WASHINGTON (AP) -- Every American should have health care coverage within six years, Democratic Sen. Barack Obama said Thursday as he set an ambitious goal soon after jumping into the 2008 presidential race.
"The time has come for universal health care in America," Obama said at a conference of Families USA, a health care advocacy group.
"I am absolutely determined that by the end of the first term of the next president, we should have universal health care in this country," the Illinois senator said.
Obama was previewing what is shaping up to be a theme of the 2008 Democratic primary. His chief rivals, Sen. Hillary Rodham Clinton and John Edwards, also are strong proponents of universal health care and have promised to offer their plans.
Obama said while plans are offered in every campaign season with "much fanfare and promise," they collapse under the weight of Washington politics, leaving citizens to struggle with the skyrocketing costs.
He said it's wrong that 46 million in this country are uninsured when the country spends more than any one else on health care. He said Americans pay $15 billion in taxes to help care for the uninsured.
"We can't afford another disappointing charade in 2008, 2009 and 2010," Obama said. "It's not only tiresome, it's wrong."
Obama's call was an echo of a speech he made last April when he said Democrats "need to cling to the core values that make us Democrats, the belief in universal health care, the belief in universal education, and then we should be agnostic in terms of how to achieve those values."
His argument Thursday not only will be considered through the prism of the presidential campaign, but weighed against rival Sen. Hillary Rodham Clinton's ill-fated plan to overhaul the health care insurance system when she was first lady.
Clinton renews call for universal health care
Even after leading that calamitous attempt in 1993, Clinton remains in favor of universal health care and has made it a central theme of her presidential bid.
"One of the goals that I will be presenting ... is health insurance for every child and universal health care for every American," she said at a community health clinic in New York Sunday, the day after entering the 2008 Democratic field. "That's a very major part of my campaign and I want to hear people's ideas about how we can achieve that goal." (Watch Sen. Clinton face the media )
On Thursday, she criticized Bush's proposal to make health care more affordable through tax breaks, arguing that it would lead to less funding for hospitals.
Addressing the U.S. Conference of Mayors, Clinton was self-deprecating in describing her own experience in the health care debate and joked that Bush would need some heavy-duty protection as he wades into the fight.
"I welcome his participation in the health care debate. I'm going to send him a suit of armor because I know anybody who puts a foot in the health care debate is gonna need that. I've got the scars and experience to show for it," said the New York senator.
Another candidate, Ohio Rep. Dennis Kucinich, also backs universal health care.
What EXACTLY is Unaverasal health care?
I currently have insurence (Good but not great) I personaly have no problem with paying a higher tax insted of my insurence premneams but would be ticked if I am forced to keep my insurence and then pay extra taxes for everyone else (Does that make me an evil greedy person? Maby but that is how I feel)
I have no idea what "Unaverasal" health care is.
Dang Counts, getting worse, the word is even in the subject!!!!
What we've got here is failure to communicate. Some men you just can't reach, so you get what we had here last week which is the way he wants it. Well, he gets it.
Didn't Slick Willy and Hillary campaign on healthcare reform? And the best I remember they spent 8 years looking on as things got worse.
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HOW'S THAT HOPE AND CHANGE WORKING OUT FOR YA ??????
I think Bill did, but I think most of his efforts were shot down by a Republican Congress.
What we've got here is failure to communicate. Some men you just can't reach, so you get what we had here last week which is the way he wants it. Well, he gets it.
How about the Bush idea to increase funding by taxing your health benefits that you already have? Perhaps that will raise funds for those that won't work. Or too rich to pay their fair share.
I don't necessarily agree with what is here, but I guess this kinda breaks it down. This will obviously be biased in one direction as it is from the Green Party......
The Case For Single Payer, Universal Health Care For The United States
Outline of Talk Given To The Association of State Green Parties, Moodus, Connecticut on June 4, 1999
By John R. Battista, M.D. and Justine McCabe, Ph.D.
Why doesn't the United States have universal health care as a right of citizenship? The United States is the only industrialized nation that does not guarantee access to health care as a right of citizenship. 28 industrialized nations have single payer universal health care systems, while 1 (Germany) has a multipayer universal health care system like President Clinton proposed for the United States.
Myth One: The United States has the best health care system in the world.
Fact One: The United States ranks 23rd in infant mortality, down from 12th in 1960 and 21st in 1990
Fact Two: The United States ranks 20th in life expectancy for women down from 1st in 1945 and 13th in 1960
Fact Three: The United States ranks 21st in life expectancy for men down from 1st in 1945 and 17th in 1960.
Fact Four: The United States ranks between 50th and 100th in immunizations depending on the immunization. Overall US is 67th, right behind Botswana
Fact Five: Outcome studies on a variety of diseases, such as coronary artery disease, and renal failure show the United States to rank below Canada and a wide variety of industrialized nations.
Conclusion: The United States ranks poorly relative to other industrialized nations in health care despite having the best trained health care providers and the best medical infrastructure of any industrialized nation
Myth Two: Universal Health Care Would Be Too Expensive
Fact One: The United States spends at least 40% more per capita on health care than any other industrialized country with universal health care
Fact Two: Federal studies by the Congressional Budget Office and the General Accounting office show that single payer universal health care would save 100 to 200 Billion dollars per year despite covering all the uninsured and increasing health care benefits.
Fact Three: State studies by Massachusetts and Connecticut have shown that single payer universal health care would save 1 to 2 Billion dollars per year from the total medical expenses in those states despite covering all the uninsured and increasing health care benefits
Fact Four: The costs of health care in Canada as a % of GNP, which were identical to the United States when Canada changed to a single payer, universal health care system in 1971, have increased at a rate much lower than the United States, despite the US economy being much stronger than Canada's.
Conclusion: Single payer universal health care costs would be lower than the current US system due to lower administrative costs. The United States spends 50 to 100% more on administration than single payer systems. By lowering these administrative costs the United States would have the ability to provide universal health care, without managed care, increase benefits and still save money
Myth Three: Universal Health Care Would Deprive Citizens of Needed Services
Fact One: Studies reveal that citizens in universal health care systems have more doctor visits and more hospital days than in the US
Fact Two: Around 30% of Americans have problem accessing health care due to payment problems or access to care, far more than any other industrialized country. About 17% of our population is without health insurance. About 75% of ill uninsured people have trouble accessing/paying for health care.
Fact Three: Comparisons of Difficulties Accessing Care Are Shown To Be Greater In The US Than Canada (see graph)
Fact Four: Access to health care is directly related to income and race in the United States. As a result the poor and minorities have poorer health than the wealthy and the whites.
Fact Five: There would be no lines under a universal health care system in the United States because we have about a 30% oversupply of medical equipment and surgeons, whereas demand would increase about 15%
Conclusion: The US denies access to health care based on the ability to pay. Under a universal health care system all would access care. There would be no lines as in other industrialized countries due to the oversupply in our providers and infrastructure, and the willingness/ability of the United States to spend more on health care than other industrialized nations.
Myth Four: Universal Health Care Would Result In Government Control And Intrusion Into Health Care Resulting In Loss Of Freedom Of Choice
Fact One: There would be free choice of health care providers under a single payer universal health care system, unlike our current managed care system in which people are forced to see providers on the insurer's panel to obtain medical benefits
Fact Two: There would be no management of care under a single payer, universal health care system unlike the current managed care system which mandates insurer preapproval for services thus undercutting patient confidentiality and taking health care decisions away from the health care provider and consumer
Fact Three: Although health care providers fees would be set as they are currently in 90% of cases, providers would have a means of negotiating fees unlike the current managed care system in which they are set in corporate board rooms with profits, not patient care, in mind
Fact Four: Taxes, fees and benefits would be decided by the insurer which would be under the control of a diverse board representing consumers, providers, business and government. It would not be a government controlled system, although the government would have to approve the taxes. The system would be run by a public trust, not the government.
Conclusion: Single payer, universal health care administered by a state public health system would be much more democratic and much less intrusive than our current system. Consumers and providers would have a voice in determining benefits, rates and taxes. Problems with free choice, confidentiality and medical decision making would be resolved
Myth Five: Universal Health Care Is Socialized Medicine And Would Be Unacceptable To The Public
Fact One: Single payer universal health care is not socialized medicine. It is health care payment system, not a health care delivery system. Health care providers would be in fee for service practice, and would not be employees of the government, which would be socialized medicine. Single payer health care is not socialized medicine, any more than the public funding of education is socialized education, or the public funding of the defense industry is socialized defense.
Fact Two: Repeated national and state polls have shown that between 60 and 75% of Americans would like a universal health care system (see The Harris Poll #78, October 20, 2005)
Conclusion: Single payer, universal health care is not socialized medicine and would be preferred by the majority of the citizens of this country
Myth Six: The Problems With The US Health Care System Are Being Solved and Are Best Solved By Private Corporate Managed Care Medicine because they are the most efficient
Fact One: Private for profit corporation are the lease efficient deliverer of health care. They spend between 20 and 30% of premiums on administration and profits. The public sector is the most efficient. Medicare spends 3% on administration.
Fact Two: The same procedure in the same hospital the year after conversion from not-for profit to for-profit costs in between 20 to 35% more
Fact Three: Health care costs in the United States grew more in the United States under managed care in 1990 to 1996 than any other industrialized nation with single payer universal health care
Fact Four: The quality of health care in the US has deteriorated under managed care. Access problems have increased. The number of uninsured has dramatically increased (increase of 10 million to 43.4 million from 1989 to 1996, increase of 2.4% from 1989 to 1996- 16% in 1996 and increasing each year).
Fact Five: The level of satisfaction with the US health care system is the lowest of any industrialized nation.
Fact Six: 80% of citizens and 71% of doctors believe that managed care has caused quality of care to be compromised
Conclusion: For profit, managed care can not solve the US health care problems because health care is not a commodity that people shop for, and quality of care must always be compromised when the motivating factor for corporations is to save money through denial of care and decreasing provider costs. In addition managed care has introduced problems of patient confidentiality and disrupted the continuity of care through having limited provider networks.
Overall Answer to the questions Why doesn't the US have single payer universal health care when single payer universal health care is the most efficient, most democratic and most equitable means to deliver health care? Why does the United States remain wedded to an inefficient, autocratic and immoral system that makes health care accessible to the wealthy and not the poor when a vast majority of citizens want it to be a right of citizenship?
Conclusion: Corporations are able to buy politicians through our campaign finance system and control the media to convince people that corporate health care is democratic, represents freedom, and is the most efficient system for delivering health care
What you can do about this through your state Green Party
Work to pass a single payer, universal health care bill or referendum in your state. State level bills and referenda will be most effective because a federal health care system might in fact be too bureaucratic, and because it is not politically realistic at this time.
Bills or referendum must be written by and supported by health care providers for the legislature to take them seriously. It is thus imperative to form an alliance with provider groups. The most effective provider group to go through is Physicians For A National Health Program which has chapters in every state (see hand out for partial listing of contact people). A number of states already have organized single payer efforts: Massachusetts, California, Washington, Oregon, New Mexico, and Maryland. Join with them.
A first step is to contact state representatives from PNHP and offer to join with them to write and support a bill bringing single payer, universal health care to your state if this has not already been done. The Connecticut and Massachusetts Bills can be used as models to make this task easier (email us at [email protected] and we will send you copies of the bills). A referendum is another way to go, in which case the California referendum can be used as a model.
A second step is to contact state legislators and find a group who are willing to sponsor such a bill.
A third step is to create a coalition of groups to work together to support and publicize this work, or to try to bring together existing groups to work together on this project. Labor unions, progressive democratic groups, Medicare/Senior Advocacy groups, the Labor Party, the Reform Party, UHCAN, existing health care advocacy groups, and state health care provider groups are all imporatnt to work with and get to join such a coalition. The state medical society and state hospital association are critical to work with in order to get any legislation passed. Try to get them to work with you to design a new model for health care delivery. They will be particularly concerned about who will control the system, and be very mistrustful of government. A public trust model with participation by providers, hospitals, business, the public and government is like to be much more acceptable to them than a pure government system. Emphasize doing away with managed care, and get them to try and work with you to find other ways to control costs (necessary to convince politicians) such as quality assurance standards, which will also protect them from malpractice
A fourth step is to give talks in support of your bill or referendum where ever possible. Senior groups, medical staffs, church groups, high school assemblies, and labor unions are particularly good sources. Excellent materials including slides, a chart book and videos are available through PNHP.
A fifth step is to raise money through fund raisers, contributions and benefits held by entertainers. Benefits are particularly useful in bringing out people who you can inform about single payer, universal health care and your efforts.
A sixth step is to develop media access. The creation of videos that can be shown on local cable access TV stations is very effective. Newspaper articles, letters to the editor, and articles by the press are critical. Radio interviews and radio talk shows are important.
Getting the public to write and call their state representatives in support of a proposed bill is critical, as is coordinating testimony at a public hearing.
Because the data about single payer universal health care are so revealing of the problems with corporate America, and because the US citizenry is so concerned and dissatisfied with our health care system these efforts may yield surprisingly positive results and be helpful in establishing the Green Party in the US as a party of the people, by the people and for the people.
We would be happy to help you. Contact us by email at [email protected], by phone at 860-354-1822, or by mail at 88 Cherniske Road, New Milford, CT 06776
All one has to do is ask themselves but one question.
How many people go to Canada or the UK for health care?
You want so-called 'universal health care'? Then be prepared to wait long periods of time for even routine tests.
There is a reason that those in Canada (who can afford it) come to the US for health care.
As for the statement that 'access to healthcare should be a basic right', it already is. Any joe blow can walk off the street into an ER and get care. Perhaps what the author of that article means is that cheap insurance should be a basic right or that cheap healthcare should be a basic right. Nevertheless, show me that passage in the US Constitution.
Government run health care would be nothing but a huge boondoggle. Ask anyone who depends on the Veterans Administration about that.
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Excellent post!
Every politician has to have something to campaign on. Healthcare just seems to be the topic that strikes a nerve with the American public. Obama has as much of a chance to reform healthcare as he has of being elected President. Ain't happening.
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HOW'S THAT HOPE AND CHANGE WORKING OUT FOR YA ??????
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