A Quote by Barack Obama
It is my judgment that had I spent the first two years trying to get a single-payer system, all those folks who now have health insurance that didn't have it would still be uninsured. And those are millions of people whose lives are impacted right now.
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Those with health insurance are overinsured and their behavior is distorted by moral hazard. Those without health insurance use their own money to make decisions based on an assessment of their needs. The insured are wasteful. The uninsured are prudent. So what's the solution? Make the insured a little more like the uninsured.
High-quality health care is not available to millions of Americans who don't have health insurance, or whose substandard plans provide minimum coverage. That's why the Affordable Care Act is so important. It provides quality health insurance to both the uninsured and underinsured.
Now, why would my supporters be supporting somebody who doesn't want to raise the federal minimum wage of $7.25 an hour, a starvation wage, doesn't want to do that. Why would anybody that supports me support a candidate like Trump who wants to throw millions and millions of people off of health insurance? We need to guarantee health care to all people as a right, not throw millions of people off health insurance as Trump wants to do.
Bernie Sanders would say, "You still have millions of African Americans who aren't insured, and if we had a single-payer system, that wouldn't be the case." And that's true.
We have health insurance companies playing a major role in the provision of healthcare, both to the employed whose employers provide health insurance, and to those who are working but on their own are not able to afford it and their employers either don't provide it, or don't provide it at an affordable price. We are still struggling. We've made a lot of progress. Ten million Americans now have insurance who didn't have it before the Affordable Care Act, and that is a great step forward.
People are ready to say, 'Yes, we are ready for single-payer health insurance.' We are the only industrialized country in the world that does not have national health insurance. We are the richest in wealth and the poorest in health of all the industrial nations.
Right now in the insurance markets, we have sort of a disaster unfolding, a downward spiral, adverse selection, premiums in the individual market going through the roof. People can't afford insurance and insurance companies are losing hundreds of millions of dollars. If you repeal part of Obamacare to get rid of the individual mandate but keep some of the ideas, that people can still buy insurance after they're sick, the situation gets extraordinarily worse. And so what we're seeing now could be tenfold greater if you only repeal part of Obamacare.
I think that we have a number of different health care challenges in our country, and certainly addressing the uninsured is one, and the second is making sure that those with health insurance actually get the care that they assume they'll have available to them if they get sick.
If they're trying to get high school kids to go to the D-League, I will be shouting from mountaintops saying, 'What is this going to do to a generation of kids who say, 'All right, I'm going to do this,' you get one or two years to make it, and now you're out without any opportunities. Who's taking care of those kids now?'
If we were to build a health care system from scratch, single-payer would be the way to go. But we have a very complex health care system in America.
The for-profit health insurance industry is the main obstacle to delivering high quality, universal healthcare for all. It should be replaced with a single-payer system, a public program that guarantees everyone coverage.
Obamacare's not imploding. The main goal of Obamacare was two-fold. One was to cover the uninsured, of which we've covered 20 million, the largest expansion in American history. The other was to fix broken insurance markets where insurers could deny people insurance just because they were sick or they had been sick. Those have been fixed, and for the vast majority of Americans, costs in those markets have come down, thanks to the subsidies made available under Obamacare.
Some of the people I've met in those first few weeks of even trying improv classes are still my friends now - 15, 17 years later.
We are unique among advanced countries that we don't have universal health care. My hope was that I was able to get a hundred percent of people health care while I was president. We didn't quite achieve that, but we were able to get 20 million people health care who didn't have it before. And obviously some of the progress we made is now imperiled because there's still a significant debate taking place in the United States. For those 20 million people, their lives have been better.
There are two kinds of people in this world, son. Those who save lives, and those who take lives." "And what of those who protect and defend? Those who save lives by taking lives?" "That's like trying to stop a storm by blowing harder. Ridiculous. You can't protect by killing.
We are the only major country on earth that doesn't guarantee health care to all people as a right and yet we end up spending much more than they do, so I do believe that we have to move toward a Medicare for all, single-payer system.
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