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New Obama Ad Declares His Support For "Universal" Health Care

Barack Obama has a new radio ad running in the Potomac Primary region, stressing both his pitch for change and a focus on economic issues, where Hillary Clinton has often been able to out-finesse him according to many exit polls — and the Hillary camp has been quick to respond.

"Barack Obama understands the strains we're facing," the narrator says, later adding that Obama has, "An economic plan that jump-starts the economy, with tax cuts for middle class families and seniors. A health plan that lowers costs by $2500 for a typical family and provides universal coverage."

The Hillary camp's rebuttal: "Top independent health care experts have concluded that Sen. Obama's plan is not universal and would leave at least 15 million people without coverage. Leaving so many people out will drive up costs for everyone."


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There are also plenty of experts who disagree with Hillary, here's one:

"I've compared the two plans in detail. Both of them are big advances over what we have now. But in my view Obama's would insure more people, not fewer, than HRC's. That's because Obama's puts more money up front and contains sufficient subsidies to insure everyone who's likely to need help – including all children and young adults up to 25 years old…In short: They're both advances, but O's is the better of the two. HRC has no grounds for alleging that O's would leave out 15 million people." [Robert Reich, 12/3/07]

I'm another. Unenforceable mandates don't work. Enforceable mandates don't work. Look at auto insurance, there are millions of drivers on the road today without auto insurance, this despite the danger of being ticketed if you are pulled over without proof of insurance. The truth is, if someone can't afford health insurance, and is more concerned with paying for food or rent or utilities or gas, they aren't going to buy health insurance, it is that simple, and Obama realizes this. There are going to inevitably be people under Hillary's plan who still won't be able to afford it after the tax credits and whatnot. Obama realizes this, and because he doesn't want to strap struggling families with the burden of mandated health insurance he is wise enough to make that a part of his plan.

In the end you have to look at two things though:
1) Neither of the two plans are sufficient, because both leave the for-profit system intact. What we really need if we want truly universal health care is something like Kucinich's not-for-profit plan.

2) Both plans have to go through Congress, and will likely look nothing like what they were intended to be by the time they get out, for better or worse. This means that even if Hillary wants a mandate, it doesn't mean it is going to come out with a mandate, so trying to make issues out of minor policy differences like this is pointless at best, and at worst disingenuous.

And to preempt this, I'm going to vomit if I hear anyone mention Paul Krugman's name as some kind of defense of Hillary or attack on Obama, because Krugman has proven himself time and time again to be nothing more than a mouthpiece of the Clinton campaign who echoes her talking points to attack Obama. He has no credibility in my eyes, at least in this race, and I'm sick of people bringing up that biased tool as "evidence" of anything.

There is nothing at all universal about Obama's health care proposal. He simply proposes more the same. Only Clinton and Edwards have proposed universal health care. Obama can claim it all he wants but just saying so won't make it true.

Any Canadian or European would laugh at the notion that either plan is "universal". When you have to sign up and pay for something, it's a guarantee that there will be uncovered citizens. In this regard, Obama and Hillary's respective healthcare plans are identical.

Matthew, as usual you are nothing but a TPM extension of Hillary's talking points. Their plans don't differ that much, basically the mandate is the only real difference, and even that is insignificant. If you want to quit your distorting reality for your candidate for a second, we can just recognize that none of these plans are truly universal health care. As scotts just pointed out, any country with truly universal health care would laugh at this debate, because these are universal in name only. So get off your Hillary high horse and quit distorting reality for your person. I'm sick of it. Every damn word you type is always backwards and distorted, as if your reality is being filtered directly through Hillary's ass. I think we are all kind of sick about your ridiculously biased talking points.

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I am so tired of the clintons and their minions' distortions about obama's plan. Pathetic. The clinton plan is corporate welfare and wage garnishments. That's very progessive.

Hey, I at least give her credit for the "drive up costs for everyone" addition. That may or may not turn out to be true--and ultimately its unknowable unless we were somehow able to simultaneously implement both plans in identical countries and see what happens, but at least its the real argument she makes.

However up to now, they've tried to give the impression that the hypothetical fiteen million would be the working poor and widows and orphans. Now at least they admit that the hypothetical uninsured are likely to be 20 something slackers who think they're invulnerable. Maybe, maybe not. Personally, I think Hillary and the analysts are underestimating the impact of letting the twenty somethings sponge off their parents' policies until they're 25. But at least its a more intellectually honest argument than the one they made before.

Michael A, I feel your point. I think it is pointless to even try to reason with them at this point. If they seriously see Hillary is progressive and anti-corporate, and see Obama as corporate and anti-progressive, they are beyond help. Maybe they have some sort of identity dyslexia where they are thinking of Clinton's policies, yet type and say "Obama", because the diehard Hillary supporters are generally 180 degrees backwards, like it is opposite day everyday or something. Very Orwellian actually.

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It really is kind of silly. It's almost like an alternate reality that they are dealing with. Her rhetoric has completely changed from her voting record and where she was 6 months ago and yet they buy the new rhetoric hook, line and sinker. Oh well, I guess we'll see what happens on 3/4.

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Second attempt. This commenting system sucks.

It really is silly. They must be living in some alternate reality or something. Her rhetoric is completely different than it was 6 months ago and 180 degrees different that what I have been able to glean from her voting record. And yet, the clinton people buy the rhetoric hook, line and sinker. Very strange.

So Hillary's campaign wants to play the fear mongering game. How Rove like.

Hey Hillary; Beat Obama on your own merits, instead of of using the GOP Scare tactics in Lieu of you being able to win on your own merits.

*feel your pain

I joined the Hillary Universal Health Care Plan in 1993, and it has never cost me a dime. Of course, no plan is perfect, and it turns out that what Hillary accomplished in 1993 was indeed Universal, since it covered not one person.

Fifteen years and counting, without having to spend a single dime on my Hillary 1993 Universal Health Care Coverage.

I say allow us who want so called "socialized" medicine to have it. Repukes that opt-out can pay whatever they get billed. Overruns can be charged to the Repukes just like they are now when indigent care costs are defrayed to the insured. We already have socialized medicine by the mere fact that our market is isolated by big pharma, and that we already pay for the uninsured by premium hikes of 15-20% per year. Only diff is that we can't negotiate prices.

So we wait longer for doctor appointments and ER care--we already do. I've been waiting for three weeks to follow-up on a vasectomy I had in November that still hasn't healed correctly. My appointment is on the 20th of Feb. I hope I don't get a staph infection. Not a good spot to be in as an "insured". I was told to go to the emergency room if I experienced severe burning and redness... Thanks! By then it's to late for some of these bacterial strains...

I suppose I would then be eligible to run as a Democratic Senator!

(nutless in FL--Nelson)

I agree that both camps propose something that should not be understood as "universal coverage" in the European sense where just by being you are part of a tax payer funded/subsidized system.

Both plans require the act of participation (whether it is "mandated" or highly incentivized).

That said, everyone is universally eligible for either plan. Certainly, no one is excluded from Obama's plan.


A second point: the headline of this story, is unsurprisingly misleading.

Obama is proposing a plan with "universal coverage". It may be a matter of policy debate whether his plan can achieve that end. If that were the headline the quotes might serve some purpose. He is characterizing the outcome of his policy.

But no one in their right mind says that Obama does not *support* universal health care. He is on record about that many times over. He says he would be in favor of single payer (that would fit the European version of "universal").

Mrs. Clinton calls her plan "universal", but in fact it is "mandated", is it possible that not everyone follows the mandate.

In short, they both support "universal" health care. That's been a plank in the Democratic platform for 50 years.

Both propose plans they think will provide "universal participation" although ONLY time will tell if that turns out to be true

OK, folks, why so much talk about whether Obama's plan is "universal" or not, and how many people may be "left" without coverage under it? Could it be that there is a desired distortion of the actual policy differences here? Could it be that the Clinton folks are hoping that an inattentive audience will think that they might be "left" without the benefits of Obama's plan, that they might be one of 15 million people "left" without help getting health insurance, rather than that the 15 million refers to people that would decide not to buy health insurance?

Shocking to even contemplate, I know. You'd think that the Clinton campaign would be above the near-constant repetition of an overly simplified and misleading use of words to scare and misinform voters.

I'm suprised I've yet to see someone go through the trouble of this, but let's just look at the first two definitions of universal:

u·ni·ver·sal
–adjective
1. of, pertaining to, or characteristic of all or the whole: universal experience.
2. applicable everywhere or in all cases; general: a universal cure.

If you thought only of definition #1, then maybe you could say that universal in our context could ONLY mean that all Americans would in fact have health insurance (characteristic of all or the whole) after a health insurance plan was put into effect.

There is, however, still definition #2, which is also quite common. In that case, as with Obama's plan, a plan that gave access to all individuals (applicable everywhere or in all cases) would also be "universal."

I know that having to go to the definitions seems a bit silly, but it is not as if the Clinton camp is unaware that a plan that gave access to all (Obama's) can be called universal in complete truth. They know it, but they want at least some voters to be convinced that they will not have access to Obama's plan, that it is not "universal" in that sense and that they will be one of 15 million "left" out.

It is only after detailed questioning and debate that you learn that the difference between the plans is really one of efficiency and the possible effects of free riders on the costs of insurance for non-free riders. Yet the slogan is that Obama's health care plan is not "universal," not that his plan is "less efficient" or "allows free riders that may drive up costs for other people (I leave aside the perfectly vaild points above that there is no clear evidence that Clinton's plan is better at avoiding this).

What it all boils down to is using words carefully and selectively to deceive -- lying -- in such a way that you can still say that your words are technically true.

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"A health plan that lowers costs by $2500 for a typical family and provides universal coverage."

Where is the pony? Because there's a whole lot of horse manure in that sentence. You can't pay for "Universal Healthcare" out of hope and promises.

You're going to have to do it through employer taxes, employee taxes and/or self-insured taxes like the way we pay for Social Security now. And who is going to administer the plan and ensure everyone participates to keep the free-rider problem down to a minimum? Nor can you let people not participate, because the ones that don't will almost always be the ones who are young and in excellent health; a typical behavior we see in men under 30 when they've got a Cafeteria Plan. How are you going to MANDATE they participate? What will be string that keeps them in?

I'd love to see either candidate answer that. And while Clinton has mentioned mandates, I don't know what the hell Obama is thinking. Public television, with only 5% of it's viewers ever supporting it, has adequately demonstrated that without forced participation, the public will not pay for goods and services.

A universal health care plan is one where everyone shares the costs and the benefits of providing health care for everyone else. A system where we are all in it together and no one is legally entitled to get out of that arrangement. A plan with mandates may not succeed in catching every person every time they try to game the system, but that doesn't mean it doesn't qualify as universal. There are people who comitt tax evasion, that does not mean we don't have a universal income tax. There are children who don't go to school even though they are required by law to do so. Does that mean we don't have universal public education in this country?

The claims that Obama's health care are universal are flat out wrong. Obama's plan is not universal because it does not require everyone to share the costs. If everyone does not pay for it, then it is not universal. Secondly the claim that because it makes it affordable to everyone who wants is it is universal, is also flawed because absent a mandate or the equivalent Obama's plan will increase costs making health care less affordable, not more. Under Obama's plan there will be more sick people in the system, and more healthy people out of it. That is not universal, that is not even close. To those who claim the Clinton plan has no enforecement mechanism for a mandate and is therefore not universal, the Clinton plan allows flexibility to decide how best to enforce the mandate and can be easily modified to include a mechanism without contradicting the entire philosophy on which the plan is based. The Clinton plan has details that need to be worked out, but it is workable once they details are decided and it actually stands for the core progressive value of shared costs and shared benefits. The Obama plan is a betrayal of those values which will only be workable when it is altered to be more like the Clinton plan by including some sort of mandate type mechanism.

The only way for everyone to get the health care they need out of the system is for everyone to pay into the system. For everyone to share the benefits, everyone must share the cost. The Obama plan pretends that we can achieve universal health care without facing that undeniable truth. It pretends we can have a decent and just society without rejecting the extreme individualism and selfishness that underlies conservative values. It is a plan that buys into to a conservative world view and tells us that the problem in our society is that prices are too high, not that people have too little regard for their fellow man and too little willingness to share the costs necessary to ensure that everyone has the opportunity to lead a decent and fulfilling life in this, the richest country in the world.

Excellent summary--you are right on. I'm worried that the Obama has painted himself in a corner by opposing mandates so strongly. How will that affect the debate in Congress? Will we end up with anything at all?

A universal health care plan is one where everyone shares the costs and the benefits of providing health care for everyone else. A system where we are all in it together and no one is legally entitled to get out of that arrangement. A plan with mandates may not succeed in catching every person every time they try to game the system, but that doesn't mean it doesn't qualify as universal. There are people who comitt tax evasion, that does not mean we don't have a universal income tax. There are children who don't go to school even though they are required by law to do so. Does that mean we don't have universal public education in this country?

The claims that Obama's health care are universal are flat out wrong. Obama's plan is not universal because it does not require everyone to share the costs. If everyone does not pay for it, then it is not universal. Secondly the claim that because it makes it affordable to everyone who wants it, it is universal; is also flawed because absent a mandate or the equivalent Obama's plan will increase costs making health care less affordable, not more. Under Obama's plan there will be more sick people in the system, and more healthy people out of it. That is not universal, that is not even close. If Obama's plan actually lowered costs it might have some credibility to calling itself universal, but since it doesn't, it is absurd to call it that. Any plan that does not solve for the free rider problem can't claim to be universal.

To those who claim the Clinton plan has no enforecement mechanism for a mandate and is therefore not universal, the Clinton plan allows flexibility to decide how best to enforce the mandate and can be easily modified to include a mechanism without contradicting the entire philosophy on which the plan is based. The Clinton plan has details that need to be worked out, but it is workable once they details are decided and it actually stands for the core progressive value of shared costs and shared benefits. The Obama plan is a betrayal of those values which will only be workable when it is altered to be more like the Clinton plan by including some sort of mandate type mechanism. The Obama plan is based on a conservative world view and fails to recognize that the problems in our society, including the health care crisis, stem from the excessive individualism and selfishness on which such a world view is based. The problem is not that people can't afford healh care, the problem is that not everyone is willing to share the costs of ensuring every person in our society is entiteld to live a decent and fufilling life. That will not happen until we acknowlegde that we are all in this together, and that we all must share the costs and benefits of ensuring a society where everyone truly matters and where no one is invisible or left behind.

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Nice "universal" headline. Are you scratching Mark Penn's belly because you like it or want a prize?

Here's the AFL-CIO comparison of 2008 Presidential Candidat Health Care proposals:

Covers everyone?
Clinton, Yes
Obama, Yes

http://www.aflcio.org/issues/politics/upload/2008healthcarecomparison.pdf

I may be wrong about this, but I think that there can be a difference between mandated and voluntary health care. Voluntary means a lot of people (young, healthy, peeps who don't care, etc.) will not sign up and they will have no relief if they are injured. If it's mandated then FED GOV will pay for their care despite their refusal to participate. This sux cuz all of our premiums will rise, but they will under Obama's too cuz it won't be as large of a pool. Eventually people will get used to the mandated form and sign on, just like social security, i think.

Gee, Robert Reich! A labor economist, not a health care economist, who has a grudge against the Clintons because he was booted out.

Frankly, Hillary may take more money from Big Pharma, but if Obama would just man up about his measly health care program, I'd vote for him.

shill.

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Well, I'm not sure who is more of a "tool," the MIT professor of economics (http://econ-www.mit.edu/faculty/gruberj/index.htm) whom you denounced as a "tool" for debunking the Obama health "plan;" or the anonymous comment troll who echoes Obama talking points on this site, while claiming to be World Expert(TM) in health care economics. (That would be you.)

We were enlightened by your claim that mandated services like Social Security and Medicare are utter failures because "mandates don't work." Wow, really boosted your credibility with that genius insight. Yeah, and quoting the godfather of NAFTA, that really worked in your favor, too.

No surprise here: I'll take door number one.

Barack Obama is every bit the consummate political insider that Hillary Clinton has been, with this important difference: since arriving inside the Beltway, he has spent more time promoting himself than his constituents. Declaring this booster of rich white men "anti-corporate" is laughable. But what is not funny is the prospect that he will be as ineffectual in promoting the welfare of the entire nation as he has been of Illinois.

If truth were told, his speeches would fall flat as small beer if he were a white man. He'd get about as much press as John Edwards, who was the real candidate for "change" in this election. But, if Obama wins the nomination fight, I will vote for him in the fall, because he will be the candidate of my party. In the meantime, please, spare us further episodes of your Obama campaign astroturfing. Everybody here is literate, can read the available documentation and analysis and knows you're blowing wax out your ears. By now, it must be painful, even to you.

Thanks.

mp

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I'm giving up on this commenting system, it's completely broken. I clicked the "in reply to" box but it had no effect, apparently.

My post above was in reply to the very first comment.

Too bad, they used to have a decent enough system here, even though not world class. Now, they've "upgraded" ... tip o' the tam to the genius who sold that bill. He'll be by with a bridge, next week.

Thanks.

mp

Im a canadian nurse. I know the health system here very well. My work is 70% of my life.

Scotts is absolutely right when he say "Any Canadian or European would laugh at the notion that either plan is "universal" ...". Our system isnt perfect, our hospitals are old and we lack of a lot of things compared to some top notch modern hospitals in US, which I saw a few times. But the fact is that here, if you fall on an icy sidewalk and break a hip, youll be brought to hospital, have your operation done and then send to a rehab hospital before going back home with full physio and ergotherapy training with a social worker that will help you to get back home safely or in a good environnement for you if you cant live alone anymore.

If something like that happens in US ... Well ... You are screwed.

But the system here is going fast track to be partially privatised, because of the enormous cost. The two programs presented in US are about what we, here in canada, will have in a few years. To me its a shame. Im affraid to see that huge health buisness system taking control of everything. Prices will go trought the roof. Just like in your country. Medication costs will double or triple here probably.

Anyway, politicians here will look closely at your future choices and will adapt theirs on them.

Good luck everyone ...

1) Neither plan offers universal health care (and neither did Edwards's). They offer universal coverage. There is a big difference.

2) Both plans do, in fact, offer universal coverage. The only difference is whether the plan mandates coverage.

3) Obama's plan does not exclude 15,000,000 from coverage; rather, the 15,000,000 is the estimated number of people who, for a variety of reasons, would end up not being covered by Obama's plan absent a mandate. This is because, while some of the 15,000,000 would probably be insured through such things as Medicare, it is estimated that a large number of people would choose not to participate in Obama's program.

These are facts and they are discoverable by any who has an internet connection and the ability to read.

There are good arguments both for and against a mandate. "Is it possible to keep costs down if you don't have full buy-in?" and "Is it good public policy to require people to purchase insurance from private entities before having cost controls in place?" are two of them. "Obama will deny us universal health care" and "Clinton will put people in jail or is otherwise evil" are not.

What really bothers me is how so many people who like to blog and chat on the intertubes fall into the same intellectually lazy patterns as the MSM they like to decry.

Hmm. In the debate before super whatever, I heard the Hill say "yes" to universal, and the Big B "no" cause it wasn't necessary or something. On the following Saturday, the Big B said "my universal health care plan" in the media and in advertising. Well, the Big B should be able to call it anything he wants! It would be in line with his platitudes approach to addressing problems. I mean, wouldn't anyone really like to feel good about the future no matter what it is?

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"Lowers costs by $2500 for a typical family" is a joke, as anyone who's paying for individual coverage knows. $2500 pays for one month for my spouse and myself. That's separate individual plans with no children and no maternity coverage - family coverage is more than double the single premium, since it assumes a typical family of three or more. We have reasonably good coverage, a rarity for individual plans these days, but that's what it costs.

So where's Mr. and Ms. Working Stiff supposed to come up with $27,500 for coverage for the rest of the year?

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