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Obama Health Plan Could Go In Clinton's Direction

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June 27, 2008 7:09 AM

ABC News' Teddy Davis, John Santucci and Gregory Wallace Report: No policy proposal more sharply divided Barack Obama from Hillary Clinton than the former first lady's plan requiring adults to purchase health insurance.

But as the one-time rivals head to Unity, N.H., on Friday, a health adviser to the presumptive Democratic nominee is signaling that Obama's plan could eventually go in Clinton's direction.

"Senator Obama is willing to consider any sort of proposal that would bring together, not just the insurance industry but . . . the consumers themselves," said Obama adviser Dr. Kavita Patel.

Obama's surrogate made her comments Wednesday while representing him at a National Journal health-policy forum moderated by Ron Brownstein, the political director of Atlantic Media.

Patel's individual mandate remarks were made in response to an insurance industry leader suggesting at the same forum that insurers will oppose Obama's plan as currently structured. Insurers are worried that the Illinois Democrat has not tied an individual mandate to "guaranteed issue," the industry's term for requiring patients to be covered without regard to pre-existing conditions.

"We've had the conversation about . . . guaranteed issue," said Karen Ignagni, the president and CEO of America's Health Insurance Plans. "But we are prepared to have that conversation in the insurance industry if the politicians are ready to stand up and say we are going to get everyone in."

Ignagni's words are watched closely because the organization she heads emerged from the Health Insurance Association of America, sponsors of the "Harry and Louise" ads which played a critical role in killing Clinton's effort to reform health-care in the 1990s

Asked if Obama would be seen as reversing himself if he were to endorse an individual mandate after clashing with Clinton on the issue, Patel dismissed the concern.

"He has not said he is opposed to it," Patel told ABC News. "He has voiced his disagreement with having that be a part of his health-care plan last year. But he is not opposed to the idea itself." Patel added that the Obama campaign is in touch with former Clinton health-care advisers.

If Obama were to endorse an individual mandate, Ignagni's comments suggest that it would dramatically improve his chances of getting the insurance industry to accept his call for guaranteed issue.

Community rating, however, might still be a stumbling block.

Richard Kirsch, the head of "Health Care for America Now," told ABC News in a separate interview that the liberal coalition he leads would go along with an individual mandate only if the insurance industry accepts both guaranteed issue and a system of community rating in which there were no variations in premiums on the basis of age, gender, or pre-existing conditions.

Kirsch said his group would only accept premium variations on the basis of geography.

"We're not going to get the kind of change we need by playing footsie with the industry," said Kirsch. "If they are going to change their tune, great. But I think they are only going to change their tune if they are forced to do it."

Asked if insurers would support community rating if an individual mandate were in place, an industry spokesman said such a proposal requires further examination.

"That is not something that we have come out in support of at this time," said Robert Zirkelbach, a spokesman for America's Health Insurance Plans.

UPDATE:

Concerned that some may view Dr. Kavita Patel's remarks as a sign that Barack Obama is shifting his stance on an individual mandate, a campaign spokesman told ABC News that the presumptive Democratic nominee "does not have plans to change his health care plan."

"Senator Obama does not have plans to change his health care plan, which will achieve universal coverage," Obama spokesman Bill Burton tells ABC News. "As he has consistently said throughout this campaign, he will bring together businesses, the medical community and members of both parties around a comprehensive solution to this issue."

Obama may gain politically in the short run by talking about the benefits of guaranteed issue without the burden of an individual mandate. No one wants to be required to purchase insurance that they may not be able to afford.

But close observers of reform efforts see an individual mandate as essential to making good on Obama's promise to end the insurance industry's "cherry picking" of healthy customers. If the uninsured are not required to purchase insurance while knowing that they are guaranteed access at a community-rated price, the insurance industry worries that the uninsured will only seek coverage once they become sick.

 

June 27, 2008 in Clinton, Hillary, Obama, Barack, Vote 2008: Democrats, Vote 2008: Republicans | Permalink | User Comments (10)

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Another big entitlement plan from the Super-Lib Obama. We cant afford his politics. He wants his kids to have abortions over being punished with a baby and now spend trillions on a bloated federally subsidized health care program. Does anyone doubt it will operate as effectively as Medicare, Medicade, and Social Security. LOL. OBAMINATION stop him please.

Posted by: Troy | Jun 27, 2008 8:11:44 AM

You people are so into hatingthe "different"guy,and you know whatI mean,that ya'll look through allthe good that he's going to do for our country when he wins. I believe in big government. I think Obama is actually not big government enough. If poeple could govern themselves, half the people in the country would be drowning in credit card debt. I only 27, I come from a middle class family. I paid for college and for a wedding. The only debt I have is two car payments and a mortgage. If more people managed themselves like me, we wouldn't need big government. The problem is they don't

Posted by: Liberal | Jun 27, 2008 8:51:44 AM

Badger and Troy - we need all Americans covered in this country. Unless you are making over $300,000, you needn't worry about more taxes being taken out of your paycheck. The 0.01 rich need to pay for this or move to another country. This is the 21st century and the US is the only industrialized nation that does not provide affordable universal healthcare for its citizens. Healthcare, unfortunately in the US, is unaffordable and a privilege instead of a right. Very few can afford heavy deductibles, copays and premiums required by insurance companies. McCain is all for more choices - but what choices? The private insurance industry has caused the current lousy state of healthcare. That means they cannot be trusted. Administration costs are too high. I am a programmer and I see this with electronic claims being rejected by states and Medicare and Medicaid for all stupid kinds of reasons. Healthcare EDI is an administrative nightmare. People - talk to your representatives about affordable healthcare for all Americans - NOW!!!!!

Posted by: Bob | Jun 27, 2008 9:03:42 AM

The only people who were left out under the Obama plan are those that want to be left out. Individual mandates (supposedly to lower costs) is just a way to add an extra tax (insurance premiums) on the young and healthy to subsidize the old and sick. Individual mandates is nothing more than the baby boomers taking care of themselves at the expense of the X and Y generations.

Posted by: X marks the spot | Jun 27, 2008 1:34:30 PM

@NO-OBAMA: Who cares where the ideas come from? The president should take good ideas from as many different sources as possible and act on the best ones. I like McCain but he doesn't come up with "his" ideas either. He has advisors work through a lot of details, they go over it with McCain and he picks what seems to work for him.

Posted by: X marks the spot | Jun 27, 2008 1:47:11 PM

Hillary Clinton can't be Secretary of Health, it's an insult. Should she take the job with the responsibility to explain why Obama's universal health care leaves 15 million Americans out in the cold?

Clinton won the popular vote, and Obama is a gamble superdelegates indulge in since this year they believe Dems will win anyway. For Obama to win, he needs to do at least one thing that he promised. Bridging the divide should do nicely, all he has to do is pick Clinton for VP.

Posted by: Sylvia Johnsen | Jun 27, 2008 5:17:47 PM

The ever changing face of the so-called brilliant, smart politician is on display again. Throughout the primary campaign this brilliant, post-partisan politician engaged in a smear campaign to discredit the Clintons, to fool the young generation who did not experience the benefits from the policies of the Clinton years in White House. That is why he could say then, that people fell economically during the Clinton years. During that campaign this brilliant person could not be seen coming out with unique policy propositions. Whatever he said, was to take a differentiated stand from the Clintons and to reduce her to a caricature. He has now revoked all his rhetorical stands on important issues, as on Nafta, campaign finance, social security funding, gun control, middle east foreign policy etc. Earlier when Sen. Clinton took a tough stand on Iran this brilliant man and his campaign made her look like gun-totting individual. He made clear where he stands, at the AIPAC conference, immediately after bagging the nomination. Now comes his reversal of stand on healthcare. He would now mostly copy the Clinton healthcare plan, with a few changes here and there. Isn;t this an instance of a blatant act of plagiarism. It can be expected on other policy issues as well. This man and his smart team of people have no time to work on policy issues. They spend most of the time dishing out propaganda to keep the young impressionable minds in their folds while at the same time trying to tarnish the opposition with the help of a friendly media.

Posted by: Linda | Jun 28, 2008 3:31:45 AM

Obama’s economic policies are the same failed policies of the Democrats that have ruined
the US economy. The problems with the economy are in large part due to high gas prices, high food prices and the collapse of the housing market. All of the aforementioned problems can be directly traced to the failed policies of the Democrats. Obama has stated that he thinks the high price of gas is ok with him. Truth is if the Democrats had not banned drilling for oil in ANWAR and off-shore for years the US would not be as dependent on Middle Eastern oil and the gas prices would be much lower now. The Democrats are lying to us when they say drilling for oil will not make gas prices go down. The US has more oil than all of the Middle East combined and if we start drilling for oil now oil could start flowing in as little as two years from now. The dirty little secret of the Democrats is that, like Obama, the Democrats are very happy with the high price of gas as they want to force all of the poor people, that they claim to care so much about, out of their cars and onto bicycles or public transit. Food prices are high because of the fact Democrats pushed biofuels which took a lot of food acreage out of production causing a shortage of food bringing food costs higher. By the way, one of Obama's biggest contributers is the biofuel industry. As to the housing market collapse, it is the Democrats who pushed the loan industry into loaning money to high risk borrowers in the name of affirmative action which led to the collapse of the housing market. What is even more troubling is that in a time of war Obama wants to fund his massive government spending programs via decimating the Defense budget and raising taxes. US spending on Defense , including Iraq, is at a relatively low level when compared to other war time budgets such as WWII and Vietnam. The US has not been attacked since 9/11 so a good argument could be made that the funds spent on Defense have been well worth it since another 9/11 attack could cripple our economy. Raising corporate taxes, payroll taxes, and income taxes will kill economic growth that will result in higher unemployment and a lower standard of living for the very people Obama says he wants to help.. If the change you can belive in is higher gas and food prices , more job losses, lower standard of living vote Obama cause as Obama has stated “We can’t drive our SUVs and eat as much as we want and keep our homes on 72 degrees at all times … and then just expect that other countries are going to say OK…. That’s not leadership. That’s not going to happen.”

Posted by: Terry | Jun 28, 2008 11:20:05 AM

The reason insurance costs are so high is all due to the policies of the Democrats. It is the Democrats who with their trial lawyer ambulance chasing buddies have made health care providers raise their prices due to the heavy burden of law suites. It is the Democrats who have forced Insurance companies to cover sex change operations, alternative medicine and other exotic services that have caused insurance rates to sky rocket. A government take over of the health care industry will just make health care costs go higher which will result in the rationing of health care services which will drive physicians out of health care. Obama's idea of health care is less and lower quality health care for all with a government worker making life and death decisions.

Posted by: tim | Jun 28, 2008 12:56:20 PM

Obama--PLEASE do this! It's stil less than civilized countries do--and you will have my vote..if I dont get off of Medicaid, I'm going to die, anyway--might as well vote for McKinney. Give me a chance to see s good specialist--I'll give you my vote. Quid pro quo.

Posted by: KDelphi5950 | Aug 19, 2008 12:44:43 PM

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