by Mark Silva
President Barack Obama, ready to return from a journey from Saudi Arabia and Egypt to Germany and France in pursuit of a common understanding among Americans and the Muslim world and peace in the Middle East, faces a challenge perhaps as daunting this summer with his push for health care reform in Washington.
"Health care reform must be built around fundamental reforms that lower costs, improve quality and coverage, and also protect consumer choice,'' Obama said today, in his weekly radio and Internet address.''
The president has told supporters that this is the window -- if there is no reform this year, there will be none for some time to come. He has told congressional leaders that he wants a plan this summer. Two of the Senate's committees are starting the drafting now, and the House speaker promises a plan on the floor in July. Republicans say they are ready to deal, but not to raise taxes.
All of which has the makings of a Normandy-sized political battle this summer.
"Simply put, the status quo is broken,'' Obama said today. "We cannot continue this way. If we do nothing, everyone's health care will be put in jeopardy. Within a decade, we'll spend one dollar out of every five we earn on health care - and we'll keep getting less for our money.
"That's why fixing what's wrong with our health care system is no longer a luxury we hope to achieve - it's a necessity we cannot postpone any longer.''
See the president's address on health care above and read it below:
Over the past few days, I've been traveling through the Middle East and Europe working to renew our alliances, enhance our common security, and propose a new partnership between the United States and the Muslim world.
But even as I'm abroad, I'm firmly focused on the other pressing challenges we face - including the urgent need to reform our health care system. Even as we speak, Congress is preparing to introduce and debate health reform legislation that is the product of many months of effort and deliberation. And if you're like any of the Americans I've met across this country who know all too well that the soaring costs of health care make our current course unsustainable, I imagine you'll be watching their progress closely.
I'm talking about the families I've met whose spiraling premiums and out-of-pocket expenses are pushing them into bankruptcy or forcing them to go without the check-ups or prescriptions they need. Business owners who fear they'll be forced to choose between keeping their doors open or covering their workers. Americans who rightly worry that the ballooning costs of Medicare and Medicaid could lead to fiscal catastrophe down the road.
Simply put, the status quo is broken. We cannot continue this way. If we do nothing, everyone's health care will be put in jeopardy. Within a decade, we'll spend one dollar out of every five we earn on health care - and we'll keep getting less for our money.
That's why fixing what's wrong with our health care system is no longer a luxury we hope to achieve - it's a necessity we cannot postpone any longer.
The growing consensus around that reality has led an unprecedented coalition to come together for change. Unlike past attempts at reforming our health care system, everyone is at the table - patient's advocates and health insurers; business and labor; Democrats and Republicans alike.
A few weeks ago, some of these improbable allies committed to cut national health care spending by two trillion dollars over the next decade. What makes this so remarkable is that it probably wouldn't have happened just a few short years ago. But today, at this historic juncture, even old adversaries are united around the same goal: quality, affordable health care for all Americans.
Now, I know that when you bring together disparate groups with differing views, there will be lively debate. And that's a debate I welcome. But what we can't welcome is reform that just invests more money in the status quo - reform that throws good money after bad habits.
We must attack the root causes of skyrocketing health care costs. Some of these costs are the result of unwarranted profiteering that has no place in our health care system, and in too many communities, folks are paying higher costs without receiving better care in return. And yet we know, for example, that there are places like the Mayo Clinic in Minnesota, the Cleveland Clinic in Ohio, and other institutions that offer some of the highest quality of care in the nation at some of the lowest costs in the nation. We should learn from their successes and promote the best practices, not the most expensive ones. That's how we'll achieve reform that fixes what doesn't work, and builds on what does.
This week, I conveyed to Congress my belief that any health care reform must be built around fundamental reforms that lower costs, improve quality and coverage, and also protect consumer choice. That means if you like the plan you have, you can keep it. If you like the doctor you have, you can keep your doctor, too. The only change you'll see are falling costs as our reforms take hold.
I also made it very clear to Congress that we must develop a plan that doesn't add to our budget deficit. My budget included an historic down payment on reform, and we'll work with Congress to fully cover the costs through rigorous spending reductions and appropriate additional revenues. We'll eliminate waste, fraud, and abuse in our health care system, but we'll also take on key causes of rising costs - saving billions while providing better care to the American people.
All across America, our families are making hard choices when it comes to health care. Now, it's time for Washington to make the right ones. It's time to deliver. And I am absolutely convinced that if we keep working together and living up to our mutual responsibilities; if we place the American people's interests above the special interests; we will seize this historic opportunity to finally fix what ails our broken health care system, and strengthen our economy and our country now and for decades to come.









Comments
"The only change you'll see are falling costs as our reforms take hold."
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This is a false statement twice over (at least).
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First, by sleight of hand he equates “falling costs” of individual’s health care insurance with “falling costs” to the individual generally. That is a false equation. He mentions elsewhere in his speech that Congress will have to raise appropriate revenues and engage in rigorous cost cutting in the government to pay for such a program. But if revenues must be raised to pay for it, then someone is going to end up paying more than they do now. That is only logical. The government can’t spend hundreds of billions of dollars and expect no one to pay for it. That’s especially true if one expects no further addition to deficits and the debt - upon which BHO insists. There ain’t no such thing as a free lunch.
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In addition, given its track record, one must genuinely doubt whether the federal government can perform such feats of rigorous fiscal accountability. As we speak, Medicare is in ICU and headed for the morgue because the federal government has shown that it can’t perform such feats. Who is BHO kidding?
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Second, assuming that costs to the individual will fall, it is most assuredly not the “only change [we]’ll see.” We will witness a fundamental change in the nature and relationship of the federal government to every individual in this country. This would be the first time the federal government ever occupied an entire field, even an entire industry, for everyone in the country, and regardless of age or financial state. That is a fundamental alteration in our federal system.
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Furthermore, what BHO’s not telling us is the pact with the administration and Congress is making with the insurance industry (i.e. the Devil). Take a look at the health care bill Ted Kennedy just rolled out. In exchange for lower individual costs, the plan requires everyone to participate in a health insurance plan of some form. It’s the Massachusetts plan and Hillary-Care redux. It’s based on the theory that insurance companies can guard against losses by having a larger pool, and that they will make up in volume what they lose on individual premiums - and, thus, provide health care insurance at lower rates.
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This would be the first time the federal government imposed any monetary obligation on any individual to enter into a contractual relationship to a third party as a condition of breathing the air in the United States. Beyond its highly questionable constitutionality, it is an inefficient plan. It’s not doing very well in Massachusetts right now. Waiting lists and shortages are widespread, and, still, many people prefer to pay a tax penalty instead of buying insurance. The penalty is cheaper. In which case, large numbers of people in Massachusetts remain uninsured. That’s sort of a self-defeating plan, isn’t it?
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Moreover, there is little to guarantee that insurance companies aren’t going wiggle out of the deal to their advantage - unless the feds cares to take over that industry too. I have to agree with Paul Krugman’s assessment of the situation in his latest article on the issue of health care coverage. On that subject, he offered Congress two pieces of advice: “1) Don’t trust the insurance industry” and “2) Don’t trust the insurance industry.” He, too, doubts that the current “broken system” is going to get any better as long as the same players are in place. They will do everything in their power to remain unaccountable.
Posted by: John W. | June 6, 2009 12:27 PM
The insurance co. are in business to deny clams and make money. Our health care is under the control of an entity whose main goal is to make money off of us. Now there is nothing wrong with making a profit that is what we all need business to do. We need a program that has the patients care as there # 1 goal. I was recently laid off so we had to switch our health insurance. the company my wife works for will only pay for part of her coverage so we have to pay for my son and myself. We pay over $1000.00 a month for our health care. My wife had to see her doctor right away with the switch in health care her doctor is not in her plan. So we have to pay out of pay out of network. We can live with that the problem came when she had to have a MRI on her brain stat. The doctors office was supposed to alert the insurance co. They did not because the woman at the office didn't know how because it was out of network which was a problem. When the dust settled and my wife and I were through with the initial shock of that day we contacted the insurance we missed the 24 hour deadline of notification for an emergency by hours not days. We were told the MRI was not covered because they were not notified within 24 hours. Claim denied missed the cut off. This was an emergency that would have been covered no problem but you add an artificial cut off to deny the claim. Deny deny deny as many claims as possible all for profit profit profit.
Posted by: no spin | June 6, 2009 3:04 PM
If the Government takes over Healthcare it will be another Government snafu.
The smart move would be for Congress to put the pressure on Drug Companies for lover cost for Prescription Drugs.
Posted by: Inky | June 6, 2009 5:02 PM
The CEo of Aetna health made 24 million dollars last year. The Ceo of Cigna health made 16 Million .. How much does the obscene profits health insurance companies make go into the premiums that individuals and businesses are forced to pay? No one ever talks about that. I say get rid of the for profit blood suckers and put a single payer system in place.The American people have been pillaged long enough in the name of profit.Put single payer on the table NOW!!!!!!
Posted by: Tom | June 8, 2009 7:41 PM