Views » May 15, 2009 » Web Only

Healthcare’s Enigma-In-Chief

By David Sirota

The most stunning and least reported news about President Obama’s press conference with health industry executives this week wasn’t those executives’ willingness to negotiate with a Democrat. It was that Democrat’s eagerness to involve those executives in a discussion about healthcare reform even as they revealed their previous plans to pilfer $2 trillion from Americans.

That was the little-noticed message from the made-for-TV spectacle administration officials called a health care “game changer”: In saying they can voluntarily slash $200 billion a year off the country’s medical bills over the next decade and still preserve their profits, healthcare companies implicitly acknowledged they were plotting to fleece consumers, and have been fleecing them for years. With that acknowledgment came the tacit admission that the industry’s business is based not on respectable returns, but on grotesque profiteering and waste—the kind that can give up $2 trillion and still guarantee huge margins.

Chief among the profiteers at the White House event were insurance companies, which have raised premiums by 119 percent since 1999, and one obvious question is why — why would Obama engage those particular thieves?

It’s a difficult query to answer, because Obama is a healthcare mystery, struggling to muster consistent positions on the issue.

Listening to a 2003 Obama speech, it’s hard to believe he has become such an enigma. Back then, he declared himself “a proponent of a single-payer universal health care program”—i.e., one eliminating private insurers and their overhead costs by having government finance health care. Obama’s position was as controversial then as today—which is to say, controversial among political elites, but not among the general public. ABC’s 2003 poll showed almost two thirds of Americans desiring a single-payer system “run by the government and financed by taxpayers,” just like CBS’s 2009 poll shows roughly the same percentage today.

In that speech six years ago, Obama said the only reason single-payer proponents should tolerate delay is “because first we have to take back the White House, we have to take back the Senate, and we have to take back the House.”

This might explain why when Illinois contemplated a 2004 health care proposal raising insurance lobbyists’ “fears that it would result in a single-payer system,” those lobbyists “found a sympathetic ear in Obama, who amended (read: gutted) the bill more to their liking,” according to the Boston Globe. Maybe Obama didn’t think single payer was achievable without a Democratic Washington. And when in a 2006 interview he told me he was “not convinced that (single payer) is the best way to achieve universal health care,” perhaps he was following the same rationale, considering his insistence that he must “take into account what is possible.”

Of course, even as a senator aiming for the “possible” in a Republican Congress, Obama promised to never “shy away from a debate about single payer.” And after the 2008 election fulfilled his single-payer precondition of Democratic dominance, it was only logical to expect him to initiate that debate.

That’s why the White House’s current posture is so puzzling. As the Associated Press reports, Obama aides are trying to squelch any single-payer discussion, deploying their healthcare point-person, Sen. Max Baucus, D-Mont., to announce that “everything is on the table with the single exception of single-payer.”

So it’s back to why—why Obama’s insurance industry-coddling inconsistency? Is it a pol’s payback for campaign cash? Is it an overly cautious lawmaker’s paralysis? Is it a conciliator’s desire to appease powerful interests? Or is it something else?

For a president who spends so much time on camera answering questions, these have become the biggest unanswered questions of all.

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• Reader Comments

  This is all being approached from the wrong end…

  Instead of proposing to give Americans the kind of health care our Congress has, it would be far better to see to it the Congress has the same care as their constituents.

  Congress has come to think of themselves as CEOs (due to their longtime bipartisan, cozy relationship with big business).

  If Congress were faced with trying to get coverage on a pre-existing illness, paying a huge deductible to keep premiums affordable or continuously shopping for a company who will cover their prescription — the insurance companies and pharmaceuticals would soon be forced into a reasonable pricing structure.

  Posted by whattheheck on May 15, 2009 at 1:50 PM

  I voted for Obama last November but I knew if REAL change was to be made the people would have to get involved and demand it! Whether it was immigration reform, healthcare reform, labor law reform, punishing Bush & Cheyney, we the people would have to get into the trenches and fight for this!

  I am disappointed with Obama’s flip flop on healthcare. I detest Max Baucus’ refusal to even consider single payer. ( He is one of the biggest recipients of healthcare insurance bribes oops, I mean campaign donations!

  The fact that 18,000 to 22,000 Americans die annually due to the corporate greed of our healthcare insurance companies is more than reason enough to demand change! We must turn on the heat and shame the Congress, the White House and all other obstructionists before the world! We did it in the 60’s and we can do it again now!

  Posted by Chicano Wobbly on Jun 5, 2009 at 7:26 PM

  Barack Obama and the Democrats have killed single-payer unless a very powerful movement can be developed to overcome opposition from Obama’s Wall Street backers.

  Too much has been made by single-payer advocates of “private delivery of health care” when single-payer universal health care should be seen as a step towards a real public health care system (socialized health care).

  Our country is embroiled in controversy and debate over health care reform. Focus on the purpose of health care has been lost.

  Health care has two purposes:

  1.  Keep people healthy.
  2.  Get people well when sick.

  Our public officials squander our limited and scarce resources—- during a period of a crumbling economy—- financing wars in three countries; subsidizing the Israeli military machine; and spending trillions of dollars financing 800 U.S. military bases on foreign soil dotting the globe; and then they tell us there is no money for health care. Instead, we should be building 800 public health care centers stretching out across the United States providing a public health care system which includes:

  •  No-fees/No premiums
  •  Comprehensive   (cradle to grave)
  •  All-inclusive   (general, dental, eyes, physical therapy, prescription drugs)
  •  Universal   (everybody in; nobody out)
  •  Publicly funded
  •  Publicly administered
  •  Publicly delivered

  The United States is the wealthiest country in the world.

  We can afford to provide a first-rate, world-class, free public health care system for our own people—- if we get our priorities straight.

  We need health care reform based upon: Everybody in; all the profiteers out.

  Health care is supposed to be about people, a human right; not about profits.

  Representing workers employed in smoke-filled casinos suffering from cancers and heart & lung problems, I know a little something about why we need health care reform now.

  
  Alan L. Maki
  Director of Organizing,
  Midwest Casino Workers Organizing Council

  58891 County Road 13
  Warroad, Minnesota 56763
  Phone: 218-386-2432
  Cell: 651-587-5541
  E-mail: amaki000@centurytel.net

  Blog: http://thepodunkblog.blogspot.com/

  Posted by alanmaki on Jun 6, 2009 at 11:42 AM

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