Obama on increased competition driving down costs:
Number one -- and something that hasn't been discussed, partly because there's been some broad-based agreement on this -- we're setting up an exchange in which you've got 30 million people and small businesses who are now able to pool their buying power and negotiate, essentially, with insurance companies by choosing the best price from a range of different plans, forcing insurance companies to compete the same way they compete for the business of federal employees. That drives costs down.
But they won't compete because Congress didn't want to repeal the insurance companies' anti-trust exemption. They can simply collude to keep prices up.
There was a terrific article in the New Yorker just about a week ago by a doctor, Atul Gawande, who pointed out that there is not an idea out there for cost control that is not in this health care bill.
I thought the public option was the best idea that was out there for cost control?
And I quote CNN quoting the White House in August:
"The president has always said that what is essential is that health insurance reform must lower costs, ensure that there are affordable options for all Americans, and it must increase choice and competition in the health insurance market," White House aide Linda Douglass said in a written statement.
"He believes the public option is the best way to achieve those goals."
And I quote our President this past July:
What I’ve asked my health care team to do is to look at what evidence we have that this could provide the kind of competition that drives or helps to promote insurance reform and helps to include quality and drive down cost. If I can see some some evidence that this could work, then I’d be happy to consider it. But I will tell you that, as I’ve been very clear about before, I continue to believe that a robust public option would be the best way to go.
Never mind.
And the goal here is to create a system in which people try things out. Suddenly, somebody says, "You know what? We're saving money. The hospital here is saving money and reducing errors because we've got a protocol or a checklist of procedures in terms of how doctors and nurses work together to deal with a patient in a more effective way." Another hospital down the road starts learning from that, and you start seeing these changes cascade through the system.
That's nice for hospitals, but does anyone really think that hospitals are going to pass those cost savings on to consumers? The same way that airlines have passed on their cost savings, from oil prices going down, by rescinding those new baggage fees?
OBAMA: I think that what we have right now in the Senate is a situation where the opposition party has made a political decision that we are going to say no to everything, we're going to not be at the table, we're going to just not get involved. What that -- what that...
Well, yes, when you put practically no pressure on the opposition party to support this thing, when you coddle them for months and months, when you do the minimum possible to build public support for a specific plan, when you cave to specific Republicans who challenge you (such as changing the legislation to make it more anti-immigrant to meet the concerns of Joe "You Lie!" Wilson), when you ignore your own party and your own campaign promises for months but suddenly do whatever Joe Lieberman wants because he has the balls to tell you to take a hike, it's no wonder the Republicans have adopted a strategy of obfuscation. You have made it clear since the beginning of your administration that when challenged by Republicans or conservative Democrats, you cave.
Well, I think it's hard. And -- and -- and there's got to be a sense sometimes that we're willing to rise above our particular interests, our particular ideas in order to get things done. Right now, that culture has, I think, broken down over the last several years, and one of my jobs over the next three years is to try to see if we can revive that. But that's tougher than I would have liked.
Yes, when you do the minimum amount of work possible and are afraid to ever stake out a position on anything, it is tough to get anything done in politics. As in life.
This will be the single most important piece of domestic legislation that's passed since Social Security.
You're administration isn't acting like it. If you fight like this for the single most important piece of legislation in nearly a century, God forbid what happens with the rest of your and our agenda.
There's a reason why seven presidents and seven Congresses failed to get this done. It is really hard.
Don't even.
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