So, today, we learn that the White House is
drafting a health care bill.
Oh, for the beautiful vision that it is based upon
Dave Lindorff's concepts:
The Address President Obama Should Give to Congress Next WeekMy Fellow Americans.
.....
Health care is an enormous industry -- maybe the biggest and most powerful industry in the country -- and it has far too much power in Congress. Literally thousands of lobbyists, carrying tens of billions of dollars in campaign contributions -- have invaded these halls and distorted the process, and in the end have stymied reform. (some hissing)
Meanwhile, I have realized that the answer has been staring us in the face all along.
And that was my second mistake. I told the American Medical Association that while single-payer medical plans, where the government is the insurer, might work well in other countries, the idea of government running health care was not part of our American tradition. In fact, it is, and has been since 1965, when President Lyndon Johnson signed into law the Medicare program. Medicare is a single-payer program, and polls and surveys show it is enormously popular with older and disabled Americans. Medicare has relieved our parents and grandparents from the fear that they will not get medical care when they stop working, and it has lifted the enormous burden and worry off of younger Americans over how to pay for the care of their elders, and it has done this with enormous efficiency, all while allowing recipients to choose their own doctors and hospitals. (applause)
So we really don't need to re-invent the wheel. There is no point in members of Congress having to hold endless hearings, and to sit and listen to the pitches of lobbyists from the medical establishment. We can just expand Medicare to cover everyone. (applause)
How much would that cost? Well, we know that 10% of the elderly -- the oldest and sickest among them -- account for 50% of total Medicare costs, so that means the other 90% only cost some $200 billion a year. Even if we assumed that the rest of the population's medical bills were as high as those 90%, it would mean that expanding Medicare to cover them would cost less than $1 trillion a year, and probably closer to $750 billion. So roughly speaking, we're talking about adding $750 billion a year to the cost of Medicare.
.....
My good friend and former colleague in this building, Chairman John Conyers, had it right all along: We have a great system that we just need to expand to cover everyone.
So to get it started, I'm going to send Congress a couple of bills. One would immediately shift everyone eligible for Medicaid over to Medicare. I'm calling this the States' Medical Cost Relief and Medicare Expansion Act. It will not only begin the process of expanding Medicare, but will provide badly needed financial relief to states that are suffering from declining tax revenues and rising health care costs because of the recession. (applause)
I will also send Congress a bill that will expand Medicare coverage to all Americans and to legal residents. (applause, some boos from Republicans)
I am sure that as financially sound as this change is, there will be opposition from the medical industry, so let me add that this is, for me, a moral imperative too. For too long, this great country has allowed health care to be a matter of whether or not you had a job with health benefits, or enough money to pay for insurance yourself. That is unacceptable. We are our brothers' and sisters' keepers, and just as we believe that every child needs an education, we believe that everyone deserves to have access to quality medical care. (loud applause)
So let me add this: If Congress does not pass these two bills by the end of the current session, in time for the holiday recess in December, I will declare a national emergency because of the recession and the huge rise in the uninsured that it has caused, and will issue executive orders implementing both these measures. It's not the way I would prefer to see things done, but if Congress cannot act, I promise you and the American people, I will. (applause and boos)
It's crunch time.