Obama Takes Town Hall Tour To Montana
"It's wrong, it's bankrupting families, it's bankrupting businesses, and we are going to fix it!" said the President.
Like Tuesday's town hall, Friday's forum occurred without incident. Obama told the audience that the majority of town halls across the country have been similarly civil, but the aim of certain cable networks to produce "good television" has distorted the public's perception.
"TV loves a ruckus," Obama explained.
Obama also decried the cable networks for having a collectively "selective memory" when it comes to ways in which his administration's stimulus plan, which passed earlier this year, has benefitted the state of Montana. The President evoked the stimulus in an attempt to persuade the audience to trust the government to effectively implement and manage important programs, such as health care reform.
Obama took on opponents of his plan, insisting that special interest groups and their political allies are using fear tactics to try and derail reform attempts. The President then cited a scary statistic of his own, reminding the audience that 14,000 Americans have lost health insurance each day since the start of the recession. With his finger pointed at the audience, Obama warned, "that could be you."
Following his remarks, Obama took a series of questions ranging from how his plan would be paid for, to whether or not the plan would raise taxes on the middle class, to how the plan would affect Medicaid and Medicare.
The President was asked to clarify how a public option plan would affect satisfied private insurance holders. In his response, Obama deviated from the standard "if you like the insurance you have, you can keep it" talking point he frequently employs, stating instead that "you would more than likely still be on your private insurance plan."
One audience member, who confessed to being an NRA card holder and enjoying the cable news coverage of the health care debate, asked the President to explain how he would pay for his plan without driving up the federal deficit or raising taxes. The questioner added that he wanted to hear Obama's response directly because he's fed up with the "spin."
Obama replied that he was amused by critics in both Congress and on television who have complained that the nation can't afford reform. The President repeated his support for lowering the amount of itemized deductions that individuals making over $250,000 per year can take, but noted that even if that idea is adopted Congress still must figure out a way to account for roughly $30 billion in funding per year.
"We've got to get over the notion that we can have something for nothing," said Obama.
The President mentioned his plan to cut government subsidies to insurance companies that cover medical costs which could ably be handled by Medicare. Doing so, he said, would save taxpayers upwards of $177 billion over the next decade. Obama also discussed streamlining the medicaid process by forcing hospitals and physicians' offices to share patients' records electronically.
The President took a question from a health insurance salesman who asked why the reform debate has become about insurance and not overall care. "I can't do insurance reform by itself," remarked Obama, implying that overhauling the nation's health care structure would first require a reshaping of its insurance system.
Commenting that he was running out of time, Obama agreed to take one last question from a woman in the crowd. However, rather than asking the President a question about his plan, she read Obama the preamble to the Montana state constitution; a curious ending to an otherwise typical Obama town hall.
Increasing Deficits Causing Concern Over Health Care Plan
“We are running trillion dollar deficits as far as the eye can see, and with these updated numbers that CBO is coming out with, clearly the fiscal picture has worsened...and I think that animates a lot of people’s concerns about an expansion of healthcare.”
Thune, who has held a few town hall events on healthcare in his home state during the August recess, said that the country’s fiscal situation is causing some folks to oppose certain elements of reform, such as the public option provision endorsed by Obama.
“A real concern on people’s minds is ‘Why are we looking now at doing something that will add costs, build on programs that are already halfway to bankruptcy...and on an unsustainable trajectory.’”
Thune, of course, was referring to Medicare, the government's heath insurance program for senior citizens. He did, however, say that Senate Republicans are open to supporting Medicare spending cuts that would “find savings” for the plan.
Thune reiterated his support for a recent report put out by the non-partisan National Federation of Independent Business Association. The study concluded that the three healthcare bills that have passed the House would increase taxes, and as a result would harm small businesses across the country.
Thune stated confidently that no Republican will support a comprehensive healthcare bill, although he suggested that a more incremental bill could achieve bipartisan backing in the Senate. However, Thune sounded skeptical that Democrats would allow Republicans to be a part of the legislative process once the bill shifted back to the House.
Thune also expressed doubts over the possibility that Democrats may attempt to pass legislation through the process of reconciliation, which would require lawmakers to split the bill into pieces and then vote on the different parts individually.
“As a policy matter, they could do it. As a political matter, it’s really difficult. Americans don’t want to see something jammed through,” said Thune. He added that although reconciliation is hard to understand, many of his constituents would oppose its use by Democrats on the grounds that “something as large as healthcare could be passed on a party line vote.”
Thune articulated that Republicans want healthcare reform to address issues like tort reform and long-term sustainability of Medicare. He maintained that Republicans are supportive of provisions that would prohibit insurance companies from denying coverage to customers with pre-existing conditions, but suggested that most in the party are wary of a bill that includes any sort of mandate on individuals to obtain health insurance.