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Atlantic Umpire: Did HRC Oppose A Mandate In The 90s?

28 Nov 2007 10:27 am

That's the claim from the Obama campaign today.

But the charge is hard to square with the fact that Clinton's 1993 Health Security Act did indeed contain an individual mandate.

What Clinton opposed was an a la carte mandate proposed by John Chafee, one that would have scrapped the entire employer based system in favor of a government mandate that everyone purchase insurance -- without a government guarantee of help to those who couldn't afford it.

Indeed, the plan had little in the way of subsidies for those who couldn't afford it -- they'd be covered, for the time being, under existing government programs. Chafee's plan was premised on the idea that only with a large enough pool of premiums from young, healthy people could the insurance industry contain costs and offer basic insurance products at a lower rate.

Chafee's plan was called by Democrats the "individual mandate" plan, which sounds enticing to today's ears... but it's not the same as the plan Clinton proposed in September of 2007, which includes generous government subsidies for the poor and a menu of options for small businesses (a very modified version of "pay or play").

Politically, it's going to be hard to argue that Clinton's 1993 plan, which popularized the concept of "government-run universal health care," was somehow not premised on the idea of required, universal coverage.

"For that is how most of my colleagues, Republican and Democrat, enter the Senate…their words distorted, and their motives questioned," Obama writes in The Audacity of Hope. As Senator Clinton might today say: "Indeed."

Comments (14)

Um ... this is going to go in Atlantic's Boldest.

It's John Chafee; Linc didn't take the seat until 1999 after the senior Chafee passed on.

I do recall sometime this past year Clinton alluding to no mandates.
I personally do not want mandates. To me it seems to take the free will from people and to not give the right or choice to have it or not.
obama is right about people not having mandated coverage on car insurance. I see all the time people without it. It becomes a game for some.
But, either way, it is a strawman argument. In the end it is the congress who decides these things.
so, while Hillary may think she is being so tough and whatever, it is a nonstarter and frankly I don't think it is worth arguing over at this time.
So, maybe Hillary needs to quit wasting our time with it and just go about campaigning rather than worrying over the mandates.

Look, mandates are a great idea. Because if someone can't afford health inurance you can throw them in jail and then they get health care through the prison system. Perfect!

Kidding aside, I'd rather see money going into making health care more affordable, not trying to enforce the unenforecable.

Wow, your level of lame snark almost reaches Nagourney-like proportions. Well done, Marc!

This just seems senseless somehow and an unfair hit on Obama. Especially for it to have the negative implication of the Huffington Post headline. There is enough conflict without "bystanders" just making trash up. What is the point here?

Headlines like this really tick me off. It takes an incredible amount of effort to cut through the bull***t to find the nuts and bolts. I think factchecker from the Washington Post does a pretty good job comparing and contrasting the two plans without the erroneous jabs.
http://blog.washingtonpost.com/fact-checker/2007/11/clinton_vs_obama_on_health_car.html

"This just seems senseless somehow and an unfair hit on Obama." Puhleeze. You whining Obamaphiles believe everything that doesn't paint Obama as Saint Barack is an unfair hit. What is the point here?, you ask. The point is that the Obama campaign made a false accusation against Sen. Clinton. If the Obama campaign thought the point was important enough to make, then calling them on the falseness of their charge is certainly important. It's called good journalism.

Without a mandate the numbers won't work because it's essentially an insurance like program where cost is spread over everyone. It's as simple as that. Which is why Obama's program is essentially unworkable. Clinton is right on this one.

Both plans need to be tossed. Americans need UNIVERSAL HEALTHCARE without the Insurance companies. Why are we so afraid to eliminate the middleman? We could have better service for EVERY ONE!!! The idea that we need a company between the patient and the doctor is insane.
We could spend the "insurance company money" on college for more and better healthcare professionals. If we're going to reform healthcare...we need to REFORM HEALTHCARE!

Obama's program is unworkable. Clinton has learned many lessons re: healthcare. For starters without consensus nothing at all can happen.

She has clearly stated that the Insurance Lobby will put up a fierce fight, and knows the costs must be spread. She has the battle scarred experience to understand the pitfalls, but her program makes the most sense of succeeding.

RKA - as you so very ably stated....

(mandates are a great idea. Because if someone can't afford health inurance you can throw them in jail and then they get health care through the prison system. Perfect!)

Hit job ....

The headline and the content do not match ...

Any reputable journalist would do better than this ...

What must be realized in today's climate is that many people just read the headlines and dig no deeper.

As a journalist - your first mandate is to inform ... not to sell copy or promote a point of view ....

Here are some questions that have plagued me since Edwards and subsequently Clinton introduced their mandated plans:

1. If an individual can't afford the mandated insurance, how do they pay for it? I think both propose tax credits, but how does that help the individual in the current year (tax credits are always trailing)?

2. Will the tax credit be large enough to offset the penalty for not being insured in the first place?

3. If an individual can't pay for the insurance, is hit with a penalty, does that individual still get covered?

Interesting parsing I see around the Internets today. It's as if there is a reflexive force to go into a self-imposed, political death spiral. Seriously, actual communication would be much more interesting.

Aren't you taking Clinton’s motives for granted? BTW, I hear she’s for ethanol now.