The fact that Dave doesn't understand why mandates are in the bill infuriates me. 

We want universal health insurance coverage in the United States. 

To get there we need to reform the insurance industry. 

Let's outlaw pre-existing conditions and rescission. 

Fine, but if you do that wouldn't people just wait until they are sick to buy insurance? 

Yes, so there must be an individual mandate. 

Is that fair to require people to purchase insurance?  What if they can't afford it?

We will provide subsidies and expand already existing programs to help people out.

Wow, that's going to cost  a lot of money.

We will pay for these reforms completely by reducing costs in Medicare and raising new taxes.  In fact this plan will save us $1.3 trillion dollars

And America becomes a country with universal health insurance coverage, and we get more coverage for less money?

Yup.

Let's do it.

by publius on 03/18/2010 06:25:37 PM EST

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No he wasn't and everybody at the time new he was being unrealistic.

by publius on 03/18/2010 08:36:48 PM EST

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I agree he was wrong if he meant a mandate was a bad idea in the context of a single payer type system.

But he was spot-on that a mandate without a strong public option/Medicare-buy-in/sing le payer system is bullshit that should rightfully outrage people.

by Tom Hanc on 03/18/2010 08:52:54 PM EST

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the malicious mandate punishes working-class people who cannot afford health coverage now. this "reform" wil l force cuts into their food/housing budget to meet the federal requirement. good for the health denier ceo's who will get a piece of that action! whoohoo! great job obama! i'm so thrilled.

oh right...the subsidies. just what i always wanted, to grow up and be a begger for the man...fucking awesome!

*back-door public option; pay annual punitive public fine for not having private insurance, and use emergency room liberally.

~majority.fm

by mauirising on 03/19/2010 02:09:27 PM EST

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Calm down Publius, of course I understand the need for mandates, or the argument for it. What I didn't understand is how it will work. Alphasig's response was an excellent explanation.  However, I'd like to be able to read whatever alphasig was reading.

David

by yturks on 03/18/2010 08:20:13 PM EST

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That was the self-censored and "calmed down" version of that post :)

by publius on 03/18/2010 08:39:24 PM EST

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I agree Dave, frankly my biggest complaint throughout this whole process has been the lack of transparency and clear explanations of what this bills does.  My post was based on my understanding that I have had to piece together from what I've read here and there along with some targeted google searches.  Here are a few links that give at least some explanation:

Link 1

Link 2

by alphasigmookie on 03/19/2010 01:00:44 AM EST

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Mandates put the burden on the poor.  Taxation spreads the cost more fairly.

People keep forgetting that a dollar means a lot more to a poor person than it does to a rich person.  That memory lapse is why we have an effectively regressive tax system today.  It's also why people think mandates are a good idea.

by EveningStarNM on 03/22/2010 09:15:35 AM EST

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