This just goes that for a lot of folks on the right it's not what is said, it's who says it. When Romney & McCain were spouting these same principles they were genius's. When the left uses those same ideas they suddenly become socialist. Then the right wonders why no one takes them seriously any more.
http://www.ft.com/cms/s/0/8d2ac94c-6fd3-11de-b835-00144feabdc0.html
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Right is wrong to attack Obama’s health plan
By Matt Miller
Published: July 13 2009 18:38 | Last updated: July 13 2009 18:38
The Republican charge that Barack Obama is seeking a “government takeover” of US healthcare is further proof that American political rhetoric has become detached from reality. In fact, once you take away the proposed public insurance option, which Mr Obama’s aides have signalled they will drop in final negotiations, the likely outcome is an affordable reform that embraces Mitt Romney’s blueprint from Massachusetts and funds it with John McCain’s best idea from the presidential campaign.
Only in America can you co-opt Republican thinking and have critics label you “socialist”.
Start with cost. It’s easy for foes to feign shock at Obamacare’s $1,000bn 10-year price tag, but a trillion dollars ain’t what it used to be. That is just over 0.5 per cent of gross domestic product over the same period, and barely 3 per cent of the roughly $35,000bn total healthcare spending during that time. If Mr Obama’s approach is otherwise sensible, the idea that America can’t afford it is preposterous.
The central mechanism through which Mr Obama seeks to extend coverage and restrain costs is via new “exchanges”, insurance clearing-houses, modelled on the plan Mr Romney enacted in Massachusetts. The idea is to let individuals access group coverage from private insurers, with subsidies for low earners.
The approach is so sensible that Ted Kennedy urged Massachusetts Democrats to support then-Governor Romney in passing it in 2006. The results have been impressive. The ranks of the uninsured have been slashed; just 2.7 per cent of residents now lack coverage, the lowest of any state – against 15 per cent nationally. Costs, which overran as the programme was brought in more quickly than planned, are now on budget.
A federal version of this exchange (or federal sponsorship of state versions) would for the first time give non-elderly, non-poor Americans whose employers don’t offer coverage, or offer it at premiums they can’t afford, access to group insurance rates. It’s difficult to overstate the breakthrough this would represent. The inability of millions of Americans to access group coverage outside the employment setting is one of the most damning features of US healthcare. It means individuals with pre-existing health conditions are often uninsurable, which in turn explains why medical bills are, shamefully, a leading cause of bankruptcy. It locks budding entrepreneurs into jobs they loathe because their families need the coverage. Structuring these exchanges so health plans have incentives to compete on value is exactly the role government should play.
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Of course, just because Obama is on a path to give America the Romney health plan with McCain-style financing does not mean the Republicans will embrace it, if it seems politically more attractive to scream “socialist”. But the rest of us do not have to listen to them. Mr Obama can fairly claim to have championed a bipartisan health policy, even with few Republican votes.
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