U.S. Rep. Dennis Kucinich Speaks Truth to Power on Libya!

Making History: President signs Health Care Reform Bill

After a century long struggle, President Obama signed the Health Care Reform Bill into law. I commend the President and the Democrats for a job well done. We witnessed history. In the plain words of Vice President Joe Biden, "this is a big f***ing deal!" Although this legislation is imperfect for the sound reasons articulated by progressives such as U.S. Rep. Dennis Kucinich and Ralph Nader on Democracy Now, this legislation provides major tangible benefits to the American people. As stated in Tara Siegal Bernard's New York Times article entitled "For Consumers, Clarity on Health Care Changes":

The legislation .... provide[s] coverage for as many as 32 million people who have been shut out of the market — whether because insurers deem them too sick or because they cannot afford ever-rising insurance premiums.

[Within] six months .... many plans [will] be prohibited from placing lifetime limits on medical coverage, and they [cannot] cancel the policies of people who fall ill. Children with pre-existing conditions [cannot] be denied coverage.

And dependent children up to age 26 [are] eligible for coverage under their parents’ plans — instead of the current state-by-state rules that often cut off coverage for children at 18 or 19.

And within three months ....., people who have been locked out of the insurance market because of a pre-existing condition [will] be eligible for subsidized coverage through a new high-risk insurance program.

That special coverage [will] continue until the legislation’s engine kicks into a higher gear in 2014, when coverage [will] be extended to a wider part of the population through Medicaid and new state-run insurance exchanges.

Those exchanges, or marketplaces, [will] provide much more competitive, consumer-friendly online shopping centers of private insurance for people who are not able to obtain coverage through an employer.

In 2014, people with pre-existing conditions [can] no longer be denied insurance, all lifetime and annual limits on coverage [will] be eliminated and new policies [will] be required to meet higher benefit standards.

While this landmark legislation is a major accomplishment, it must viewed as a single step toward the ultimate goal, free universal health care for all citizens.

No More Compromise

Earlier in his political career, Barack Obama supported single payer health care. A single payer system would provide free, universal and quality health care for all citizens. Every major industrialized democracy has some form of single payer health care.

It is a national disgrace that over 47 million Americans have no health insurance. Private health insurance companies’ primary objective is maximizing profits for shareholders. They actually increase profits by denying coverage. Many health insurance companies refuse to sell or renew policies due to a person’s health status. In addition, they deny coverage for treatment of certain pre-existing conditions. Moreover, due to escalating premium costs, fewer employees will be able to afford health insurance in the near future. According to a new Commonwealth Fund report, health insurance premiums increased “119 percent between 1999 and 2008, and could increase another 94 percent to an average of $23,842 per family by 2020 if cost growth continues on its current course.” [1]

To build a census to address this crisis, President Obama embraced a pragmatic approach. He has rejected the proposal of U.S. Representatives John Conyers and Dennis Kucinich for single payer legislation, United States National Health Care Act H.R. 676. In attempt to reach a compromise, the private companies would continue to provide health care insurance. However, under America’s Affordable Health Choices Act H.R. 3200, citizens would have an option to enroll in a public insurance program. H.R. 3200 would prevent companies from refusing to provide coverage based on an individual’s health status or pre-existing conditions. The legislation includes “new data collection efforts to identify and address racial health disparities.” Finally, people will receive credits to purchase private or public insurance.

Despite efforts to develop a bipartisan compromise, most Republicans and the Blue Dog Democrats continue to oppose the President’s health care plan. The right wing critics have called President Obama a socialist. A lunatic fringe has even compared him to Adolf Hitler. Instead serving as a medium to convey a clear message to the American people, the town hall meetings have degenerated into chaos. Consequently, the President’s poll numbers are declining.

Under intense pressure, the Obama Administration has expressed a willingness to eliminate the public option, the cornerstone of any progressive legislation. The public option was designed to create competition in the market place. As the summary of H.R. 3200 states, the public option "will be a new choice in many areas of our country dominated by one or two private insurers today."

Eliminating the public option will allow insurance companies to continue to raise costs. Their monopoly over the market and the political process must be brought to an end. The President has already compromised by rejecting a single payer system and by proposing to establish credits to enable more citizens to purchase in private insurance.

U.S. Representative Maxine Waters[2] is correct. The time for bipartisan cooperation is over, no more compromise. The Obama Administration needs to enforce party discipline and start twisting arms to bring the Blue Dog Democrats in line with the President’s agenda. The President and progressive members of Congress should reject any proposal that does not include a public option and they should support the Kucinich Amendment. That amendment would allow states to establish their own state based single payer health care plans. Surrender is not an option.

[1] Commonwealth Fund, New Report: Employer-Sponsored Health Insurance Premiums Increase 119 Percent from 1999-2008; Project to Double Again by 2020 (August 20, 2009). http://www.commonwealthfund.org/Content/News/News-Releases/2009/Aug/Employer-Sponsored-Health-Insurance-Premiums-Increase-119-Percent.aspx

[2] Rong-Gong Lin II. “Rep. Maxine Water a hard liner for public health care option.” Los Angeles Times. 23 August 2009.