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RandySF

(58,741 posts)
Mon Nov 25, 2013, 12:34 AM Nov 2013

On Dkos:Obama just launched single-payer in America

"Did you notice? Did you see what happened when everyone was complaining about a website? Single-payer got started in America.

Vermont is using authority granted under the Affordable Care Act to start a single-payer system. Most Americans still don't know what the phrase "single-payer" even means. It had little support in Congress in 2009 and Senate "Democrats" like Nelson and Lieberman even killed the public option. But, ACA had this sweet little provision that allowed states to set up a single-payer system and now people will see it in action.

Oh I know this is hard to swallow. Obama is third-way! He's dismantling the safetynet! A corporatist! He killed the public option!

Whatever else he is, Obama is a President who acts in a thoughtful, deliberate way that the chicken little headlines of the day often miss. As many predicted, ACA is already leading to the kind of transformative progressive change Obama promised. The progressive movement will be responsible for showing the nation how well single-payer works after the Vermont system goes into effect. When public and non-profit insurance becomes the national norm, we'll know where it began."


http://www.dailykos.com/story/2013/11/24/1258135/-Obama-just-launched-single-payer-in-America

48 replies = new reply since forum marked as read
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On Dkos:Obama just launched single-payer in America (Original Post) RandySF Nov 2013 OP
AFAIK, states could have done single payer before ObamaCare MannyGoldstein Nov 2013 #1
A single-payer type health care program in the states was NEVER prohibited in the states. Liberal_Stalwart71 Nov 2013 #2
Seems that it *was* prohibited: MannyGoldstein Nov 2013 #5
No, it doesn't. There was no "was" prior to passage of an actual bill. n/t pnwmom Nov 2013 #12
Meh...The bill was always substantially the Baucus mark. Everything else fell by the wayside. TheKentuckian Nov 2013 #44
Nice slant... /sarcasm. The bill Obama signed did NOT forbid it. MADem Nov 2013 #6
Exactly. And I don't think he's that uninformed. pnwmom Nov 2013 #9
+1,000 nt MADem Nov 2013 #11
Certainly, one of us is uninformed nt MannyGoldstein Nov 2013 #13
You know what's so sad about your commentary, Manny? You have such a disdain for this president Liberal_Stalwart71 Nov 2013 #24
SHHHHHHHHHH!!!!!!!!! MADem Nov 2013 #26
Hawaii has not instituted single payer. Neither has Vermont cali Nov 2013 #37
Yep. And he works *extra hard* to make his case BlueCaliDem Nov 2013 #28
Ah, 11ty-dimensional chess MannyGoldstein Nov 2013 #10
No--it's called "How a bill becomes law." MADem Nov 2013 #14
They wouldn't have gotten Federal funds for Medicaid expansion without it. pnwmom Nov 2013 #8
'Whatever else he is, Obama is a President who acts in a thoughtful, deliberate way.' elleng Nov 2013 #3
37 recs and counting Electric Monk Nov 2013 #4
Closing on fifty. nt MADem Nov 2013 #7
To Be Clear - Vermont Has Embraced Single Payer - No Evidence That Obama Has Embraced The Same cantbeserious Nov 2013 #15
He has embraced the experiments going on in Vermont pnwmom Nov 2013 #16
My Understanding Is That Under The ACA - Single Payer Is Illegal Unless Dispensation Is Granted cantbeserious Nov 2013 #17
You may not understand that the waiver would be virtually automatic pnwmom Nov 2013 #18
I Personally Support Single Payer - I See No Evidence That Obama Does cantbeserious Nov 2013 #19
He signed the bill that supports single payer in any state that wants it. pnwmom Nov 2013 #22
Good Enough For Some - Not Good Enough For Others cantbeserious Nov 2013 #40
WRONG!! And your hatred of this president does not and WILL NOT make your statement factual! Liberal_Stalwart71 Nov 2013 #25
I Do Not Hate The President - How Presumptuous - Typical Ad Hominen Attack cantbeserious Nov 2013 #39
This could be great news for VA Heather MC Nov 2013 #23
Terry McAuliffe is as Third Way/corporate DLC as they come. woo me with science Nov 2013 #38
Oh well i only voted for him because the Alternative was not much of a choice :-( Heather MC Nov 2013 #41
I have NEVER seen ANY evidence MH1 Nov 2013 #42
Since The Oligarchs And Corporations Own And Control The Politicians That Own And Control Us cantbeserious Nov 2013 #43
K&R Tarheel_Dem Nov 2013 #20
Let's see now, if I was thinking about where to locate a business Mr.Bill Nov 2013 #21
Always wondered why CEO’s of major corporations with thousands of employees... busterbrown Nov 2013 #30
Depends how much control you want over your employees Fumesucker Nov 2013 #35
Exactly. Mr.Bill Nov 2013 #46
DU rec... SidDithers Nov 2013 #27
It was written in the ACA at the start. Any state that wants it, could set it up. EOM. freshwest Nov 2013 #29
um Skittles Nov 2013 #31
What is the point of linking to a lie? pnwmom Nov 2013 #33
DU k&r! eom BlueCaliDem Nov 2013 #32
Obama didn't launch single payer in Vermont. cali Nov 2013 #34
Praise him from whom all blessings flow Fumesucker Nov 2013 #36
Kick...nt SidDithers Nov 2013 #45
FYI ProSense Nov 2013 #47
K & R Scurrilous Nov 2013 #48
 

MannyGoldstein

(34,589 posts)
1. AFAIK, states could have done single payer before ObamaCare
Mon Nov 25, 2013, 12:47 AM
Nov 2013

ObamaCare, as written, forbade it. Bernie Sanders added a provision that allowed a waiver of the rules that forbade it.

The Kos comments are enlightening.

 

Liberal_Stalwart71

(20,450 posts)
2. A single-payer type health care program in the states was NEVER prohibited in the states.
Mon Nov 25, 2013, 12:51 AM
Nov 2013

Where did you get that information from? It's not true.

TheKentuckian

(25,023 posts)
44. Meh...The bill was always substantially the Baucus mark. Everything else fell by the wayside.
Mon Nov 25, 2013, 11:00 AM
Nov 2013

The fluid nature is overstated, a few changes were made but the meat was what came out of the Finance committee and was ever the operative structure.

MADem

(135,425 posts)
6. Nice slant... /sarcasm. The bill Obama signed did NOT forbid it.
Mon Nov 25, 2013, 01:15 AM
Nov 2013

Only someone who doesn't understand the long negotiating process that allows a bill to become law thinks that the first draft--or any draft other than the one the President signs-- is controlling.

MADem

(135,425 posts)
26. SHHHHHHHHHH!!!!!!!!!
Mon Nov 25, 2013, 02:33 AM
Nov 2013

Don't confuse him with facts!

He's determined to "teach" us all that Obama is BAAAAAAAAAAAD.

That's what all of his posts are about, you see. I don't think he can handle the truth!

On a more "reality based note," I see CT and other states, from your links, are working on this too. It's great news.

It won't happen overnight, but we are on our way.

 

cali

(114,904 posts)
37. Hawaii has not instituted single payer. Neither has Vermont
Mon Nov 25, 2013, 06:06 AM
Nov 2013

though Vermont is much further along in doing so.

from your link:

<snip>

In 2009, the Hawaii legislature passed a bill (Act 11 2009) to
create a Hawaii Health Authority (HHA) to design a “universal
health care system covering everyone in the state,” reporting to
the Legislature with actionable legislation by January 2011. Our
then Republican Governor vetoed the bill but her veto was
overridden. She refused to appoint the HHA Board and the law was
never implemented.

<snip>

http://singlepayerny.wordpress.com/news-from-other-states-2/hawaii/

Creating a single payer system is a pretty arduous and time consuming endeavor.

BlueCaliDem

(15,438 posts)
28. Yep. And he works *extra hard* to make his case
Mon Nov 25, 2013, 02:55 AM
Nov 2013

against President Obama day after day after day...

But good thing, throughout this thread, he's being crushed with facts vs "his" opinions.

MADem

(135,425 posts)
14. No--it's called "How a bill becomes law."
Mon Nov 25, 2013, 01:25 AM
Nov 2013

Simple, really. 8th grade Civics class. 100 Senators, 435 Representatives...

Everyone gets a chance to pee on the tree.

pnwmom

(108,974 posts)
8. They wouldn't have gotten Federal funds for Medicaid expansion without it.
Mon Nov 25, 2013, 01:17 AM
Nov 2013

That's a large part of the cost.

There is no such thing as an "Obamacare" bill prior to the version that passed. Up till it passed, every single piece of it was up for grabs.

pnwmom

(108,974 posts)
16. He has embraced the experiments going on in Vermont
Mon Nov 25, 2013, 01:39 AM
Nov 2013

and in other states, with both single payer and co-ops.

They are an inextricable part of the ACA.

pnwmom

(108,974 posts)
18. You may not understand that the waiver would be virtually automatic
Mon Nov 25, 2013, 01:46 AM
Nov 2013

for any decent single payer system.

The waiver allows states to experiment with other modes of coverage, including single payer, as long as they don't provide LESS coverage to people than is provided for in the ACA.

Don't you think that is a sensible thing? It doesn't target single-payer states -- it just gives them a bar they should have no problem jumping over. But some of the red states might have plans that would offer much less coverage than the ACA, and so the requirement for a waiver assures that their citizens will have the same protections as in other states.

This was written, of course, before they had any idea that so many states would reject free Medicaid money.

pnwmom

(108,974 posts)
22. He signed the bill that supports single payer in any state that wants it.
Mon Nov 25, 2013, 01:54 AM
Nov 2013

That's good enough evidence for me.

 

Heather MC

(8,084 posts)
23. This could be great news for VA
Mon Nov 25, 2013, 01:58 AM
Nov 2013

VA never excepted the expansion money, now that we have a Democraticed Gov. We can push for Single payer in VA

woo me with science

(32,139 posts)
38. Terry McAuliffe is as Third Way/corporate DLC as they come.
Mon Nov 25, 2013, 06:26 AM
Nov 2013

There is no way single payer happens under his governorship.

I am already highly skeptical that Virginia will even get the Medicaid expansion McAuliffe promised throughout his campaign.

Articles in the Washington Post the day after his election were already spewing the corporate talking points about why Virginia should not count on its happening.

McAuliffe apparently is already ruling out the idea, trumpeted during the campaign, of using the budget to do it. Instead, his administration is already making noises that they want to work cooperatively with Republicans on a deal, and it might take a long time.

Va. Medicaid expansion still faces uphill battle, even after McAuliffe win
http://www.bizjournals.com/washington/blog/2013/11/va-medicaid-expansion-still-faces.html?page=all

During the campaign, McAuliffe indicated he might try to expand Medicaid via the budget, the political equivalent of dousing all of Richmond in lighter fluid —Republicans believe that would violate the law that created the 10-member commission.

That’s not the tone his transition team is sounding. Spokesman Brian Coy told me he wants to build a foundation for Medicaid expansion, work with both parties and proceed with reforms collaboratively.

“He’s committed to this as long as it takes,” Coy said.

MH1

(17,595 posts)
42. I have NEVER seen ANY evidence
Mon Nov 25, 2013, 09:31 AM
Nov 2013

that if a single-payer bill had gotten to President Obama's desk, that he would have vetoed it.

But yet, so many DUers claim that he is anti-single payer. The one way to know for sure would have been to inspire your Congress critters to actually pass single payer. It's not like there has never, ever, in the history of this country been a bill put in front of the President that he didn't specifically ask for.

Yes, I know, "bully pulpit" and all that. But I also don't see any evidence that Obama pushing for single payer would have been successful. We have a problem in this country getting to a single-payer system, and until I see evidence that shows Obama would actually veto it, then Obama is NOT the problem.

cantbeserious

(13,039 posts)
43. Since The Oligarchs And Corporations Own And Control The Politicians That Own And Control Us
Mon Nov 25, 2013, 09:58 AM
Nov 2013

There is little chance of inspiring Congress to do anything.

Mr.Bill

(24,278 posts)
21. Let's see now, if I was thinking about where to locate a business
Mon Nov 25, 2013, 01:52 AM
Nov 2013

that would be employing a large amount of people, say an auto assembly plant, would I want to locate it in a state where my employees would want me to provide them with health insurance, or in a state where all my employees would already have health insurance?

busterbrown

(8,515 posts)
30. Always wondered why CEO’s of major corporations with thousands of employees...
Mon Nov 25, 2013, 03:03 AM
Nov 2013

would not have favored a Single Payer System.

Oh wait, now I remember, they simply didn’t want to wave the Socialist Flag around when the went out to dinner with
other Mega millionaire Republicans... Wouldn’t have looked too good...Asshoals!!

Fumesucker

(45,851 posts)
35. Depends how much control you want over your employees
Mon Nov 25, 2013, 06:02 AM
Nov 2013

If you control the employees health care it gives you another means of leverage over their behavior.

Mr.Bill

(24,278 posts)
46. Exactly.
Mon Nov 25, 2013, 01:54 PM
Nov 2013

And it's been going on for far too long.

Another thing is there are a lot of people who would retire and free up jobs for other people if they had health insurance. I live in a retirement community, and I know many people in their late 50s in this position. They either cannot afford insurance at their age or would be uninsurable if they left their jobs because of pre existing conditions. They could get COBRA for 18 months, but it's very expensive. Before my wife qualified for disability, she was in this situation for awhile.

pnwmom

(108,974 posts)
33. What is the point of linking to a lie?
Mon Nov 25, 2013, 03:21 AM
Nov 2013

The ACA never forbade single-payer and the poster knows this.

 

cali

(114,904 posts)
34. Obama didn't launch single payer in Vermont.
Mon Nov 25, 2013, 05:48 AM
Nov 2013

The credit for that should rightly go to the people of Vermont, the Vermont legislature and the Vermont Governor. Peter Shumlin ran on single payer. The push for single payer in Vermont predates the ACA.

Obama gets some credit but he was NOT responsible for creating single payer in Vermont.

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