Obama and the Battle for Healthcare Reform

Published in Sin Chew
(Malaysia ) on 24 July 2009
by 章玲芳 (link to originallink to original)
Translated from by Ng Ai Fern . Edited by Katy Burtner.
Since U.S. President Truman came out with the idea of a federal health insurance plan 60 years ago, public healthcare has been a problematic issue for all succeeding presidents.

15 years ago, President Clinton planned to reform the healthcare system with the help of First Lady Hillary, but it was rejected by Congress. No one has mentioned public healthcare since then.

America is known as the world’s wealthiest country, with the most advanced technology and clinical expertise. However, the latest numbers show that there are nearly 46 million people in America that cannot afford expensive health insurance and thereby are rejected from the medical service system.

President Obama promised during his campaign to provide a suitable health plan for those without medical insurance and to create a real medical system for all citizens. But in the current situation, where America’s debt is booming, the unemployment rate is on the rise and the economy has yet to recover, it further blocks Obama from implementing this major healthcare reform.

In reforming the healthcare system, Obama’s proposal to allow free market competition between the government-run and private health plans has resulted in vociferous objections from Republicans and insurance companies. This healthcare reform involves $10 trillion in the next 10 years. This is a dreadful figure on top of America’s worsening economy.

Obama is facing three main obstacles: insurance companies with strong financial backgrounds, pharmaceutical companies and Republican members, as well as Democratic members, in Congress. Even though both the Senate and the House of Representatives are controlled by the Democratic Party, in Congress political party is not a determining factor and the most difficult members could be the Democratic ones.

For Obama, who took office merely six months ago, to move this critical healthcare reform at this time is nothing more than staking everything he has at once. What he needs now is to create a valid argument that most of the general public can understand and support.

If this healthcare reform bill is unable to pass in Congress before the autumn, then it is very unlikely that Obama will implement a national healthcare plan during his tenure.


章玲芳‧健保改革硬仗

美國前總統杜魯門提出全民健保計劃這個概念逾60年來,普世的健保計劃一直是歷屆美國總統一個屢戰屢敗的棘手問題。

15年前,前總統克林頓透過第一夫人希拉里操刀,雄心萬丈地進行健保改革,卻依然在國會遭到重挫,此後便未有人敢再提全民健保課題。

美國堪稱是世界最富有,科技最發達,醫學最先進的國家,但據人口普查局最新公佈的數字,美國目前有將近4600萬人因為無法負擔龐大的醫療保險,而被排除在醫療服務系統之外。

奧巴馬總統在競選期間承諾,將矢力為沒有醫療保險的民眾提供合適的健康計劃,構建真正的全民健保,但是在目前美國國債日益膨脹、國內失業率高企、經濟仍未見有起色的背景下,奧巴馬推動這項巨額改革更是舉步維艱。

奧巴馬在健保改革中提出,讓政府經營的健保計劃與私人健保計劃競爭,馬上引起共和黨人和保險公司的激烈反對。而且這項健保改革計劃,在未來10年將動輒至少1兆美元,這對正陷入經濟泥沼中的美國人來說是一個觸目驚心的數字

奧巴馬所面對的3大阻力就是財力雄厚的保險公司、藥劑公司及國會的共和黨議員,甚至民主黨議員。雖然國會參、眾兩院都是由民主黨控制,但是在黨性不強的國會,奧巴馬最難應付的可能就是民主黨議員。

對上台僅6個月的奧巴馬來說,在這個時候推動健保改革無疑是“孤注一擲”的舉措,他現在最希望的就是爭取最廣泛的民眾,都能理解和支持他在這場論戰中的觀點。

但是倘若這次健保改革計劃在秋天前無法在國會闖關,奧巴馬在任內恐怕將無法落實全民健保的計劃。

星洲日報/國際漫步‧作者:章玲芳‧2009.07.24

This post appeared on the front page as a direct link to the original article with the above link .

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