....it's a fantasy!

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I must disagree with the assertion that the mailer is deceptive. I live in Massachusetts- mandate means you MUST buy insurance. It is not a great system and really is universal coverage in name only. If you have a mandate- truly- how do you enforce it? I also do not belive it is a socailist frame-- in that regard the insurance would be given to you or forced upon you- but you wouldn't have to pay.

Paul Krugman has done more for liberal causes than any politician out there today. His bonafides are well established. Suggesting he's simply a Clinton (or Edwrads) hack does him a great disservice...he deserves better.

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No, Krugman is right.

Obama fails to understand that Democrats do not bear equal responsibility for the bitter divide that exists in this country. Throughout their recent incarnation - from Nixon to Reagan to Bush - they have won by appealing to the worst of America (our fears, prejudices, and selfishness). Aiding that fight is their willingness to use the politics of personal destruction.

Obama's decision to use the Harry/Louise symbol drives home his ignorance. Those commercials symbolized the triumph of big business and Clinton haters over the good of this country. It will play great with the under 30 crowd but it's red meat to those of us who remember.

Handing out blame to all sides in order to allow parties to move forward only works when there is a willingness to make an agreement. He - and more especially his supporters - need to move out their bubble world and into one where mean nasty things like Republicans actually exist. You know the ones that willingly deny health care to kids, body armor to troops, and a future not hocked to the max in debt.

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Hi -- many apologies. could you please email Andrew Golis, at andrew@talkingpointsmemo.com?

He'll resolve your problem for you...

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Hi -- many apologies. could you please email Andrew Golis, at andrew@talkingpointsmemo.com?

He'll resolve your problem for you...

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There are certainly distinctions between the Clinton and Obama health care plan. Clinton's plan is more radical, and dare I say a bigger "change" from the status quo, because it ensures that all Americans, even poor Americans, have health insurance. Obama's plan does not cover all Americans. In addition, Obama's program will eventually crash and burn because it won't be fully funded; by allowing the rich to opt out, there will not be enough funding to sustain the Obama program. Clinton's plan involves mandates to ensure that everyone is covered and provides subsidies to those who cannot afford health insurance. It is simply a lie to say that Clinton's plan forces the poor to pay for health insurance they cannot afford - her plan provides the government funding for this, at a smaller cost than the Iraq War is costing us. Most importantly, she requires these mandates so that healthy people do not opt out leading to a free rider situation (they don't pay until they decide that they need to be covered). Folks, let's keep in mind that Social Security, the most progressive and successful government program in history has mandates - you are required to pay into the system so that you will provide a safety net both for yourself and for others. If you support Social Security, you support Clinton's plan; if you do not like Social Security and feel it is unfair to the rich, then you support Obama's health care plan. Make your choice, but if you support the Obama plan, you need to question whether you are a Democrat. The reality is that Obama's plan will make it so that (1) not everyone is covered and (2) the young and rich can opt out, which in turn will guarantee the program fails. Don't attack Krugman for being partisan when that is the antithesis of what he is doing - he is explaining the economic math.

RSI

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The mailer is deceptive. Krugman did not attack Obama, but Obama attacked Hillary, unfairly.


This is what Hillary said about the mandate. You can find it at http://www.cnn.com/2008/POLITICS/01/31/dem.debate.transcript/index.html


So, if you are satisfied, you're not one of the people who will necessarily, at this time, take advantage of what I'm offering. But if you are uninsured or underinsured, we will open the congressional health plan to you.

And contrary to...

(APPLAUSE)

Contrary to the description that Barack just gave, we actually will make it affordable for everyone, because my plan lowers costs aggressively, which is important for us all; improves quality for everyone, which is essential. And the way it covers all of those who wish to participate in the congressional plan is that it will provide subsidies, and it will also cap premiums, something that is really important, because we want to make sure that it is affordable for all.

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Krugman is a anti-Obama hack.

I'm not sure where his hatred comes from.

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Despicable? Come on now, the mailer is accurate. Clinton's plan does require folks "to get and keep insurance" (from Clinton's campaign we site).

http://www.hillaryclinton.com/feature/healthcareplan/summary.aspx

What the mailer doesn't say is that Clinton's plan contains subsidies and limits on premiums as a percentage of income.

The mailer is pretty tame stuff in the world of campaigning.

Krugman has been obsessed with the "mandate" issue; and previously posted, based upon an email from a friend, that the Obama campaign was running a "Harry and Louise" radio ad, to which he, nor has since, provided no evidence of its actual existence.

The differences in the Clinton and Obama health insurance plans is marginal and I am surprised the Krugman allows himself to get so lathered up over the matter.

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There are certainly distinctions between the Clinton and Obama health care plan. Clinton's plan is more radical, and dare I say a bigger "change" from the status quo, because it ensures that all Americans, even poor Americans, have health insurance. Obama's plan does not cover all Americans. In addition, Obama's program will eventually crash and burn because it won't be fully funded; by allowing the rich to opt out, there will not be enough funding to sustain the Obama program. Clinton's plan involves mandates to ensure that everyone is covered and provides subsidies to those who cannot afford health insurance. It is simply a lie to say that Clinton's plan forces the poor to pay for health insurance they cannot afford - her plan provides the government funding for this, at a smaller cost than the Iraq War is costing us. Most importantly, she requires these mandates so that healthy people do not opt out leading to a free rider situation (they don't pay until they decide that they need to be covered). Folks, let's keep in mind that Social Security, the most progressive and successful government program in history has mandates - you are required to pay into the system so that you will provide a safety net both for yourself and for others. If you support Social Security, you support Clinton's plan; if you do not like Social Security and feel it is unfair to the rich, then you support Obama's health care plan. Make your choice, but if you support the Obama plan, you need to question whether you are a Democrat. The reality is that Obama's plan will make it so that (1) not everyone is covered and (2) the young and rich can opt out, which in turn will guarantee the program fails. Don't attack Krugman for being partisan when that is the antithesis of what he is doing - he is explaining the economic math.

RSI

Krugman is just one of Hillary’s journalistic hitmen. He writes attack pieces against Obama, then Hillary quotes Krugman’s articles as “proof” of the legitimacy of her attacks against Obama.

Second, Obama’s ad isn’t a hit piece. Hillary has been attacking Obama over mandates for a year – through mailers, emails, in speeches, etc – claiming that his plan leaves out “15 million people”. Obama needed to inform voters what “mandates” mean – it means you have no choice.

I read that under her plan family coverage costs about $12K per year. That’s $1,000/mo, when the census bureau estimates that average household income (nationwide) is about $48K/yr (gross). That plan will not be affordable for your average family in middle America, so he’s raising a legitimate point – Hillary will force you to buy her insurance even if you can’t afford it.

Also, ensuring affordability through tax breaks doesn’t help. What that means is that you have to pay out of pocket first, then wait until next year when you hopefully get a refund to offset what you already paid. They need to lower the cost of those upfront premiums (and deductibles) FIRST before insisting on mandates. If you can’t afford the premiums, it isn’t going to help you if you have to wait until NEXT YEAR for a refund.

Obama is right – lower costs first, then consider mandates. Insisting upon mandates before cost-containment and affordability are ensured only ensures the profits of insurance companies. Sounds very republican to me.

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This little Obama mailer will pale in comparison to the relentless bashing Hillary's health insurance "mandate" will get from Republicans this fall.

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1) I am voting for Obama on Tues
2) I have faithfully followed Dr Krugman's column for years and consider myself a fan of his work.

With those two caveats on the table, I think that Krugman's criticism is both 1) fair and 2) irrelevant. If Obama is, as Krugman says, "poisoning the well," he is merely pouring the same stuff in the well which has already been poured in and which will certainly be poured in again in Feb of 2009. He is ceding nothing to the right which the right does not already have in hand. As Clinton's own people never tire of reminding us, if you are not playing to win you should not be in this game, so it is fatuous to protest when Obama seizes the obvious advantage in front of him, even if this advantage is largely the same as the one which will be seized by our common foes in early 2009.

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Unfortunately, it looks like the Clinton campaign forfeited their chance to criticize the mailer on substance once they compared it to Nazism:

"It is as outrageous as having Nazis march through Skokie, Illinois," Nichols said. "I just find it disgusting that this kind of imagery is being used to attack the only way to get to universal coverage."

Not a wise move, especially for someone with a good argument...

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I don't like individual mandates. But I also don't like that Obama chose to pre-emptively give up on universal coverage. How will his plan deal with slackerly young adults who aren't paying attention, think they're immortal, or whatever? Deny them care? Or cover them at a loss to the system?

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Is there a reason why you are leaving out the following quote?

"I am personally outraged at the picture used in this mailing," said Len Nichols of the New America foundation, a leading supporter of mandatory insurance, who called it a "Harry and Louise evocation."

"It is as outrageous as having Nazis march through Skokie, Illinois," Nichols said. "I just find it disgusting that this kind of imagery is being used to attack the only way to get to universal coverage."

Basically they are saying opposing Hillarycare is equivalent to being a Nazi???

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Basically they are saying opposing Hillarycare is equivalent to being a Nazi???

No. They are saying that the use of the "Harry and Louise" imagery is just as deliberately in-your-face incendiary as the planned NSPA march throgh the largely Jewish community of Skokie, with its large number of Holocaust survivors, would have been.

The use of the "Hillarycare" label is not much better.

Once again Krugman shows his faithfulness to the true spirit of the progressive cause.

This mailer is indeed seriously misguided.

For those of you who continue to believe that Sen. Obama is progressive, where are his credentials to show it? We need a truly progressive leader in the White House.

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As an Edwards supporter, I'm going Clinton. I look at Obama and his Reagan-style campaign of "charisma & feel good" instead of talking sound, populist policy, his taking plays out of right-wing playbook (like the new add, or the "Social Security is in Danger!!!11!") and even Bush's campaign (get above partisanship) and simply don't trust him at all.

That is sad, because I used to support him. But he's, more and more, looking like a Reagan-light as he's oozed fake sincerity and toughness from every pore, while capitulating at virtually every turn. All I see is another actor who is willing to sacrifice me and my kind so he can be President.

Not that I think Hillary is perfect. Far from it. But with Hillary I think I have the measure of her and can trust her to do what she says. Or at least try.

With Obama... Sorry, but anyone who's willing to kow-tow to the Republicans, or let uninsured people in need go down the crapper or not knock the damn Republicans (of which I was one at one time) back into being sensible or is more than willing to let a gay-bashing homophobic open his campaign in order to court the Christian vote isn't okay in my book.

As for the Krugman bashing - he (like Glenn Greenwald) hits it on its head, like a hammer to a nail: You're either fighting the Republicans or you're with them. They have no middle ground and thinking there is one is stupid. They will not stop until we live in the gilded age again.

To Billy Glad and others:
>>The mailer is simply despicable

In what way? This is a serious question. Please tell me where/how the informmation it provides is untrue or distorted? (I truly have no opinion since I'm still trying to get it to print so that I can *read* it clearly!)

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Paul Krugman,

Leave Obama alone! He's a human.

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"Obama is right - lower costs first, then consider mandates."

Healthcare economics 101: the principal way to lower healthcare costs is WITH MANDATES!!!!

Universal Health care has to be just that. If you allow opt-outs, that shrinks the pool of people paying into the system which DRIVES UP THE COST PER PAYER.

Krugman has written long and hard about the economics of health care reform. Requiring everyone to have insurance is one of his key points. He's very consistent on this. To accuse him of jouralistic bias on this only exposes one's own bias.

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For all those folks who are against universal healthcare, Obama is your man!!

Hillary's plan reduces costs by eliminating the expenses around treating folks without healthcare coverage. This will benefit everyone.

Obama's attack on Hillary on this aspect of her plan, is at best a misrepresentation and at worst a gift to the Republicans.

from kjoe--still trying to figure out the registering thing:

So how much did Howard Wolfson pay you to omit the fun part:

"I am personally outraged at the picture used in this mailing," said Len Nichols of the New America foundation, a leading supporter of mandatory insurance, who called it a "Harry and Louise evocation."

"It is as outrageous as having Nazis march through Skokie, Illinois," Nichols said. "I just find it disgusting that this kind of imagery is being used to attack the only way to get to universal coverage."

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the Harry & Louise canard is absurd. Hundreds of HMO and traditional plans have used married-couple imagery to make their case in the past 20 years.

The misleading part I see, however, is the bit about paying a penalty if you don't buy in. Obama said just last night that his plan could end up requiring people to pay "back premiums" if they signed up after a period of trying to skate by without it. That's a penalty.

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O.K., I don't remember the "Harry and Louise" thing, so please explain why this mailer is so offensive!

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See sourcewatch.org

It's more than just the ad, it's the whole nasty campaign it invokes.

How can you youngsters be so sure that we baby boomers are "too confrontational" when you have no idea what it was like when the first baby boom president was in office?

slb

so, yay progressives= DLC candidate better?

Y'all want some irony?
"But there's an important difference between the rigor of his work as a professional economist and the looser, sometimes questionable logic of his pronouncements as a public intellectual."
(Krugman, referring to Milton Friedman)

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Greg DeLassus here

Strangely, I can sign in with my new user name (GrzeszDeL) but none of my posts show up when I do.

So, in any case, I just wanted to say that:

1) I am voting for Obama on Tues.
2) I have followed Dr Krugman's column faithfully for years now and love his work.

With those two caveats on the table, I think that Dr Krugman's criticism is both 1) accurate and 2) irrelevant. If Sen Obama is "poisoning the well" as Dr Krugman would have it, then he is poisoning this well with a poison that is already there and which will be added again in gallons come Feb 2009. Sen Obama is ceding nothing to the right which it does not already have in hand, so the complaints here are mostly just frustrated posturing. As Sen Clinton's supporters never tire of reminding us, the one who is not playing to win ought not to be in the game. It is fatuous, then, to grouse that Sen Obama is seizing an advantage in the campaign which presents itself, even if it is the same advantage which our common foes will later seize. Nothing is really lost in the fight for a better health care system by Sen Obama taking this approach.

I echo the comment at 12:20 (including the technical issue...). I've recently come off the fence to support Obama, but stuff like this keeps me uneasy.

I do believe he's progressive; but this mailer (aside from any Harry-and-Louise suggestion) is basically the right wing's oblique argument against universal health care. There's a legitimate political debate that can be had about mandates, but this sure isn't it. Obama doesn't seem to realize that by using this kind of language he's severely limiting President Obama's options, by in effect accepting the implications in various right-wing talking points rather than using his considerable rhetorical skills to blow them open.

I decided to support Obama because I really do believe that this is a moment with "trajectory-changing" potential, and that he's the one who can fulfill that potential. But this kind of thing suggests all that potential could go for naught if he actually wins; and then where will we be? I wish his campaign would get this already; he doesn't have to seem "angry", or even change the message, really, just recognize the point being made here. Clearly they still don't. They could start, in fact, by seeing Krugman's arguments not as criticism but as advice.

rj

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Is thing on a half hour delay or what?

I don't get it either...what is wrong with this ad? I am a Hillary supporter but I just don't see where any thing is false or inflamatory. It doesn't seem to be much different from the 15Million without insurance point, certainly isn't Nazi propaganda.

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Krugman has a vendetta against Obama--he's done half a dozen columns criticizing him. He criticized Obama's stimulus plan--without asserting that it would not work--even while Bush's plan was out there for his comment.

It's interesting to me how sensitive the Clinton people are. They come on tough and nasty, then complain about unfairness when Sen. Clinton is criticized.

As Barack has said, there's a legitimate policy distinction between him and Hillary on this topic. There are arguments on both sides. But Krugman and others do not accept that there is any legitimate position but their own.

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Every time I'm just about to finally decide that I'm ready to support Obama, something disturbing like this comes along. So far in the Ohio primary (March) I still plan on voting for Edwards, campaign or no campaign.

Although let's be honest- both Hillary's and Obama's health care plans are crap. I've never thought that it would pay to rearrange the deck chairs on the Titanic- better to patiently prepare public opinion for the day when the decrepitude of the present "system" becomes so obvious that it opens the way for a single payer plan, because nothing that leaves the current insurance industry intact has a prayer of working.

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So far in the Ohio primary (March) I still plan on voting for Edwards, campaign or no campaign.

I had been planning to do the same in the Virginia primary on the 12th, but then I realized that would mean that I didn't care which of the other two got the nomination, and that I was willing to let someone else decide that for me. And that's not what I want to say. So I'll be casting my vote for Hillary.

I would agree that single payer would be the best of all worlds, but I am not willing to let the perfect be the enemy of the good and continue to let who knows how many more people face bankruptcy and homelessness because the health insurance system in this country is so seriously flawed. Better half a loaf than no bread.

slb

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If Krugman wants to remain relevant, he needs to dial it back a few notches. His increasingly harpy, hectoring tone is making him sound more and more like Milton Friedman in his decline. Friedman ended up a sidelined, utterly irrelevant crank, and he had won the Nobel Prize in Economics. Krugman never reached that height, so he's got a much shorter fall to consider.

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"It is as outrageous as having Nazis march through Skokie, Illinois," Nichols said. "I just find it disgusting that this kind of imagery is being used to attack the only way to get to universal coverage."

hmmm- if I recall correctly- The ACLU supported the rights of the the Nazis to march in Skokie-- best be careful about such an argument-- the ACLU supports all speech- even speech they find abhorrent...

I find it abhorrent when people trot out the Nazis when discussing policy and tactical issues. Let us not equate an argument we do not like with a party devoted to genocide. Tone it down.

Furthermore- I do think that one can be opposed on principle to mandates without being anti-progressive. You can support universal coverage and indeed, single payer systems without using mandates. I believe Obama opposes mandates and that it is a legitimate argument to engage- I don't think opposing mandates is a right wing talking point. It is a policy difference. Let's agree to be grown ups!

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Krugman the spinner.

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I see by the thrust here that Krugman better get under his desk because Obama's admirers have gathered to proclaim that either (1) Krugman is malicious; (2) he's ignorant; (3) he's working for Clinton; (4) he (deliberately) misinterpreted the ad; or (5) even if, by remote chance, he's right, he's not =really= right.

Doesn't Krugman understand that when he attacks Obama, no matter what evidence he offers, something about the attack is fishy? And doeosn't he understand that when Obama's admirers retaliate, they are simply (and justly, and nobly) setting the record straight?

Doesn't Krugman grasp that he's in the position of a Soviet politician during the Cold War? If a Soviet pol said, there's racism in the US, there's poverty in the US, there's class warfare in the US, even when the charge was true, it was no longer true because a Soviet pol had made it. So with Obama, even if something negative about him is true, it's no longer true because Krugman--a known skeptic (i.e., a Soviet pol)--has said so.

Ah, well, maybe Krugman didn't get the memo.

Greg: cover this as well! 80 medical professionals disagree with Krugman on importance of individual mandates!

http://www.huffingtonpost.com/harold-pollack/universal-coverage-and-t_b_84386.html

I and more than 80 other physicians, public health and medical practitioners, and social policy experts have signed the below letter. It notes the importance of health reform, and it notes why the issue of "individual mandates" has taken on undue importance in the health policy and presidential debate.

I am very proud to be in this group. I think the letter speaks for itself.

The leading Democratic and Republican candidates for president have proposed major changes to our health care system. These proposals are worthy of serious consideration. Rising medical costs threaten our country's long-term fiscal stability. And our failure to provide health insurance to 47 million Americans is cause for shame.

As this year's competitive primary election season builds to a climax, arguments within each party are bound to become heated. As candidates seek a competitive edge, it is natural to magnify small differences. But if the political debate over health reform is to inform Americans about the choices we face, it should be grounded on facts.

The remarkably similar health plans proposed by Senators Clinton and Obama have the potential to reduce the number of uninsured Americans (citizens, permanent residents, and others lawfully present in the U.S.) to two percent or less of the population. Achieving this goal would require full implementation of these plans' subsidies and insurance market reforms, plus robust outreach efforts to get everyone to sign up for coverage.

The necessary outreach will not be easy, and it will be fruitless unless health insurance is made affordable and accessible to all. Some believe that an individual mandate to buy health insurance should be part of this effort; others hold that a mandate would be paternalistic or too onerous for families at the margins of affordability. Regardless of our feelings on this issue, what is clear from the evidence is that mandates alone, without strong incentives to comply and harsh punishments for violation, will have little impact on the number of uninsured Americans.1 Indeed, as the Massachusetts experience illustrates, non-compliance with mandates is a large problem, absent harsh sanctions. There is simply no factual basis for the assertion that an individual mandate, by itself, would result in coverage for 15 million more Americans than would robust efforts to make health care more affordable and accessible.

The inaccurate claim that an individual mandate alone would reduce the ranks of the uninsured by 15 million draws attention away from the challenges we must surmount to make good medical care available to all. These challenges include adequate public subsidies, insurance market reform, outreach to people at the margins of American life, and long-term control of medical costs. Individual mandates may have a role in health care reform, but there is risk of a specious "Mission Accomplished" moment. It is a time for rolling up our sleeves and addressing the hard work required to get everyone care. The central challenge is to make health insurance affordable and accessible, and to reach out to all Americans to help them obtain coverage. Voters should insist that candidates for president address these very real issues.

1 S.A. Glied, J. Hartz, and G. Giorgi, "Consider It Done? The Likely Efficacy Of Mandates For Health Insurance," Health Affairs 26 (2007): 1612-1621.

Tried to register... would not take my username and password.

The question I have is this...

Everyone seems to agree that even under mandated health care (just like mandated Auto Insurance) there will be those that will not participate in the program; however, I have never heard the number that will not participate. Nationwide how far is that number from the 15 million everyone seems to feel will not participate under Senator Obama's plan? What is the actual number of drivers that opts out of car insurance?

Next, It has always amazed me who Senator Clinton's campaign always finds some ominous attack on her or her ideas from honest discussion of the issues and then attacks her opponent for the attack they dreamed up. Who brought up Harry and Louise? It was not a supporter of Senator Obama. Yes Harry and Louise were male and female; yes Harry and Louise did discuss health care in 1993 (?) but so were Bill and Hillary male and female and so did Bill and Hillary discuss health care in 1993. All this talk about right wing talking points seems to be continuously brought up by those claiming to be progressive or liberal. As a lifelong liberal in a very very conservative community I would like to say to my progressive / liberal friends - get a life, talk policy issues!

Denis

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"It is as outrageous as having Nazis march through Skokie, Illinois," Nichols said.

Wow, talk about your loss of perspective.

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What is wrong with the ad is that he is using right wing framing to attack a progressive policy position. The same type of tactic is likely to be used against either candidate in the general.

Here are the 3 key paragraphs:

The remarkably similar health plans proposed by Senators Clinton and Obama have the potential to reduce the number of uninsured Americans (citizens, permanent residents, and others lawfully present in the U.S.) to two percent or less of the population. Achieving this goal would require full implementation of these plans' subsidies and insurance market reforms, plus robust outreach efforts to get everyone to sign up for coverage.

The necessary outreach will not be easy, and it will be fruitless unless health insurance is made affordable and accessible to all. Some believe that an individual mandate to buy health insurance should be part of this effort; others hold that a mandate would be paternalistic or too onerous for families at the margins of affordability. Regardless of our feelings on this issue, what is clear from the evidence is that mandates alone, without strong incentives to comply and harsh punishments for violation, will have little impact on the number of uninsured Americans.1 Indeed, as the Massachusetts experience illustrates, non-compliance with mandates is a large problem, absent harsh sanctions. There is simply no factual basis for the assertion that an individual mandate, by itself, would result in coverage for 15 million more Americans than would robust efforts to make health care more affordable and accessible.

The inaccurate claim that an individual mandate alone would reduce the ranks of the uninsured by 15 million draws attention away from the challenges we must surmount to make good medical care available to all. These challenges include adequate public subsidies, insurance market reform, outreach to people at the margins of American life, and long-term control of medical costs. Individual mandates may have a role in health care reform, but there is risk of a specious "Mission Accomplished" moment. It is a time for rolling up our sleeves and addressing the hard work required to get everyone care. The central challenge is to make health insurance affordable and accessible, and to reach out to all Americans to help them obtain coverage. Voters should insist that candidates for president address these very real issues.

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I believe I remember reading that one problem with the Massachusetts mandate is that the subsidies are not adequate to cover the cost of insurance for those who are unable to afford it.

I would agree that a mandate by itself is not sufficient to make the plan work, that they are only one component in a set that have to work in tandem with one another. Adequate subsidies and effective cost containment, as the paragraphs you quote indicate, are also critical factors.

I think Obama is wrong to take mandates off the table, and I have to wonder if part of his purpose in doing that is to "pander" (to borrow a phrase another commenter used regarding Krugman) to the younger crowd that is an important part of his demographic. He may be correct that mandates won't fly politically in the long run, but I think it is a strategic mistake to pre-emptively rule them out, just as it was a strategic mistake for Nancy Pelosi to pre-emptively rule out impeachment in 2006.

By the way, on the login problem: try going through the password reset process that I described upthread.

To compare to the Harry and Louise ad:

http://www.youtube.com/watch?v=Dt31nhleeCg

I think it's pretty straightforward. They're even sitting at a similar kitchen table.

Anyway, I think the point maybe Obama is missing that became more clear to me last night is that the mandate may be an issue to bargain with. Hillary warned that you have to go in with the strongest plan because you'll get "nibbled" to the point where you have an ineffective plan otherwise. So, I think she's being the smarter politician here again by having a negotiation point come the implementation of the plan.

Well, if you're going to discuss it, at least get the facts correct. From Hillary's site:

http://www.hillaryclinton.com/feature/healthcareplan/

1. If you have a plan you like, you keep it. If you want to change plans or aren't currently covered, you can choose from dozens of the same plans available to members of Congress, or you can opt into a public plan option like Medicare. And working families will get tax credits to help pay their premiums.


2. Small businesses are the engine of new job growth in the U.S. economy but face bigger challenges when it comes to providing health care for their employees. Hillary would give tax credits to small businesses that provide health care to their workers to help defray their coverage costs. This will make small businesses more competitive and help create good jobs with health benefits that will stay here in the US.


3. Insurance companies won't be able to deny you coverage or drop you because their computer model says you're not worth it. They will have to offer and renew coverage to anyone who applies and pays their premium. And like other things that you buy, they will have to compete for your business based on quality and price. Families will have the security of knowing that if they become ill or lose their jobs, they won't lose their coverage.

I LIKE this approach, personally. The 'mandate' is to ensure that everyone HAS healthcare. I see nothing wrong with that. And if you can't afford one of many plans, you will be allowed to participate in Medicare temporarily (or permanently, as the case may be). Clearly, Obama's ad is false and shamefully misleading, and Hillary's plan is far more extensive. Oh, but all you Obama "progressives" out there won't see that, will you.

Do you want to pay for people who decide to do other things with their money instead of paying for their health plan? the amount would be commensurate with their income according to Hillary's plan...and then when they get sick..you will become responsible for their healthcare..do you think they should be allowed to buy healthcare then?..why will they all of a sudden find the money to pay ??...which plan would you prefer now?...Obama has not worked out the kinks in his plan and he is misrepresenting Hillary's plan. Obama's plan is fantasy and he is at it again......

This is what gets the Clintons upset? This mailer is very mild and very reasonable. I was formerly a fan of Bill and Hillary. But their shrill Chicken Little screeching about anyone who disagrees with them has worn thin. I don't want to listen to this type of nonsense for the next 4 years. It's time for the Clintons to take their Fleetwood Mac albums and retire to a nice condo in Boca Raton, where they can run for the homeowner's committee.
2040Worldview
http://2040worldview.blogspot.com/

To those who didn't click through to Krugman, here's his post in its entirety (blog, not column):

"The Obama campaign sends out an ugly mailer. Sorry, but this is just destructive — like the Obama plan, the Clinton plan offers subsidies to lower-income families. And BO himself has conceded that he might have to penalize people who don’t buy insurance until they need care. So this is just poisoning the well for health care reform. The politics of hope, indeed."

And Obama's also acknowledged that ultimately mandates might be unavoidable if we're to get to universal coverage. Krugman simply points out, again, that this short-sighted reinforcement of Republican points will come back to bite any Democrat and thwart any attempt to implement truly system-changing reforms.

I've decided to support Obama because I believe he's got the best chance to get an indisputable mandate for change; but if his campaign doesn't start seriously considering Krugman's critique (in his own way, with hope and not anger), then I don't see how anything of substance will actually change.

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One problem I have with Obama's approach is that I think it will be much harder to put mandates in after the fact if it turns out they are needed to help keep premiums down than it would be to remove them if they turn out to be unworkable.

[2:06 comment was from me, rj]

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This ad makes an important point, which is that the Republicans will never allow Hillary's health care bill to become law. In the first place, it's probably illegal. You can't, as a requirement for living in America, force private citizens to pay money to private, for-profit insurance corporations. The Republicans will block this in Congress, they will challenge it in the courts and we'll still be arguing about it 20 years from now.

Barack Obama is leaving out the mandate because he knows that for a universal health care bill to become law, it's going to require broad bipartisan support. No bill that mandates cover will EVER be supported by a single Republican.

If Hillary gets the nomination, this will be the wedge issue the Republicans use to defeat her. They'll tell their base: "If Hillary is elected, you'll be forced to pay thousands of dollars to big insurance companies. And if you refuse, they'll fine you or garnish your wages." By the time the Republicans are finished with it, every Republican in the country will be calling Hillary's plan "Forced Socialized Medicine".

Obama does us all a favor by pre-screening the problems with Hillary's bill. Democrats love it. But that isn't going to be nearly enough support to make it into law.

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Um, if I had a dollar for every campaign tv ad or mailer where a couple was sitting at a table going over bills while talking about a policy I would have enough money to fund a Al Gore candidacy to victory this November... Sorry guys, your reaching...

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The 'mandate' is to ensure that everyone HAS healthcare. I see nothing wrong with that. And if you can't afford one of many plans, you will be allowed to participate in Medicare temporarily (or permanently, as the case may be)

OK, but:

1. Who decides whether you can afford it. They're going to have to draw some line for needs test, probably income based, but if you have an income that is just over their line, but have a number of debts, you may look at that and say I don't qualify for assistance, but I can't really afford their plan. So, how exactly are those people helped by being forced to buy something they don't think they can afford?

2. If you decide you don't want insurance, why should you be forced to buy it. Mandatory auto insurance makes sense because of the potential to damage somebody else, but you aren't forced to carry coverage for your own vehicle. With health insurance if you take a risk and lose, you're only hurting yourself.

I understand the argument that there are people who didn't pay who will go in for care anyway and try to game the system. I'm sure some people will do that, but I'm also sure there are many ways that can be addresed. Obama mentioned possibly forcing those people to pay back premiums that they skipped out on. There are probably other consequences that I'd prefer, but the point is if I don't want to buy Clinton's insurance for whatever reason, I don't want to be forced to.

Let's focus on making health care universally available and affordable. Let's focus on helping the people who want and desperately need help. Let's avoid forcing our help onto people who don't want the help and in fact may actively resist our help, and as a consequence resit our efforts to bring help to people that genuinely need and want it.

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I have tried again and again to post a comment on this thread, and I just cannot seemingly do it. I guess we will see whether this one goes up or not. Two points:

1) I do not think that "the mandate may be an issue to bargain with." This idea begins from the presumption that negotiations in committee will work something like a buyer and seller haggling in a bazaar. That is a misbegotten assumption. The Rresident is not "selling" anything to the Congress and the Congress is not "buying" anything from the President. Rather, both the Congress and the President are trying to "sell" something to the electorate, and each must finally settle on the plan which the electorate will reward most or punish least. If Obama is able to communicate effectively with the voters in a Republican congressman's district then he will win that congressman's vote, quite regardless of whether Obama's proposals are farther from or nearer to something that the Congressman himself prefers. As such, unless you mean to say that Clinton can propose a mandate at first, and then win over a bunch of voters by taking it away, it really has no power as a bargaining chip. For what it is worth, I find that idea thoroughly unconvincing - Clinton will be regarded quite skeptically by the voting public on this issue because of her previous failure, so any sign of weakness on her part (such as giving up the mandate) will be seized on in the media narrative as evidence of her "inability" to accomplish anything on this issue.

2) There is no "well" to "poison" here, at least none that has not already been poisoned. Obama is not ceding anything to the right that they do not already have in hand here, so it is fatuous to complain that he is setting the cause back.

"Obama has not worked out the kinks in his plan and he is misrepresenting Hillary's plan. Obama's plan is fantasy and he is at it again...."

Where do people come up with these ideas? It is fair to challenge differences in the plan but to just blow off some "talking point" without any fact supported data is really questionable.

The question asked of Senator Clinton last night, and never answered, is what do you do with those not participating in your mandated program? If you have no plan as to how you deal with the non-participants it is not unlike going to Iraq with no exit strategy!

Definition of mandate:
Main Entry: 1man·date
Pronunciation: \ˈman-ˌdāt\
Function: noun

1: an authoritative command; especially : a formal order from a superior court or official to an inferior one

"Obama has not worked out the kinks in his plan and he is misrepresenting Hillary's plan. Obama's plan is fantasy and he is at it again...."

Where do people come up with these ideas? It is fair to challenge differences in the plan but to just blow off some "talking point" without any fact supported data is really questionable.

The question asked of Senator Clinton last night, and never answered, is what do you do with those not participating in your mandated program? If you have no plan as to how you deal with the non-participants it is not unlike going to Iraq with no exit strategy!

Definition of mandate:
Main Entry: 1man·date
Pronunciation: \ˈman-ˌdāt\
Function: noun

1: an authoritative command; especially : a formal order from a superior court or official to an inferior one

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Ambinder has the results of a study up saying that the ONLY presidential candidate that has not put up a negative ad is Obama. The only one. This mailing piece is hard-hitting, but it's not a lie the way HRC's shameless mailing pieces about Obama's pro-choice record in NH was.

And wasn't Carville saying something last week about not whining? Right - stop whining and start convincing people that forcing people to buy health insurance is a good idea.

I also have to say -- yet another HRC supporter went way over the line into farce by comparing this mailing piece to Nazis marching in Skokie. Why do so many of his supporters refuse to engage in acceptable political discourse. Good for Wolfson for disowning the comment at the end of the call, and shame on Sargent for, once again, giving Team Clinton cover.


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What in the Sam Hill is wrong with you people? I'm a HRC supporter and see nothing wrong with this ad.

Stop the unnecessary drama PLEASE!!!

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That's just silly. If he was a Republican, he'd be FOR Hillary since she is a closeted neoncon herself.

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Enough of the histrionics. Both plans will be DOA in congress once the lobbyists and special interests start playing. That's at least one thing Hillary's celebrated experience has taught. Rallying the grass roots and co-opting the opposition are the only way to get any plan through. Now who has a better chance of doing that?

As an aside to the experience question, how does over a decade as a corporate attorney qualify as government experience? And first lady? By that line of thinking we should be lining up to vote for Laura Bush.

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The Edwards framework, which Hillary has adopted, is brilliant and it will work. The mandate cannot be a bargaining chip. It's necessary, just as competition between Medicare and private plans, a requirement that anyone who applies must be accepted by any insurer, and subsidies (not just tax credits) for those who can't afford to pay. Without these four elements we are back in 1993. Obama has already given up mandates and there is no amount of negotiating that could bring them back.

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Hillcare2.0: Healthy people have a moral responsibility to provide tens of millions of dollars to healthcare CEOs, even if they never get sick!

Poor people without health problems have a moral responsibility to subsidize obese millionaires (like Mark Penn) with clogged arteries and gout by decreasing the average risk, and thus lowering premiums.

Because the only tax better then a regressive tax is one that lets corporate CEOs skim 30% off the top.

Obama's plan will give health care coverage to those who need and want it. Hillary's plan will force people who don't need it to subsidize everyone else, despite the fact they may earn less money then most people on average.

I'm all for single pay universal healthcare, but this mandate stuff is just ridiculous.

and Krugman is off his meds.

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Apparently all white people look like Harry and Louise to mandate fetishts. I see a stock photo of people showing concern over their finances. Since polls show that people oppose health care mandates (I assume for the reasons Obama highlights in the mailer) I'm not sure how this is a cynical attack so much as Clinton supporter paranoia.

Here are some stock photos of couples discussing their finances....

http://www.comstock.com/web/search/loupe.asp?Image=PR78604.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=C0013313.jpg&Type=TS&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=C0016430.jpg&Type=TS&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=PR96166.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=PR26611.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

...or if you're paranoid, "OMFG!!!! A white couple!!! It's a Harry & Louise reference!!!! Seeing a plaid shirt on a white guy is a dead giveaway!!! Obama's waving the bloody plaid!!! Right wing framing!!!! ARrrrRGGGgHHH!!!"

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Apparently all white people look like Harry and Louise to mandate fetishts. I see a stock photo of people showing concern over their finances. Since polls show that people oppose health care mandates (I assume for the reasons Obama highlights in the mailer) I'm not sure how this is a cynical attack so much as Clinton supporter paranoia.

Here are some stock photos of couples discussing their finances....

http://www.comstock.com/web/search/loupe.asp?Image=PR78604.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=C0013313.jpg&Type=TS&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=C0016430.jpg&Type=TS&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=PR96166.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

http://www.comstock.com/web/search/loupe.asp?Image=PR26611.jpg&Type=PR&CatID=&LightboxID=&NoPopUP=T

...or if you're paranoid, "OMFG!!!! A white couple!!! It's a Harry & Louise reference!!!! Seeing a plaid shirt on a white guy is a dead giveaway!!! Obama's waving the bloody plaid!!! Right wing framing!!!! ARrrrRGGGgHHH!!!"

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You can't have it both ways. You can't complain that Obama isn't tough enough to face the GOP in the general and then get upset when his campaign throws some punches.

Sort of like talking point that he wasn't black enough to attract African American voters until the SC primary and then all of a sudden he is the Jesse Jackson candidate.

I've long ince concluded that Barack Obama's entire campaign is based upon a cynical premise that voters can't or won't discern the difference between inspiring oratory and blatant demagoguery.

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Neither Hillary's RomneyCare nor Obama's RomneyCare Lite will have practically any effect on the cost of healthcare delivery. Massachusetts is proving that as we speak. I can't believe people obsess over this. I prefer Obama's plan because it's slightly less of a stupid thing, or one less step down a stupid path.

If Krugman is such a lion of the left, and is so outraged by the rightwinginess of this meaningless distinction--again, cf. Mass.--, why didn't he have an aneurism when HRC sent out that mailer deriding Bama's lifting the payroll tax ceiling as a "trillion dollar tax increase on the middle class." That was true right wing garbage that actually meant something. I'm not listening to a word the man says until he addresses that.

-Bupalos
(Another user that can't login or create a new account. You guys need to address this.)

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This "Harry and Louise" complaint is ridiculous. When the GOP brought out that campaign in the 90's, it seriously misrepresented the truth about Hillary's health care plan.

Obama's ad, on the other hand, is dead-on accurate. Whether you're for it or against it, there's no question that a mandate forces people to get insurance, and is useless without enforcement and penalties.

Pointing that out is neither outrageous nor misleading, and if having a man, a woman, and a kitchen table on the front of a mailer is now verboten, we're all in real trouble.

And just as a side point... aren't some of those who are claiming this to be a right-wing tactic the same ones that were defending Bill Clinton's misrepresentation of Obama's record, saying "the Republicans will do it, so he'd better get used to it"?

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For those of you saying that it is just a picture of a man and a woman, not intended to be similar to "Harry and Louise," take a look at Ezra Klein's blog where he has a picture of both up side by side, or watch the original ad on YouTube. Here are just some of the similarities:

man is on the left, woman on the right
they are in a kitchen at a table
kitchen table looks the same
what you can see of the chairs looks the same
the men are both wearing plaid button up shirts
the women have the same color hair
the women are wearing the same earrings
they are leafing through papers, mostly white papers with some yellow papers thrown in.
the women have the same tight-lipped "how will we balance the checkbook now" expression

I like Obama. I want him to be the Democratic nominee because I think Clinton is generally more centrist(I voted for Edwards in Iowa). But to me this is a completely obvious attempt to mimic "Harry and Louise" which in a Democratic primary is flabbergasting. I cannot fathom what the point of this is. Surely you can argue against Clinton's plan without recycling Harry and Louise and without using right-wing talking points that will just reinforce the Republican view of all health care plans.

So why is "Harry and Louise" such a dirty attack? It is -the- symbol of the absolutely massive campaign that health insurance used to defeat the Clinton's health care plan. The campaign was designed to misinform the public, making people think that the evil government was going to take away their health care and make the country go bankrupt at the same time.

Here are some of the lines from the original ad:

"this was covered under our old plan!"
"things are changing and not all for the better. the government may force us to pick from a few health care plans designed by government bureaucrats"
"having choices we don't like is no choice at all"
"they choose, we lose"
"if we let the government choose, we lose"

When was the last time you saw a *Democrat* try to evoke an ad crying about "government bureaucrats" who are going to "force us" to do things we don't like?

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I've long since concluded that Barack Obama's entire campaign is based upon a cynical premise that voters can't or won't discern the difference between inspiring oratory and blatant demagoguery

Yup. A game of "smoke and mirrors" that has the press eating out of Obama's palm...

He thinks that everyone is "dope-head" who cannot discern the difference between "hot air" and substance, and considering how many have fallen for it, he might be right. "Audacity of Dope"...

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I've long since concluded that Barack Obama's entire campaign is based upon a cynical premise that voters can't or won't discern the difference between inspiring oratory and blatant demagoguery

Yup. A game of "smoke and mirrors" that has the press eating out of Obama's palm...

He thinks that everyone is "dope-head" who cannot discern the difference between "hot air" and substance, and considering how many have fallen for it, he might be right. "Audacity of Dope"...

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This discussion is fascinating .... but there is still that unanswered question: how do you *enforce* the mandate under Sen. Clinton's plan? What do you do under her plan when someone shows up at the ER and doesn't have insurance? It's going to happen -- is already happening in Mass. Sen. Obama has already said what happens under his, and it makes sense: the person will lose a lot more (fees, back premiums) than if they'd gotten coverage in the first place. I have young adults in my family, and *that's* what finally convinced them that medical ins. mattered.

Could it possibly be that Sen. Obama's plan may be the more realistic and flexible? Implement his plan as proposed (which will certainly be easier to get through Congress than a mandate) -- concentrate on the provision aspects, reducing cots, etc. while seeing, based on real life facts, how big the 'lack of coverage' problem is -- and then IF that is a significant problem, and if the rest of the system is working well and has been accepted, acknowledge that mandates are needed and make that change. "Look, Republicans, you've already bought into health care, we have it it's working well, and it will work even better with this one change that we *now* know is necessary." That, frankly, is the way I would approach it - incrementally and saving the big fights/tough issues until you know whether they are really going to be a problem.

The difficulty with a mandated system, as I see it, is that you have to do both parts immediately and well: setting up coverage, reducing costs, and getting all the other changes into place AND work on carrying out the difficult task of enforcement. (Without knowing for a certainty that the mandate is actually needed.) In addition, insisting on a mandate could prevent anything from being passed. As someone pointed out, you can always 'back off' that part if necessary, but you've then had a lot of fighting and wasted effort .... just to get to where you would start with Sen. Obama's plan!

I think these differences give a good illustration of their different approaches: Clinton's is the more old-fashioned 'let's fight it out with the enemy and compromise if we have to' while Obama's is a different kind of "building up" of something new, learning and gathering information (and therefore educating everyone - 'the enemy' and the people) as you go along.

I prefer his approach --- and on this particular issue I just think it's a lot more workable and more likely to succeed.

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subtly playing on "Harry and Louise" imagery

There is nothing subtle about it. Look here:
http://www.prospect.org/csnc/blogs/ezraklein_archive?month=02&year=2008&base_name=health_care_debate_mandates_as

It is disgusting. He is directly emulating the insurance industry that sank the last effort to join the rest of the industrialized world. The truth can only be that Obama doesn't care if you get health care. He only wants to win and will do anything. Yuck.

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If you're an Obama supporter and you don't appreciate just how stupid it is to buy into Republican frames on healthcare, then you need an education.

At least Ezra Klein's place has Obama supporters who are rightly depressed by this kind of demagoguery. Not least because it will bite Obama on the ass, should he win the nomination.

The mandate is based upon sound principles: avoid adverse selection, establish the widest-possible pool to reduce costs and premiums.

"They need to lower the cost of those upfront premiums (and deductibles) FIRST before insisting on mandates."

How low? $1? A penny? A commenter at Ezra Klein's made the point that Obama could present it very differently: 'we'll take 8% out of your check and you'll never worry about health insurance again.' He could make his argument less divisive. But he's not doing that.

Obama's plan has penalties for those who try and free-ride the system for as long as possible. But it also implicitly privileges free-riders, and in doing so, gives up on the principle of universality -- the idea that we're all in it together.

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Obama's plan will address and bring pressure upon the profitmaking health care corporate interests who have and are still running up the cost of health care, as a step toward affordable care for all citizens.
Hillary's plan will address and bring pressure upon the uninsured to force them to pay premiums in the existing system, while 'working on' those high costs generated by profit motivated health care interests.
Question: How much extra power and windfall profit will the insurance agencies and profiteering medical service companies be looking to wield in the interim period of Hillary's plan before she can bring costs down, if ever?
I ask this question as someone who simply distrusts Hillary Clinton to not triangulate this issue in order to please profiteers while promising the moon to the uninsured.
The devil IS in the details.......why won't she answer to what penalties will be placed on those who fall through the cracks, say persons who eke out a living, but have incomes so low as to not pay taxes, and therefore cannot benefit from tax credits? With other government assistance, sometimes one cannot get help without first using up their own assets, like a modest home they paid for over a lifetime....

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Krugman isn't a Clinton surrogate, he was for Edwards. of course his attacks on Obama help Clinton now that Edwards isn't in the race, but his attacks on Obama are more a matter of his own ego than any real bias FOR a candidate. Obama's campaign challenged his pulpit by criticizing the points made in one of his political articles and represents a movement past the partisan broadsides Krugman has been delivering for years.

in other words; to Krugman, Obama is a threat. not to progressive causes, but to Paul Krugman's preferred style of politics.

Tried to register, didn't work.

What you young people may not realize is that Obama is using the same arguments that the republicans have always used to oppose every democratic advance, Social Security, Medicare, etc. "But you're are makeing it mandatory. Give the people a choice." BS like that. No government run program will work unless it is universal. Imagine voluntary taxes.

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Great, first Obama picks Republican ideas and Reagan over his own party and Clinton's successful two-term presidency. Then, he uses Republican-inspired propaganda to argue that Clinton is unelectable and devisive. Now, to add insult to the Democratic party he retrieves Republican propaganda about health care to bolster his candidacy. This is pathetic and an embarrassment that we have a candidate so devoid of ideas and experience that he must rely upon Republicans for what little substance he has. On top of this, it appears that many commenters are too young to realize that all Obama is doing is simply parroting Republican propaganda.

Great, first Obama picks Republican ideas and Reagan over his own party and Clinton's successful two-term presidency. Then, he uses Republican-inspired propaganda to argue that Clinton is unelectable and devisive. Now, to add insult to the Democratic party he retrieves Republican propaganda about health care to bolster his candidacy. This is pathetic and an embarrassment that we have a candidate so devoid of ideas and experience that he must rely upon Republicans for what little substance he has. On top of this, it appears that many commenters are too young to realize that all Obama is doing is simply parroting Republican propaganda.

(My post)
Great, first Obama picks Republican ideas and Reagan over his own party and Clinton's successful two-term presidency. Then, he uses Republican-inspired propaganda to argue that Clinton is unelectable and devisive. Now, to add insult to the Democratic party he retrieves Republican propaganda about health care to bolster his candidacy. This is pathetic and an embarrassment that we have a candidate so devoid of ideas and experience that he must rely upon Republicans for what little substance he has. On top of this, it appears that many commenters are too young to realize that all Obama is doing is simply parroting Republican propaganda.

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didn't hillary send mailers in New Hampshire that Obama wasn't pro choice?

"man is on the left, woman on the right
they are in a kitchen at a table
kitchen table looks the same
what you can see of the chairs looks the same
the men are both wearing plaid button up shirts
the women have the same color hair
the women are wearing the same earrings
they are leafing through papers, mostly white papers with some yellow papers thrown in.
the women have the same tight-lipped "how will we balance the checkbook now" expression"

Can I play?

Then: A darkly lit kitchen
Now: A brightly lit kitchen

Then: She wore a green button-down shirt
Now: A light blue pullover sweater

Then: He wore blue wide-pattern plaid
Now: He wears brown tight-pattern plaid

Then: They had a table cloth
Now: The table is bare wood

Then: He wore glasses
Now: No glasses to be seen

Then: they owned a potted violet
Now: No plants on the table

Then: Her hair was parted a little to the side & feathered
Now: Middle part and straight

I hope this in depth analysis helps you. If you want to go over any other minor trivia (I bet both are on planet Earth), let me know.

MoveOn.org also supported Howard Dean....see where that got him.

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Hillary sent totally false and misleading mailers in NH (and Iowa and Nev) about Obama's stand on Soc Sec and pro-choice. They are in the TPM archives around the date of the NH primary. They were unconscionable! So bad, that they were what changed me from a potential Clinton supporter to Obama. ---- And that's why I asked, up above, what this flyer said that was wrong or misleading. So far no one has answered that directly (if so, I'm sorry - I missed it). It seems that people don't like Clinton's plan being attacked, but not that he's saying anything untrue about it. (Again, please correct me if I missed something.)

I do, however, understand the upset about the "Harry and Louise" imagry ... and I share that! Granted, there aren't a LOT of settings one would use to show people worrying over bills ... but it is too close, I think, to be coincidental. Has anyone directly asked the Obama campaign why they chose to use such a 'loaded' image? I agree it goes against the kind of campaign he says he wants to run, and I would be very interested in hearing his response. I'm disappointed - and it seems so unnecessary.

But so far as I can tell, the actual content of the message is something that folks disagree with but it's not something they feel is misleading. Is that correct?

I am a long time Edwards supporter that was going to vote for Obama on Tuesday until I saw this. It is an outright lie..."even if you can't afford it"...is not true. All the plans have means to help those of limited means get coverage. The mandate is largely designed to prevent largely healthy, largely young people from not paying into the pool.

This just plays into the hands of the insurance companies. He is trying to create the wrong impression of what will be the most significant government reform since Social Security. Universal Health Care.

I am SO sick of all this OB adoration 'excuse ANYTHING he says..bash Hillary' crap goin on in the left community.
Come'on people we are in the fight of our lives here! and Hillary will lead us into sanity and proper decorum. OB can be VP or get a little more traning in the reeel world of politics and life and check back in later. He is impressive ...just not as ready and eager and capable to lead us as our girl.

HD is chairman as the DNC and they will retake the whole damn country real soon now.. thats pretty damn good...thats where it 'got him'.

helooo?
excellent.

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Hilary never read the NIE and this flyer is nothing compared to the lie that Barck Obama is not pro choice

Hillary Care has zero chance of passing. Tell me where you get the 60 votes in the Senate to pass it.
Truth is I doubt they can get even 40 Democrats to support Hillary Care. No Red State or Blue dog Democrat will want to be seen voting for Hillary care

Ohfercryinoutloud.

ACTUAL similarities: There's a man and a woman. The guy is on the left. The woman is on the right. End of similarities.

Hair color, dress and hairstyles are NOT the same, the table is NOT similar, the piles of paper are NOT similar, new woman has a calculator, old woman did not, lighting and color balance are totally different.

Issues: Edwards', Clinton's and Obama's plan were all developed by the SAME GUY, with minor tailoring to suit the campaignts.

Main diff is mandates vs no mandates. Otherwise, no one who wants treatement/coverage under ANY of them will go without.

Theory aside, history tells us mandates always raise costs. Always. THEORETICALLY, risk-sharing reduces costs. In actuality, the ins co's use the gun which it held to buyers' heads to take unfair advantage. Competition only exists in the absence of a mandate. You wanna see costs driven by competition? Lose the mandate.

MAN. People are dense.

It's interesting that when the Clintons attack Obama for bullshit (like things he never said about Ronald Reagan) people are all like "well, it's good people attack him now, because he'll get it when we get the general election anyway, better now than later." But here, Obama is making an attack on Clinton's health care plan that it's not just possible that the Republicans will use in the GE, but they have used it before to devastating effect. Essentially, this ad points out that Hillary's new health care plan is susceptible to the exact same attack that destroyed Hillarycare in the 90's, and there's every reason to believe it would work again. As opposed to the spurious crap the Clintons hurled at Obama, isn't this the sort of thing that you would want exposed prior to the GE? But here, everyone is crying FOUL, FOUL, FOUL. What exactly is the game here?


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Simple guest at 7:16, the game is vote for the clintons to put them back in the white house. Do whatever it takes. Ignore the facts and smear any opposition. It really is simple. Don't you understand? You better get with the program.

Using an individual mandate is a fatally flawed approach. Forcing people to buy individual policy insurance in a private, profit-driven insurance market, within the larger dysfunctional health care system IS A TERRIBLE IDEA AND WILL NOT WORK.

I am a nurse and health reform activist in Massachusetts and have in my possession reams of state documents that reveal how badly the plan is going here in Massachusetts. Yes, 250k new people have insurance under our law but they have FULLY SUBSIDIZED or heavily subsidized coverage. Only 4.14% of the newly insured after this law was implemented have purchased insurance paying the entire cost themselves.

Most of the uninsured in Mass. CANNOT AFFORD the insurance and are being threatened and intimidated by the state to buy these expensive crappy products. The "more affordable" policies have high deductables and big co-pays, and some have 20-30% "co-insurance" meaning after you pay the $2,000-$4,000 deductible you still have to pay 20%-30% of any bills!!

The state will be taking money from hundreds of thousands of people thru the state dept. of revenue simply because they cannot afford to comply with the mandate and they are not eligible for a waiver.

Thank god Obama gets it.

p.s. you can email me for more details if you want at ann@defendhealth.org Ann Malone, RN, MSN

An addendum to my above post (Ann Malone)

Getting to Improved Medicare For All is an optimal approach for nat'l health system reform that I, as an Obama supporter, will be urging him to lead us toward after he becomes President.

It wouldn't be "gov't forcing..." there could be an option for the people (all 2 or 3 of them) who still want to keep their private insurance coverage. Coverage that diverts anywhere from 10-25% of every premium dollar AWAY FROM CARE, to pay for the claims adjusters and benefits managers, and acctuarials, all the people whose jobs are designed to deny care.

Here in Mass. there is tremendous public support for a state level bill similar to Medicare For All Senate bill 755, details at
http://www.mass.gov/legis/bills/senate/st00/st00755.htm
and any time the bill gets traction in the lesislative process the "health care industry" crushes the political support for it. That's partly why we got the crappy fake reform law Chapter 58 with the individual mandate, b/c grassroots reform efforts were gaining serious momentum.

There's so much more to the health reform story in Massachusetts and maybe the Obama-Clinton health care plan battle will help expose the truth.

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Still looking for the number of non participants in the mandated program... will it be one million? 10 million? 20 million? What is the penalty for non participation? How does non participation affect cost?

I wasn't thinking of this earlier, but the "Harry and Louise" TV ads were played in .... 1994! That's 14 years ago!!! My children are in their early 30's and I promise you they have no lingering memory of that series of ads that ran when they were 18 and 21. ..... Hmmmm, do you suppose the Obama campaign possibly assigned some 30 year olds to do the layout work on this mailer?? And they just used a 'logical' picture for the subject matter? Sometimes the most simple explanation is the correct one.

But, of course, anything the Obama folks say or do is immediately put under the microscope of some apparently quite paranoid people over in the Clinton campaign. Could that campaign -- you know, the folks that put out those really **dirty**, distorting mailers in IA, NH, and NV (about which there was no whining or complaints to the press that I heard of) ... do they really think this is an example of a hard-hitting, unfair, dirty low blow that warrants a conference call with the press? Of course they don't!

Sigh. I guess it's just the best they can come up with to squeal about today so that the voters (whom they obviously consider sheep) will think Hillary is being ill-used. I believe yesterday it was the supposed 'snub' ("I held out my hand in friendship and unity and it's still extended....." Gag!) Wonder what it will be tomorrow?

Just a couple of thoughts. Nobody's pure on this (Kucinich is out). Krugman has had a point on Obama... but he's been way over the top over the last 2-3 months.

Comparing mandates to social security is only partially apt... social security does not involve for-profit insurance companies as a middle man. Are mandates involving private insurers inherently progressive? There's room for discussion here.

Krugman and most all of Obama's critics harp on mandates... but conveniently omit discussion of reinsurance (which only Obama uses to address costs and perhaps offset the free rider issue). This is why I consider these repeated attacks on the issue disingenuous and hyperpartisan.

Last week, Clinton tried to paint Obama as supporting single-payer... now Krugman again hammers Obama for pushing a right-wing frame. Which is it... left or right? This gets at the larger point of Obama's campaign---getting past the old arguments and artificial divisions and labels.

Maybe Obama's perspective is naive, but that's where the discussion of his "frames" belongs. The response that Obama's been getting seems to validate the notion that the country longs for his approach.

Good!

People should be reminded of the debacle that was Hillary care, and how healthcare reform was killed and buried for 16 years.

Hillary is doing it again, by mandating from the beginning for "universal care" before she's successfully built out a program and popularized it, and before she's demonstrated she can lower costs. Which is exactly how people were scared off HC refom in 1992.

Obama's plan is far smarter: start lowing HC costs and mandate only for children from the beginning. Allow adults to opt into Medicare/Medicaid, by their own choice so they have nothing to fear, and force private insurers to compete with those programs on efficiency. That's the smart way to do it, and it won't scare moderates off from "big government" the way Hillary's plan did in 1992 and still do.

Glad somebody learned from the Clinton's mistakes in the 90's. Too bad they didn't.

I am a "uninsured" Massachusetts resident.The facts are the State gave half the uninsured free insurance and wants the rest to pay for it.$4000.00 dedutables and fines if you don't buy in.The fines are a tax and nonpayment of taxes is a jailable offense.I am a 57 year old homemaker and my husband is retired.So I will be jailed because I am not wealthy.The State of Massachusetts is an Elitist State and does not care about the middle class.The lawmakers and Governor Patrick do not care the financial hardship this law is causing.There are no "affordable"health plans and they don't care!

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As someone who has been inspired by the Obama candidacy and obsessed with this election cycle, I have one observation.

We the people do think, do make our own decisions, and the blog has saved the screen of numerous TV sets. Whereas in the past I might have hurled a cup at the TV set, or possibly written a letter to the editor at the NYT, I can now disagree with Krugman on the record and there is at least a chance someone else will know it.

For me it has come down to trust. I trust Obama. I don't trust Hillary and Bill and the democratic old guard. I want a transparent, wide-ranging discussion of what we can do to provide health care. Hillary Clinton's closed door preparation of the health care plan during the Clinton presidency is too reminiscent of Cheney and the Bush energy policy. That is the old establishment approach.

A new health care program will not come easy and will not come cheap. Let's all be in on the decision process step-by-step so that a super-majority will be in favor of the program and we can make it happen.

I'm sick of hearing this "you young people don't remember" douchebaggery. I'm not young and I remember very well the 90s and the partisan hackery that's dominated discourse since. To challenge policy is not a right-wing talking point, attack, or Republican policy wonkery. Its maturity beyond what many Clinton supporters are showing at the moment.

You don't agree with the argument? Argue why the policy will or won't work, but for the love of all things holy, get off your high horse and mitigate your own arrogance.

You're right. American husbands and wives never sit around...what is that thing called?...a kitchen table I think it was...and talk about financial issues. Those damn Republicans and their talking points! How low can we go?

Yeah, she's done a great job so far...the national conversation is soooo civil.

Politics is a dirty game and if you get into it you will get dirty. The Clintons do it and Obama is doing it too. Although I have to say Obama is going about it in a more subtle subversive way.

- poperah29

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