Krugman Continues to Take On Obama

Paul Krugman notes a piece today that was in the Boston Globe in September, about “about Barack Obama’s role, when he was in the Illinois legislature, in the attempt to get the state committed to universal health care.” Krugman says, “It turns out that the story very much prefigures the debates we’re having right now.”

Krugman’s apparently not interested in letting his concerns about Obama’s healthcare plan go. They are concerns evidently he feels are viable:

This story gives a lot of context to the debate over health reform now. Obama clearly sees himself playing the same role as president that he did as a state legislator — as a broker among groups, including the insurance industry, as someone who can find a compromise solution that’s acceptable to a wide range of opinion.

My thoughts: being president isn’t at all like being a state legislator, Illinois Republicans aren’t like the national Republican party, 2009 won’t be 2003, and the insurance industry’s opposition to national health reform — which must, if it is to mean anything, strike deep at the industry’s fundamental business — will be much harsher than its opposition to a basically quite mild state-level reform effort.

The point is that if national health reform is going to happen, it will be as the result of a no-holds-barred fight of an entirely different order from what Obama saw in Illinois. The president’s role will have to be far more confrontational, involve far more twisting of arms and rallying of the public against the special interests, than Obama’s role as a state legislator in the Illinois case. And it will take place against a backdrop of fierce attacks not just from the industry but from Republicans who fear, rightly, that any kind of reform will move the country in a more liberal direction.

My worries about Obama are that he doesn’t seem to understand this — that he thinks that in 2009, as president, he can broker a national health care reform the same way that as a state legislator, in 2003, he brokered a deal that mollified the insurance industry. That’s a recipe for getting nowhere.

The Boston Globe article is available here. Personally, I’m not too enthused about Obama’s health care plan either. But, I’m no pundit… I’m just a self employed, uninsured small business owner and  blogger who gets that we really, really need universal health care in this country and I don’t think Barack Obama’s plan comes close to what we need. John Kerry was the man withthe plan in ’04, and then again when he revised it in ’06. Ironically, Clinton’s plan comes closest to Kerry’s out of the 3 frontrunners.

TPM’s Election Central has an interview with Paul Krugman on the subject of Obama and health care. Well worth a read.

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One Response to Krugman Continues to Take On Obama

  1. jacksmith says:

    Insurance mandates are not universal health care. And politicians should stop calling it that. Nothing is Universal Health Care except “Single Payer Not For Profit Tax Supported Government Managed Health Care” (HR 676). Insurance mandates will be worse than what you have now. And what you have now is a complete, and total disgrace, and horror show. Insurance mandates will (require) you to buy insurance from the private insurance companies that have been ripping you off, and killing you by the thousands.

    The #1 cause of injury, disability, and DEATH in America is, Health Care. More people die now from contact with the American Medical Health Care system than from any other cause of death. More than from Cancer, Heart disease, or Stroke. More than any other country in the world. Many times more than any other people in the world. Contact with the American medical health care system is the #1 risk factor now for injury, disability, and premature DEATH in America. This fact is a catastrophic indictment of the entire US Health Care System.

    Driven by greed. And a rush to profit. Thousands of Americans are killed, and injured daily in America. By compromised health care. Cutting corners. Over, and under treatments. And poisonings with all manor of toxic, poisonous pharmaceuticals. Especially the children. America only makes up 2-4% of the world population. But Americans buy, and consume 50% of all pharmaceuticals world wide.

    This is an emergency. America is in a crisis. And more Americans have died from this health care crisis than have died in all the wars in US history.

    But the tide has turned. And the message is getting out. And taking hold about the fact that we have a very serious, and major health care crisis going on in America. Hurting everyone. Especially our precious little children. Rich, and poor alike. And most all Americans seem to understand now that “HR 676 Not For Profit Single Payer Universal National Health Care For All (Medicare For All)” is the way to go. Like all the other developed countries have done. Americans want government managed, tax payer supported health care Now. Medicare for all. Like other developed countries have. And like older Americans have now. Accept no substitute.

    I am sick and tired of hearing how the candidates, and politicians health care plans are going to protect, and preserve the private for profit health insurance companies that have been killing, and ripping off the American people. And now the politicians want to mandate (require) that every American has to support the private for profit insurance company’s that have been killing, and ripping you off. Or you will be fined, and PENALIZED. Thats right. PENALIZED. Ridiculous! The politicians really think you are all detached idiots. CASH COWS! To lead to the slaughter. Don’t put up with that.

    Just look at what is already happening with Massachusetts insurance mandates. It’s a catastrophe. Financially, and medically for all the people of Massachusetts. And the private insurance companies just raised their rates by as much as 16%. And everyone has to pay now. It’s a slaughter.

    It’s NOW TIME to bring out the BIG GUNS!! The BIG GUNS!! are you. The American people. And anyone else that wants to help. From now until HR 676 is passed into law. I want every person to reach out and touch their fellow Americans every day if you can. I want you to take a phone book. And call at least one of your fellow Americans every day. And ask them to pickup the sword of HR 676 Single Payer Not For Profit Universal Health Care For All (Medicare For All).

    Call more than one each day if you can. And ask them to do the same as you are doing if they can. And also to put maximum pressure on their politicians to get HR 676 done. And to make sure their politicians support HR 676. Accept no substitute. HR 676 is a no-brainer. It’s the best way to go on health care. It’s the only moral, and ethical way to go. That is why every other developed country has done it. Most did it years ago. See, and

    I know that many of you have been doing a fabulous job of spreading the word by talking it up with family, friends, and co-workers. And putting pressure on the politicians to get HR 676 done ASAP. The phone calls to your fellow Americans will increase the pressure. And increase momentum for HR 676 at an astonishing, and exponential rate. And I know many of you have been wanting to do something more to help. The phone calls to your fellow Americans is something you can do every day to help.

    Trust me. It will be something to see. But you have to keep the focus, and pressure on getting HR 676 passed pronto. They will try to distract you. With all manor of other crises, and catastrophes. And other plans. Don’t be distracted. HR 676 Single Payer Not For Profit Universal Health Care is the #1 concern of the American people. Thousands of Americans are dieing daily now. And you or your loved ones could be next.

    There is no good reason HR 676 cannot be passed into law well before the coming elections. And SCHIP should have been passed by now. Even if it was for 3x the 35 billion congress ask for. Do not tolerate delays. If it is not passed before the coming elections. All America will know which politicians are on the side of the American people. And which are not when they vote. Well before the elections. This is supposed to be a democracy. And well over the majority of Americans want tax payer supported single payer government managed health care for free for all Americans as a right. Many of the politicians will be soliciting your financial, and political support for the coming elections. Make sure you send a note telling them that you expect them to support HR 676 if they expect you to support them.

    Everyone can do this. Most of you are well informed about HR 676. This truly is one of those no-brainers. Be considerate of your fellow Americans when you call. But be comfortable about calling. These are your fellow Americans. Some will be receptive. And some will not be. Some maybe rude, and mean. Just thank them, and move on to the next. Most will be with you. And if you get a call from one of your fellow Americans about HR 676. Let them know you are already on board. And thank them for calling. Build them up. And keep them strong. They are fighting for all of us.

    Keep fighting. Pickup that phone, and call your fellow Americans. It’s the right thing to do. You will win. Bless you all…