When then-candidate Barack Obama first unveiled his health-care plan, on May 29, 2007, his 3,600-word speech didn't contain the words "public option" in it. There wasn't a single mention of it (although an accompanying fact sheet did refer to a "new public plan" that would be open to individuals without access to other coverage).
The words "public option" or "public plan" also didn't appear in Obama's convention speech in Denver, nor in his victory address at Grant Park in Chicago.
All of this is ironic given that the debate over health care now -- especially now that Democrats, and perhaps one or two Republican senators, are the key players in it -- has become all about the public option.
Congressional liberals are demanding it. "A bill without a strong public option will not pass the House," House Speaker Nancy Pelosi said in a statement yesterday. "Eliminating the public option would be a major victory for the insurance companies who have rationed care, increased premiums and denied coverage."
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Obama has said he prefers a public option, a government-run insurance program like Medicare, as a way to put pressure on private insurers to keep their costs and prices down. But he also consistently hasn't made it a non-negotiable demand. "He believes deeply in competition and choice within the insurance system," White House senior adviser David Axelrod told NBC's Chuck Todd earlier this week. "He believes the public plan -- the public option is one way to do that within the insurance exchange."
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While Obama didn't say the words "public option" in his health-care speech in 2007, he did say this: "The very first promise I made on this campaign was that as president, I will sign a universal health care plan into law by the end of my first term in office."
That's the promise he made. Yet whether or not he gets to fulfill that promise could be determined by what the eventual legislation contains -- and how it's received from members of his own party.
http://firstread.msnbc.msn.com/archive/2009/09/04/2053400.aspx