Obama hopes to avoid Clinton health care missteps
Posted: Sat Dec 13, 2008 12:33 pm
Examining Clinton & Obama’s Stances on the Subprime Mortgage Crisis, Universal Healthcare, Privatizing Social Security and Nuclear Energy..
JUAN GONZALEZ: We turn now to the Democratic race, where Senators Hillary Clinton and Barack Obama are in a virtual dead-heat that could last right up until the convention. The contest is so tight that Democratic Party chair Howard Dean has raised the possibility of a compromise if no clear nominee emerges by April.
As the Democratic race intensifies, we spend the rest of the hour looking at the candidates on some of the key domestic issues of the 2008 campaign. Both candidates have come under new scrutiny in the past few weeks.
The New York Times revealed last week that Barack Obama backed down on a bill that would have required nuclear plants to disclose radioactive releases. Critics say Obama watered down the measure after heavy lobbying by the nuclear industry, including an Illinois company named Exelon that was among his largest donors.
Days earlier, ABC News reported Hillary Clinton did not once speak out against Wal-Mart’s intensive campaign against unionization during her six years on the company’s board of directors. Clinton’s campaign biography makes no mention of her time at Wal-Mart.
AMY GOODMAN: Today, we’ll look at several domestic issues: the economy, housing crisis, Social Security, healthcare and nuclear power.
Max Fraser is a journalist with The Nation magazine. His latest article is called “Subprime Obama. He joins us in our firehouse studio here in New York. In Washington, D.C., we’re joined by Robert Kuttner, veteran economics and financial journalist, founder and co-editor of American Prospect magazine, former investigator for the Senate Banking Committee, an author of seven books, his latest, The Squandering of America: How the Failure of Our Politics Undermines Our Prosperity.
We want to begin on the housing crisis. This is a clip of Hillary Clinton outlining her plan at the Democratic debate last month in South Carolina.
SEN. HILLARY CLINTON: I would have a moratorium on home foreclosures for ninety days to try to help families work it out so that they don’t lose their homes. We’re in danger of seeing millions of Americans become basically, you know, homeless and losing the American dream. I want to have an interest-rate freeze for five years, because these adjustable rate mortgages, if they keep going up, the problem will just get compounded. And we need more transparency in the market.
AMY GOODMAN: Robert Kuttner, let’s begin with you. Let’s talk about the healthcare plans of Hillary Clinton and Barack Obama.
ROBERT KUTTNER: Well, both Hillary Clinton and Barack Obama have proposed healthcare plans that are really variations on a plan designed by Jacob Hacker of Yale University, which is an attempt to get to universal coverage without having national health insurance, and it’s not bad, if you can’t have the first best, which is national health insurance. The idea is that if you have employer-provided coverage, and you like it, and it’s decent, you get to keep it. If you don’t have affordable coverage, the government will subsidize you to get coverage that’s as good as the coverage that members of Congress get.
Clinton has what’s known as a mandate. She requires people to get coverage. Obama doesn’t. Clinton and some liberal commentators, like Paul Krugman, have whacked Obama for not having a mandate. I think a mandate is a very bad idea. I think the difference between universal social insurance and a mandate is that universal social insurance, like Medicare, says that, as an American or a permanent resident of the country, you get health insurance, the same way you get Social Security. A mandate takes a social problem and makes it the individual’s problem. And in the Massachusetts version of this, on the website it says “new penalties for 2008. You get penalized if you don’t buy health insurance, even if the health insurance that’s available is not high quality and is not affordable. Now, Hillary Clinton says that her version of this is better than Massachusetts, because they will have a substantial amount of regulation to make sure that you can’t discriminate against people with pre-existing conditions, and you can’t have excessive deductibles and co-pays. So the approach is not bad, but it’s definitely a second best. The first best would be national health insurance.
The other problem with this whole approach is that you don’t get the cost efficiencies that you get from universal health insurance, because you still have all this paperwork, you still have all the profit by private insurance companies, you still have doctors being given incentives to go for the reimbursable procedures. And as a result, the cost-containment pressures hit patients. They come in the form of less care, rather than in the form of less waste.
JUAN GONZALEZ: Well, I’d like to ask you, in terms of the mandates issue, because obviously both Krugman, in his various articles, and Clinton have claimed, on the one hand, that Obama does have mandates—he has mandates for coverage of all children—so that the mandates issue is not a principled issue, it’s a tactical issue as to what you think could be approved. Your sense of that?
ROBERT KUTTNER: My point is that a mandate, in a situation where the whole system is sick, makes that sickness the problem of the individual. Instead of putting a gun to people’s heads, typically people who can’t afford good quality insurance, and saying to them, “You must, under penalty of law, or pay a tax or pay a fine, go out and find decent insurance, it’s so much better policy to just have insurance for everybody. Then there’s no question of a mandate.
I think it’s a very bad position for progressives to back into, because it signals that government is being coercive, rather than government being helpful. Now, we can split hairs and argue whether Obama is being principled or tactical, but I think his discomfort with the idea of a mandate is something that I applaud. I wish that both he and Clinton had gone all the way and said, let’s just to do this right and have national health insurance. I think they could have used this as a teachable moment. They could have bought public opinion around. Medicare is phenomenally popular. Medicare is national health insurance for seniors. Let’s have national health insurance for everybody.
JUAN GONZALEZ: We turn now to the Democratic race, where Senators Hillary Clinton and Barack Obama are in a virtual dead-heat that could last right up until the convention. The contest is so tight that Democratic Party chair Howard Dean has raised the possibility of a compromise if no clear nominee emerges by April.
As the Democratic race intensifies, we spend the rest of the hour looking at the candidates on some of the key domestic issues of the 2008 campaign. Both candidates have come under new scrutiny in the past few weeks.
The New York Times revealed last week that Barack Obama backed down on a bill that would have required nuclear plants to disclose radioactive releases. Critics say Obama watered down the measure after heavy lobbying by the nuclear industry, including an Illinois company named Exelon that was among his largest donors.
Days earlier, ABC News reported Hillary Clinton did not once speak out against Wal-Mart’s intensive campaign against unionization during her six years on the company’s board of directors. Clinton’s campaign biography makes no mention of her time at Wal-Mart.
AMY GOODMAN: Today, we’ll look at several domestic issues: the economy, housing crisis, Social Security, healthcare and nuclear power.
Max Fraser is a journalist with The Nation magazine. His latest article is called “Subprime Obama. He joins us in our firehouse studio here in New York. In Washington, D.C., we’re joined by Robert Kuttner, veteran economics and financial journalist, founder and co-editor of American Prospect magazine, former investigator for the Senate Banking Committee, an author of seven books, his latest, The Squandering of America: How the Failure of Our Politics Undermines Our Prosperity.
We want to begin on the housing crisis. This is a clip of Hillary Clinton outlining her plan at the Democratic debate last month in South Carolina.
SEN. HILLARY CLINTON: I would have a moratorium on home foreclosures for ninety days to try to help families work it out so that they don’t lose their homes. We’re in danger of seeing millions of Americans become basically, you know, homeless and losing the American dream. I want to have an interest-rate freeze for five years, because these adjustable rate mortgages, if they keep going up, the problem will just get compounded. And we need more transparency in the market.
AMY GOODMAN: Robert Kuttner, let’s begin with you. Let’s talk about the healthcare plans of Hillary Clinton and Barack Obama.
ROBERT KUTTNER: Well, both Hillary Clinton and Barack Obama have proposed healthcare plans that are really variations on a plan designed by Jacob Hacker of Yale University, which is an attempt to get to universal coverage without having national health insurance, and it’s not bad, if you can’t have the first best, which is national health insurance. The idea is that if you have employer-provided coverage, and you like it, and it’s decent, you get to keep it. If you don’t have affordable coverage, the government will subsidize you to get coverage that’s as good as the coverage that members of Congress get.
Clinton has what’s known as a mandate. She requires people to get coverage. Obama doesn’t. Clinton and some liberal commentators, like Paul Krugman, have whacked Obama for not having a mandate. I think a mandate is a very bad idea. I think the difference between universal social insurance and a mandate is that universal social insurance, like Medicare, says that, as an American or a permanent resident of the country, you get health insurance, the same way you get Social Security. A mandate takes a social problem and makes it the individual’s problem. And in the Massachusetts version of this, on the website it says “new penalties for 2008. You get penalized if you don’t buy health insurance, even if the health insurance that’s available is not high quality and is not affordable. Now, Hillary Clinton says that her version of this is better than Massachusetts, because they will have a substantial amount of regulation to make sure that you can’t discriminate against people with pre-existing conditions, and you can’t have excessive deductibles and co-pays. So the approach is not bad, but it’s definitely a second best. The first best would be national health insurance.
The other problem with this whole approach is that you don’t get the cost efficiencies that you get from universal health insurance, because you still have all this paperwork, you still have all the profit by private insurance companies, you still have doctors being given incentives to go for the reimbursable procedures. And as a result, the cost-containment pressures hit patients. They come in the form of less care, rather than in the form of less waste.
JUAN GONZALEZ: Well, I’d like to ask you, in terms of the mandates issue, because obviously both Krugman, in his various articles, and Clinton have claimed, on the one hand, that Obama does have mandates—he has mandates for coverage of all children—so that the mandates issue is not a principled issue, it’s a tactical issue as to what you think could be approved. Your sense of that?
ROBERT KUTTNER: My point is that a mandate, in a situation where the whole system is sick, makes that sickness the problem of the individual. Instead of putting a gun to people’s heads, typically people who can’t afford good quality insurance, and saying to them, “You must, under penalty of law, or pay a tax or pay a fine, go out and find decent insurance, it’s so much better policy to just have insurance for everybody. Then there’s no question of a mandate.
I think it’s a very bad position for progressives to back into, because it signals that government is being coercive, rather than government being helpful. Now, we can split hairs and argue whether Obama is being principled or tactical, but I think his discomfort with the idea of a mandate is something that I applaud. I wish that both he and Clinton had gone all the way and said, let’s just to do this right and have national health insurance. I think they could have used this as a teachable moment. They could have bought public opinion around. Medicare is phenomenally popular. Medicare is national health insurance for seniors. Let’s have national health insurance for everybody.