Sunday, September 20, 2009

Mandates, then and now

Obama defends the Constitutionally iffy idea of mandating everyone to buy health insurance:
"What it's saying is ... that we're not going to have other people carrying your burdens for you any more than the fact that right now everybody in America, just about, has to get auto insurance," he said.
Except, of course, for the many people who do not drive.

People have forgotten that Obama campaigned against such mandates throughout 2007 and 2008.
Obama's position was different from his two nearest rivals, Hillary Clinton and John Edwards, who included mandates for individuals to buy health insurance in their plans for reform. It was an issue that got downright contentious on the campaign trail.

At a debate in South Carolina, Edwards said Obama's plan really wasn't universal health care, since it didn't have a mandate to ensure everyone was covered.

Obama replied that his plan was universal (a claim we rated Barely True ) and explained why he was against a mandate: "A mandate means that in some fashion, everybody will be forced to buy health insurance. ... But I believe the problem is not that folks are trying to avoid getting health care. The problem is they can't afford it. And that's why my plan emphasizes lowering costs."
And just what aspect of the currently-discussed plans will, with certainty, lower costs? The public option might have done so. But the public option is dead, or nearly so.

Of course, during the primaries, the Obots demonized Hillary when she suggested mandates, even though she had no enforcement mechanism. (The currently-discussed plans do.) From the Medical News of February, 2008:
The Obama campaign last week distributed a mailer that said, "Hillary's health care plan forces everyone to buy insurance, even if you can't afford it ... and you pay a penalty if you don't" (New York Times, 2/4).
Why, that's...that's...awful!

Just for fun, let's sample the kinds of things progs were saying back then. Here are some HuffPo commenters in April of 2008:
Now only if Clinton can start pull magic rabbit out of her huge rump and win the nod. Then she can start criminalizing the working poor maybe have Halliburton build forced labor camps to help Clinton's corporate over lords.
Gosh. And the Obots wonder why the Clinton voters retain a grudge. The Obots also wonder why the current political dialogue is so coarse, inflammatory and conspiratorial. Then again, you must know by now the Obot motto: "We may do what others may not."
do you have any idea what the monthy cost for insurance premiums for the avg family of 4 will be after the tax credits, subsidies and premium caps of Clinton's plan are accounted for?
More HuffPo, from December of 2007:
Just after Bill Clinton was elected, he convened a meeting of economists, CEOs, labor leaders and many others in Little Rock. The purpose of the meeting was to argue out what should be done about the ailing economy, with many of the ideas expressed there later becoming part of Clinton's successful 1993 economic recovery package. The whole thing was on television.

Sound familiar? This is essentially what Obama is proposing for health care after he's elected. If Hillary Clinton had done this on health care in 1993—instead of convening a secret task force—she might have been able to build a stronger public case for reform.
Yeah. Remember those televised hearings earlier this year? Me neither.
Let there be no mistake; Hillary, the DLC, and Gerald McEntee want to NAFTAtise Health Care. It is their opinion that 45 million Americans are without health insurance not because they can't afford it, but because they don't have access to insurance companies.
This next one is particularly hilarious in light of current events:
If I am "FORCED" by legislation to get healthcare, I could legitimately lose my home. It seems like forcing people to get health care is a form of corporate socialism. Obama's plan is good because it creates competition. He will force these companies to compete for their services. This should naturally drop prices without the price fixing that would occur if the coverage was mandated. Obama's plan is the true free market plan and if you believe in medical being overinflated, the market should adjust and he will allow this to occur before creating mandates for coverage.
Even funnier:
Obama will get us to single payer with a 60% of the vote.............He is a Progressive and will bring the majority of the other side with us.
From D.U., February of 2008:
Mandates dont work Obama has given an example how in Boston the mandate isnt working. If we had a universal health care system there would be no reason to mandate it.

What Obama is doing is smart, lets lower health care costs and make it affordable. cut out the lobbyists and special interests that fund the Clinton campaign and while doing that set up a plan for true universal health care.
The reason Obama doesn't want to mandate it is that he doesn't think a mandated health plan will pass Congress; that's all there is to it.
And how could I resist the opportunity for a Daily Kos fly-by? On February 3, 2008, the lead article was particularly obnoxious toward Hillary -- indeed, it was every bit as vile as the stuff now said by Glenn Back about Obama:
Hillary’s plan does not reduce the cost of health insurance, yet mandates that every American buys it. This plan will be taken apart by the GOP, who will argue that Hillary will simply take more and more money out of your paycheck for the same old health insurance that you’ve always had. Barack’s plan is much harder to attack, because it focuses on reducing the costs of health care and contains no mandate.
Comment:
If the truth is that she plans on making people with a $75,000 income pay $5,000 for a family policy, even though SHE thinks thats "affordable," that family doesn't have that money.
This DK post, also from February of 2008, quotes a Sean Wilenz piece on Obama's negative ads. (I can't find a working link to the original.) Wilenz:
Most of the recent correctives have concerned outrageously deceptive advertisements approved and released by Obama's campaign. First, in Iowa, the Obama camp aired radio ads patterned on the notorious "Harry and Louise" Republican propaganda from 1993, charging falsely that Senator Hillary Clinton's health care proposal would "force those who cannot afford health insurance to buy it, punishing those who won't fall in line." In subsequent primary and caucus campaigns, the Obama campaign sent out millions of mailers, also featuring the "Harry and Louise" motif, falsely claiming that Clinton favored "punishing families who can't afford health care in the first place."
Wilenz went on to discuss the great Obama NAFTA deception, which I have often mentioned in these pages.

Finally, for THE laff of the day, let us look back at Talking Points Memo, February 24, 2008:
The key point seems to be the issue of mandates - Obama would require that all children have health insurance, Hillary would extend that requirement to every American. Whatever the abstract merits of the competing proposals, one thing seems clear - Obama has yet again demonstrated his superior understanding of the American temperament, and that bodes well for the plan advanced by the presumptive nominee.
To which the Obot readership replied:
Wow. Excellent analysis of how Obama's appeal is based not merely in blind adulation, but in the concrete sense that his approach shows a better understanding of how progress takes place in American culture. This just happens to be embodied most clearly in the contrast of his health care proposal, but you can see this understanding of American culture at work in all of this policy ideas.

23 comments:

Anonymous said...

I don't think apologies from the Failbots will be sufficient.

They need to make reparations.

Anonymous said...

During the primaries, Obama ridiculed the idea of mandates, saying:

"Achieving universal health care coverage by making everyone buy health insurance is like curing homelessness by making everyone buy a house."


Oh great, so I guess next Obama is going to make everyone buy a house....


Sergei Rostov

Anonymous said...

Heh,

I don't comment much here (or anywhere else for that matter) unless I really feel it way down deep inside.

Thank you Joseph. I read you daily, and I appreciate your presence and contributions to the national debate.

You speak for me (about 95% of the time).

Just to let you know.

Peter of Lone Tree said...

Sergei, you might want to take a look at Michael Panzer's latest post at Financial Armageddon entitled First Cars, Then Houses?.

FYI&FWIW said...

FYI&FWIW: Not all Clinton voters maintain a grudge.

Anonymous said...

Not all Clinton voters maintain a grudge.

"No justice - no peace."

Just Me said...

FYI...for damn sure I still hold a grudge.

And FWIW, ..I do not see it abating.

Thanks for taking the time to dig out the contrasts Joseph, excellent article.

Anonymous said...

I am somewhat bemused by this analysis.

For surely, if Obama's possible course of HC reform has now turned to personal mandates (and that is no done deal at this point), and it is a bad policy option upon analysis, then HRC's proposal to do the same was indeed the bad idea the Obama acolytes said it was at the time.

And therefore, that stated policy difference was indeed a reasonable basis upon which to prefer BHO to HRC, taking BHO's criticism of her proposed idea at face value to mean he would not propose such a thing.

So I guess the 'argument' here is that the Obama crowd ought to have known his position was a ruse, and that he certainly would end up at the same position?

I don't see how that kind of mind-reading could have been done, unless BHO said at the same time that his plan would be deficit-neutral (and that a further analysis of that criterion meant he'd be forced to go to personal mandates).

While I do not recall any such analysis at the time, perhaps it occurred. Otherwise, any claim that the Obamaites ought to have known better comes down to a claim that the man was an obvious wholesale liar that anybody could see through.

Whatever justification his eventual acts in office may lend to that position (now), I think it was far from clear at the time, and especially with regard to this particular issue.

Obama's victory could not have been solely because of the Obamaites. That large a victory required non-Obama acolytes voting for him, not as total believers, but for the crossovers from the GOP and the independents, a suspension of disbelief.

XI

Joseph Cannon said...

XI, it's all very simple.

Obama got the anti-Hillary folk all lathered up because she talked about mandates.

Now he has discarded the public option (or is very near to doing so) and is intent on pushing through a plan with mandates.

You're cool with this? The hypocrisy doesn't bug you?

Bookhorde said...

"Hillary's health care plan forces everyone to buy insurance, even if you can't afford it ... and you pay a penalty if you don't"

But you see, Barack's Bailout for Insurance Companies is different, because if you don't buy insurance, you have to pay a fine, but after paying that fine, you are still uninsured. Don't you see how that transcends the plebian idea of mandates?
Aren't you glad you have a truly progressive president? I can almost hear that choir of angels now.

Anonymous said...

Using the example of car insurance to mandate health insurance glosses over a few points. One is that, as I am renewing my car insurance right now, I see that I pay almost as much to cover uninsured drivers as to cover myself, even though car insurance is mandated in this state. So mandating coverage does not mean you won't pay for those who can't or won't pay for themselves. The issue is whether the benevolent insurance companies will use the mandate as an excuse to squeeze a little extra profit out of the dwindling few who are still solvent. Those already paying for flood, fire, business, car and life insurances, suspect that is the case.

Anonymous said...

Using the example of car insurance to mandate health insurance glosses over a few points.

I can choose not to drive a car. Health is not an option, it is a condition.

Anonymous said...

In my state, Virginia, insurance is not mandated per se. You can spend $500 a year for uninsured motorist tags, and never pay a cent to the insurance company. Of course if you have an accident and get sued, your sunk. But still, using the car insurance model in this state sounds a little quirky.

Snowflake said...

RE XI:

What a bizarre way of looking at politics.

You judge politicians by just looking at what they say and don't look at their history for making outlandish claims, or the credibility of the claims made?

As I recall during the primary , the other people who could claim expertise on this issue said that a mandate was absolutely required to make the system work, and of course common sense says that a mandate of some kind is required.

In order to believe Obama, you had to ignore reason and take a giant leap of faith. Given the number of other leaps required to follow him in my opinion only a fool or a fanatic would have taken the claim of no mandates at face value.

It is not a question of mind reading, it is a question of using your mind to begin with.

Anonymous said...

In my state, the mandatory insurance to drive a car is liability. This insurance covers damage I do to others when I drive my car. If I cannot afford it for any period of time, I can choose to cancel it and to stop driving. I have the option to get around town by cab, train, bus, ride-share, bicycle, walking, or many other modes of transportation. I can take up the insurance again at such time as I choose to resume driving. it may cost me more at first, but I can do it. I do not need car insurance just because I am living. Of course, if I choose or if I do not own my car, I may take out additional insurance that covers other damages. It is not the same thing. I am reminded that driving is a privilege not a right. The government can even revoke my driving privileges if I break the law while driving or refuse to carry liability insurance.

Someone else brought up the point that we each pay a significant amount for unisured persons along with out liability insurance also.

I would probalby be okay with a liability health insurance mandate. Okay, that last part was snark.

And, XI, Obama won not only because of his devoted accolytes, he won because of overwhelming (dare I say historic?) media support. Many people went along because they figured there must be some reason for all the buzz even if they couldn't personally see it. Go read The Emperor's New Clothes.

i'llbedamned

Anonymous said...

XI -


Implicit in his comment above (and stated elsewhere) was Obama's claim that Hillary would force people to buy health insurance even if they couldn't afford it, whereas her actual plan - as Obama well knew - was to raise taxes on the wealthy in order to provide for those who couldn't pay for their own care.


On top of that, not only would Obama's plan NOT have paid for itself (which analysis WAS dome at the time, by the way), but he falsely claimed it was universal while ridiculing the very idea of universality.


Now Obama wants to do exactly what he falsely claimed Hillary wanted to do. And that's the difference.


any claim that the Obamaites ought to have known better comes down to a claim that the man was an obvious wholesale liar that anybody could see through.


An easy claim to make, if one actually examined Obama's history, whereupon one would realize that he lies about virtually everything. But to see through something you first have to LOOK at it...which not enough people did.


So I guess the 'argument' here is that the Obama crowd ought to have known his position was a ruse


Partially correct. The Obama crowd should have known that everything about Obama was a ruse, and acted accordingly. Only they turned their intellect off, and their wishful 'thinking' on.


(And by the way, "wholesale" is the right term for Obama: even the bribes he's taken haven't been up to "retail" levels.)


----------


illbedamned - That, and that the GOP wanted him to win. How else do we explain that the right-wing 527's were going to spend 300 million but only ended up spending 27? And their ads were so soft-hitting one it felt as if they were using a Nerf bat.


And does anyone really believe that a full 20% - some 8.5 millions - of Republicans stayed home (without which fact he would have lost by half a million votes)??? If you do, I have some oceanfront property in Kansas to sell you.


Sergei Rostov

Purple said...

If this passes, it's really time to leave the country. There are many, many better options.

Snowflake said...

The only way to have universal health care is to have mandates to join-there are always people who just wont do what is in their own best interest.

I don't think that taxing people who fail to join is the best way to go though-which is Obama's plan but was not- as I recall- Hillary's.

Anonymous said...

Obama got the anti-Hillary folk all lathered up because she talked about mandates.

Now he has discarded the public option (or is very near to doing so) and is intent on pushing through a plan with mandates.

You're cool with this? The hypocrisy doesn't bug you?


Joe, no I'm not, and this is an obvious betrayal of the campaign position. I get that part entirely. What I'm questioning is the moral blame being placed on his (former? primary) supporters for not knowing he'd betray them and the country on this issue.

Especially, since his new and (rightfully) condemned plan is apparently quite close to the mandates included in the HRC plan. So we should have preferred the same plan we now condemn??? Having a hard time with this reasoning.

Sergei: You say:

And does anyone really believe that a full 20% - some 8.5 millions - of Republicans stayed home (without which fact he would have lost by half a million votes)??? If you do, I have some oceanfront property in Kansas to sell you.

I believe it. Why not? A president of their party having utterly failed, at historic low levels of job approval? The number of registered Republicans, and party identification, at woefully depressed levels? A
candidate who was widely rejected by the red-hots in the party, and whose calling card was an appeal to independents and cross-over Democrats (i.e., NOT such great appeal to the base)??

Yes, the base was depressed, discouraged, and not energized by the McCain candidacy. One of the revelations from the speechwriter's new book is that McCain had to cancel an appearance by Bush because he could not get a crowd of 500 in his own home state. Bush exclaimed in amazement, and referred to the candidacy as a '5-spiral crash' or something.

But I agree with you that the GOP tanked their efforts, probably on purpose, to avoid an electoral wilderness of decades from the fallout of their past 8 years of control.

XI

Anonymous said...

XI:


On mandates, I've already explained how it's different; Hillary's mandate (despite Obama's calims at the time) would have been fully-funded, while the mandate Obama wants would not be (and so would be financially onerous to the uninsured). That's HUGE. Helping the poor good, hurting the poor bad, see the difference?


The reason not to believe it is history: Republicans don't stay home, ever. No matter what happens, they don't care; they turn out, and - except in the rare case of a significant alternative such as Ross Perot - they vote (R). Further, it doesn't matter how the rank-and-file felt about McCain; they LOVED Sarah Palin, absolutely ADORED her (recall that after she was picked - but before the housing crisis hit - McCain was expected to win). As for party ID, the pre-set sampling used in many polls had a depressed ID (not the same thing as self-identification, by any means).


What I'm questioning is the moral blame being placed on his (former? primary) supporters for not knowing he'd betray them and the country on this issue.


Combining my and Snowflake's comments on this, had his supporters used reason (in this case that of the inductive variety) plus actually looking at Obama's history (i.e. how he has betrayed his constituents at every opportunity), they could have easily known this was going to happen. That they did not do these things is simply sad.


Sergei Rostov

Anonymous said...

Sergei, I think you are confusing excited activists for wonks in the weeds, or complaining that the former weren't the latter.

History is replete with examples of people getting exactly what they thought they were voting against.

One old expression was that they told me if I voted for Goldwater, we'd have 1/2 million men in Vietnam in an endless quagmire (followed with, I did, and they were right!).

I can add to this example endlessly. They said if we voted Mondale over Reagan, we would have tax hikes. (They happened, just as Mondale said they would in the debates, although he was defeated.)

They said if we support the '93 Clinton HC plan, people would be forced into HMOs and have no options (yep, that happened, although that plan was defeated).

They said if I voted for Hillary, the right wing would be out in full force obstructing the entire Democratic agenda. Etc.

People have historically gotten far different results from what they thought they were going to get. Should they have known better? Perhaps. Perhaps not.

While a candidate's gloss on things cannot be taken at face value, if for no other reason than that while the president proposes, the Congress disposes, what else can one go on?

I for one did not base my vote on the relative merits/demerits of the details of the candidates' health care proposals, out of an understanding of the above aphorism. There was no especial need to wade into the weeds, to parse out the better and worse of the proposals, given that at the end of the day they were all going to be turned into mince meat by the special interest control of Congress.

A control that no Democrat with a chance to win was going to realistically buck and overturn.

XI

Anonymous said...

While a candidate's gloss on things cannot be taken at face value, if for no other reason than that while the president proposes, the Congress disposes, what else can one go on?

One compares the candidates' words vs. their actions. Hillary has a history of working hard and getting at least some of what she wanted; Obama - when he actually did things - did the opposite of what he said he wanted to do (Annenberg Challenge, Woods Fund ,IL State Senate, etc. etc. etc.).


I for one did not base my vote on the relative merits/demerits of the details of the candidates' health care proposals, out of an understanding of the above aphorism.


Negotiation ends up in compromise, so when one negotiates, one wants to start with the best plan. So one chooses amongst the viable candidates with the best plans (in this case, Hillary, across the board), in order to end up with a result closest to what you want.

given that at the end of the day they were all going to be turned into mince meat by the special interest control of Congress.


If that's what you really believe, then logically you should also believe that there's little point who's in office, and so not much point in voting at all. But following your reasoning, if you DO vote, you DON'T vote for the candidate who is far and away most in the pocket of those special interests, and who has a history of reversing himself after taking bribes from them (i.e. Obama).


A control that no Democrat with a chance to win was going to realistically buck and overturn.


Back in the real world, though, Hillary also had a history of going into enemy strongholds and making them her staunch supporters; this is precisely what she did in upstate NY in order to win her Senate seat. And that made her an even better candidate.



Sergei Rostov

Anonymous said...

Xi -

Oh, and a p.s -


I think you are confusing excited activists for wonks in the weeds, or complaining that the former weren't the latter.


Ah, no, I was simply speaking in accordance with established facts.


Sergei Rostov