Primer on the Obama Healthcare Platform
Does he propose a single-payer system? No, frankly, he does not. But he cracks the door to some intriguing possibilities. His opening proposal is for a new national health plan available for all Americans to buy into (yeah, I know - if you could afford it, you’d have bought already). It includes clauses for subsidies to folks who cannot pay outright for this option, and promises affordable premiums, copays, and deductibles. Who would provide this insurance plan? Well, this is a little nebulous, but if you read the finer print, it appears that it would be administered via private insurers who contract to federal government. So: more access, still through individual contributions to private corporations. It has a certain ring to it - you get a certain sense that this might be a slow move toward a central, national system that could evolve into a single payer - and yet it lacks moxie. And it does nothing to address the question of why federal money should be going to private insurers in the first place.
Clearly, passing Medicare for All is dependent upon educating the public and our politicians about the Denial of Claims business model. At a minimum, we need to insist that Congress pass no law that prevents the states from passing their own single payer systems.
Make no mistake, if Medicare for All reaches Obama's desk, he will not dare veto it. Everything depends upon the down ballot races.