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The Health Care PriorityIn policy terms, and even now in messaging terms, the campaign between Clinton and Obama is becoming less about change and about experience than it is about two issues. The War in Iraq and Health Care. I've watched this with great interest. Obama has a slightly better record on Iraq than Clinton (he was against it in a speech when he had no power, then when he was in power had an essentially identical vote record on the issue with Clinton.) His current plan to end the Iraq occupation is somewhat better than hers, but not much. So the real problem with Clinton, and it's a big one, is that she won't admit she made a mistake voting for the war. In terms of health care, Obama's plan is not universal, and everything I know about underwriting and actuarial science tells me the same thing Krugman has been saying, that it will cost a lot more per capita to cover people under Obama's plan. Paying more to get less, it's just a continuation of the American way in healthcare. On top of that, indications are that universal healthcare is simply not a serious priority for Obama. I have often said that Americans want universal health care. The polls back me up, sometimes even if it would require an increase in taxes. But just like with anything else in a world where you can't have everything, real demand for something means making choices. The choice that Democratic primary voters are making is for the man who doesn't offer a universal healthcare plan at all. Debate everything you want, but even Obama doesn't pretend his plan is universal. I've lost a close friend and a friendly acquaintance in the last 4 years because they lived in America and didn't have insurance and I don't even live in the US. I'm sure most Americans know far more than two people who have died or had their lives ruined by health care costs. Why Americans aren't up in arms about this, why this isn't something that Democratic primary voters care enough about to force Obama to at least suggest a universal plan, I don't know. But I guess people get what they vote for, and right now democratic primary voters are voting against universal health care. The voters are speaking, and what they are saying is being heard loud and clear in Washington: that even the hardest of the hardcore on the left, people who care enough to vote in democratic primaries, don't prioritize universal healthcare. Clinton has hammered the issue, it has been something she has repeatedly worked Obama over on for weeks now, and it hasn't worked. So clearly it isn't that important an issue. Duly noted by the people who matter, you can be exactly sure. And next year, when I'm arguing with insiders about universal healthcare, and I will be, because I have for years, I will be told "they had a chance to vote for it, and they didn't. Americans just don't care that much about it. Heck, even most Democrats don't." Ian Welsh February 22, 2008 - 2:23am
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