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#1 Obama's Speech To Congress RE: HC

Posted: Wed Sep 09, 2009 5:37 pm
by Cpl Kendall
CNN wrote: Obama: 'If you misrepresent what's in the plan, we will call you out'
Posted: September 9th, 2009 05:46 PM ET
The White House has released excerpts of President Obama's address to Congress tonight:

EXCERPTS OF THE PRESIDENT'S ADDRESS TO A JOINT SESSION OF CONGRESS TONIGHT:

I am not the first President to take up this cause, but I am determined to be the last. It has now been nearly a century since Theodore Roosevelt first called for health care reform. And ever since, nearly every President and Congress, whether Democrat or Republican, has attempted to meet this challenge in some way. A bill for comprehensive health reform was first introduced by John Dingell Sr. in 1943. Sixty-five years later, his son continues to introduce that same bill at the beginning of each session.

Our collective failure to meet this challenge – year after year, decade after decade – has led us to a breaking point. Everyone understands the extraordinary hardships that are placed on the uninsured, who live every day just one accident or illness away from bankruptcy. These are not primarily people on welfare. These are middle-class Americans. Some can't get insurance on the job. Others are self-employed, and can't afford it, since buying insurance on your own costs you three times as much as the coverage you get from your employer. Many other Americans who are willing and able to pay are still denied insurance due to previous illnesses or conditions that insurance companies decide are too risky or expensive to cover.


***

During that time, we have seen Washington at its best and its worst.

We have seen many in this chamber work tirelessly for the better part of this year to offer thoughtful ideas about how to achieve reform. Of the five committees asked to develop bills, four have completed their work, and the Senate Finance Committee announced today that it will move forward next week. That has never happened before. Our overall efforts have been supported by an unprecedented coalition of doctors and nurses; hospitals, seniors' groups and even drug companies – many of whom opposed reform in the past. And there is agreement in this chamber on about eighty percent of what needs to be done, putting us closer to the goal of reform than we have ever been.

But what we have also seen in these last months is the same partisan spectacle that only hardens the disdain many Americans have toward their own government. Instead of honest debate, we have seen scare tactics. Some have dug into unyielding ideological camps that offer no hope of compromise. Too many have used this as an opportunity to score short-term political points, even if it robs the country of our opportunity to solve a long-term challenge. And out of this blizzard of charges and counter-charges, confusion has reigned.

Well the time for bickering is over. The time for games has passed. Now is the season for action. Now is when we must bring the best ideas of both parties together, and show the American people that we can still do what we were sent here to do. Now is the time to deliver on health care.

The plan I'm announcing tonight would meet three basic goals:

It will provide more security and stability to those who have health insurance. It will provide insurance to those who don't. And it will slow the growth of health care costs for our families, our businesses, and our government. It's a plan that asks everyone to take responsibility for meeting this challenge – not just government and insurance companies, but employers and individuals. And it's a plan that incorporates ideas from Senators and Congressmen; from Democrats and Republicans – and yes, from some of my opponents in both the primary and general election.

***

Here are the details that every American needs to know about this plan:

First, if you are among the hundreds of millions of Americans who already have health insurance through your job, Medicare, Medicaid, or the VA, nothing in this plan will require you or your employer to change the coverage or the doctor you have. Let me repeat this: nothing in our plan requires you to change what you have.

What this plan will do is to make the insurance you have work better for you. Under this plan, it will be against the law for insurance companies to deny you coverage because of a pre-existing condition. As soon as I sign this bill, it will be against the law for insurance companies to drop your coverage when you get sick or water it down when you need it most. They will no longer be able to place some arbitrary cap on the amount of coverage you can receive in a given year or a lifetime. We will place a limit on how much you can be charged for out-of-pocket expenses, because in the United States of America, no one should go broke because they get sick. And insurance companies will be required to cover, with no extra charge, routine checkups and preventive care, like mammograms and colonoscopies – because there's no reason we shouldn't be catching diseases like breast cancer and colon cancer before they get worse. That makes sense, it saves money, and it saves lives.

That's what Americans who have health insurance can expect from this plan – more security and stability.

Now, if you're one of the tens of millions of Americans who don't currently have health insurance, the second part of this plan will finally offer you quality, affordable choices. If you lose your job or change your job, you will be able to get coverage. If you strike out on your own and start a small business, you will be able to get coverage. We will do this by creating a new insurance exchange – a marketplace where individuals and small businesses will be able to shop for health insurance at competitive prices. Insurance companies will have an incentive to participate in this exchange because it lets them compete for millions of new customers. As one big group, these customers will have greater leverage to bargain with the insurance companies for better prices and quality coverage. This is how large companies and government employees get affordable insurance. It's how everyone in this Congress gets affordable insurance. And it's time to give every American the same opportunity that we've given ourselves.

***

This is the plan I'm proposing. It's a plan that incorporates ideas from many of the people in this room tonight – Democrats and Republicans. And I will continue to seek common ground in the weeks ahead. If you come to me with a serious set of proposals, I will be there to listen. My door is always open.

But know this: I will not waste time with those who have made the calculation that it's better politics to kill this plan than improve it. I will not stand by while the special interests use the same old tactics to keep things exactly the way they are. If you misrepresent what's in the plan, we will call you out. And I will not accept the status quo as a solution. Not this time. Not now.

Everyone in this room knows what will happen if we do nothing. Our deficit will grow. More families will go bankrupt. More businesses will close. More Americans will lose their coverage when they are sick and need it most. And more will die as a result. We know these things to be true.

That is why we cannot fail. Because there are too many Americans counting on us to succeed – the ones who suffer silently, and the ones who shared their stories with us at town hall meetings, in emails, and in letters.
Saw this posted on SDN and thought it might interest some. I note a distinct lack of a public option but at least there is a ban on caps, pre-existing conditions and loss of coverage if you lose your job.


Edit: Bit of an update.


NYT
“Security and stabilityâ€

#2

Posted: Wed Sep 09, 2009 11:38 pm
by SirNitram
Yep. Totally no mention of the Public Plan.

Except, of course, he spoke of it, spoke firmly on it, but did point out it's only 15% of the reform plan(And anyone reading the full bills knows this is literal). I do get tired of how quickly people assume it's gone, especially from unnamed sources. The media is playing you like violins!

#3

Posted: Thu Sep 10, 2009 3:24 am
by frigidmagi
What this plan will do is to make the insurance you have work better for you. Under this plan, it will be against the law for insurance companies to deny you coverage because of a pre-existing condition. As soon as I sign this bill, it will be against the law for insurance companies to drop your coverage when you get sick or water it down when you need it most. They will no longer be able to place some arbitrary cap on the amount of coverage you can receive in a given year or a lifetime. We will place a limit on how much you can be charged for out-of-pocket expenses, because in the United States of America, no one should go broke because they get sick. And insurance companies will be required to cover, with no extra charge, routine checkups and preventive care, like mammograms and colonoscopies – because there's no reason we shouldn't be catching diseases like breast cancer and colon cancer before they get worse. That makes sense, it saves money, and it saves lives.
This alone makes it worth voting for in my opinion.

#4

Posted: Thu Sep 10, 2009 5:45 am
by Cpl Kendall
frigidmagi wrote: This alone makes it worth voting for in my opinion.
Aye, it's a definite improvement on the current system.

#5

Posted: Thu Sep 10, 2009 3:38 pm
by General Havoc
SirNitram wrote:Yep. Totally no mention of the Public Plan.

Except, of course, he spoke of it, spoke firmly on it, but did point out it's only 15% of the reform plan(And anyone reading the full bills knows this is literal). I do get tired of how quickly people assume it's gone, especially from unnamed sources. The media is playing you like violins!
I assume it's gone because he said explicitly that while he supports the option, it's a means to an end, and not an end in and of itself, and that essentially people ought not to be wedded to it. That does not strike me as "speaking firmly" on it, nor is that the media playing me or anyone else.

Yes, he also said that he believes that if you can't afford insurance, the government should afford you a choice, but given the above statement, I don't believe he means a public option, but some sort of government pressure on the insurance industry to provide affordable coverage.

I am exceptionally skeptical of a program that entails mandatory coverage and yet does not include a public option. While the speech was excellent and moving (one of his better, I thought), the effect of it was to fill me with dread. Forbidding insurance companies from denying coverage due to pre-existing conditions is one thing (and a very necessary step), but there's nothing to stop them (that I've seen suggested) from charging such people $12,000 per month premiums for their insurance, which they now have to buy or face penalties in some form.

Simplification? Maybe. But this is an issue of grave personal concern to me. I have no insurance at present, because I have pre-existing conditions that make it utterly impossible for me to acquire it. I welcome the notion of being finally able to get it, but not if it comes with the price tags it will inevitably come with, given my condition. Yes, the President did say that those who still can't afford insurance will be given tax credits to assist them, but all the tax credits in the world won't help me if the monthly premiums for even basic coverage cost more money than I make in a month, which as it stands they absolutely do. Yes, he also said that costs will be cut through a marketplace system of some sort for insurance, and the breaking up of monopolies. Unfortunately I've looked around. California is extremely well-served with insurance companies. There exists not one of them under which I could ever afford basic coverage, even if you slashed their premiums in half.

I was very very disappointed that a strong public option was not proposed in this speech. Instead it appears that they are prepared to sacrifice the public option in favor of getting other reforms through to the system. Perhaps that's the better move politically. Perhaps it's even the better move for the majority of the country. But it places me in a position where I am required to purchase insurance that I cannot afford even if I doubled my monthly salary, and I heard nothing in the plan that in any way mitigates that simple fact.

#6

Posted: Thu Sep 10, 2009 4:54 pm
by SirNitram
A public option in this was always, from the beginning, a means to an end. THe end being cheaper, more affordable coverage for all. I don't get what's surprising about this; that's how it's always been sold.

Besides, Obama isn't writing this bill. It's written. The House has theirs, the Senate HELP committee their's. Oh, Finance will put some peice of lobbyist-written trash(Check the metadata on Baucus' Framework document), but nothing without a strong public option is getting through the House. As has been so for a while now.

#7

Posted: Thu Sep 10, 2009 5:11 pm
by General Havoc
Well I hope you're right about that Nitram. And I agree that a public option was a means to an end. I just don't see how we're supposed to attain the end without that means.

But we'll see what comes of it.

#8

Posted: Thu Sep 10, 2009 7:38 pm
by SirNitram
Swedish system would work. But the Public Option is still explicitly in all the passed ones, expansion of Medicaid, ecetera.. I'm feeling good.