Bill Moyers: How Can We Expect an Industry That Profits from Disease and Sickness to Police Itself?
In 2003, a young Illinois state senator named Barack Obama told a local AFL-CIO meeting, “I am a proponent of a single-payer universal health care program.” Single payer. Universal. That’s health coverage, like Medicare, but for everyone who wants it. Single payer eliminates insurance companies as pricey middlemen. The government pays care providers directly. It’s a system that polls consistently have shown the American people favoring by as much as two-to-one.
There was only one thing standing in the way, Obama said six years ago: “All of you know we might not get there immediately 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.”
Fast forward six years. President Obama has everything he said was needed – Democrats in control of the executive branch and both chambers of Congress. So what’s happened to single payer? A woman at his town hall meeting in New Mexico last week asked him exactly that. “If I were starting a system from scratch, then I think that the idea of moving towards a single-payer system could very well make sense,” the President replied. “That's the kind of system that you have in most industrialized countries around the world. “The only problem is that we're not starting from scratch. We have historically a tradition of employer-based health care. And although there are a lot of people who are not satisfied with their health care, the truth is, is that the vast majority of people currently get health care from their employers and you've got this system that's already in place. We don't want a huge disruption as we go into health care reform where suddenly we're trying to completely reinvent one-sixth of the economy.”
So the banks were too big to fail and now, apparently, health care is too big to fix, at least the way a majority of people indicate they would like it to be fixed, with a single payer option. President Obama favors a public health plan competing with the medical cartel that he hopes will create a real market that would bring down costs. But single payer has vanished from his radar.
Nor is single payer getting much coverage in the mainstream
There was only one thing standing in the way, Obama said six years ago: “All of you know we might not get there immediately 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.”
Fast forward six years. President Obama has everything he said was needed – Democrats in control of the executive branch and both chambers of Congress. So what’s happened to single payer? A woman at his town hall meeting in New Mexico last week asked him exactly that. “If I were starting a system from scratch, then I think that the idea of moving towards a single-payer system could very well make sense,” the President replied. “That's the kind of system that you have in most industrialized countries around the world. “The only problem is that we're not starting from scratch. We have historically a tradition of employer-based health care. And although there are a lot of people who are not satisfied with their health care, the truth is, is that the vast majority of people currently get health care from their employers and you've got this system that's already in place. We don't want a huge disruption as we go into health care reform where suddenly we're trying to completely reinvent one-sixth of the economy.”
So the banks were too big to fail and now, apparently, health care is too big to fix, at least the way a majority of people indicate they would like it to be fixed, with a single payer option. President Obama favors a public health plan competing with the medical cartel that he hopes will create a real market that would bring down costs. But single payer has vanished from his radar.
Nor is single payer getting much coverage in the mainstream
posted by temporal at 5/27/2009
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