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Sep 09, 2009 -- Clark delivers health care reform address

Editor's note: What follows is Clark's own address on health care reform, ahead of President Obama's planned speech before a joint session of Congress.

Hear Clark's Address: Listen Now | Right-Click to Download

"Madam Speaker, Mr. Vice President, members of Congress and the most beautiful First Lady in the history of the United States (Clark's wife Lane), I want to address you about health care reform and what I want you to put on my desk to sign into law.

For months, there have been angry words and both sides of the aisle have been talking past each other. But tonight I propose we go to a health care system that we can afford and that will allow market forces to finally enter health care in the United States.

We must address head-on that the federal government deficits we are running are not sustainable. The commitments to seniors with Medicare and the impoverished with Medicaid are not sustainable. We can not afford as a federal government to provide for the health care of the citizenry. It's just not possible.

In addition, our current system is based largely on luck. Either you're lucky enough to work for an employer that provides health coverage or you unlucky enough to be self-employed, work for a smaller employer or have a pre-existing condition that makes you a pariah for insurers.

Employer provided health care was an accident of history. It only exists because of a move by employers some 50 years ago to provide health care as a back-door way to give raises during the days of wage price controls -- when the feds said that employers couldn't give pay raises.

Unfortunately, it's grown into an unsustainable haphazard system. If you go back 50 years, an employee would be a "lifer" at a job and there was a reciprocal relationship between employer and employee. Today it doesn't work like that. Employers add or subtract employees at will and we pick up and move as we see fit.

But many times someone may have an illness and can't leave an employer because of health coverage. We need a new system to address the fact that we don't stay put for a long time. We need to move away from centralization of health care from government or employers.

We also need to introduce the marketplace. How can this be done? We need to create an individual health insurance market where each individual in each family buys his or her own coverage. We can't allow employers to be the sole source of safe venue for coverage, but instead have to create an insurance market based on the principles of standardized policies.

Insurers will be allowed to charge what they wish based on age/sex, but we need standard policies you can pick and choose from.

Choice is the key to driving smart decisions. Some like the structure of an HMO, some like the freedom of a traditional fee-for-service plan. Others want an in-between option like a PPO with a list of cheap in-network providers and more costly out-of-network ones. Yet others, such as entrepreneurs, love HSAs, where you take a high-deductible health insurance plan and you are essentially your own insurer for routine things.

We should allow Americans to choose from all 4 options, but the coverage should be standardized across all insurance companies so consumers can comparison shop.

Not everybody should have to buy the same HMO or the same PPO coverage. I think there should be 3 levels of choice in each -- 3 different HMOs, 3 PPOs, 3 traditional plans and 3 HSAs, each with different levels of coverage.

For example, a basic plan would provide only generics medications and no experimental treatments. Each level would have different care for you. But you would have the choice of what you want to buy.

If an employer wants to subsidize the health care with a voucher, that's fine, but you would still be in control of the purchase. So even if you left your employer, you would still have insurance.

If someone chooses not to buy insurance, that's fine too. If you do become ill, you'll be barred from buying coverage for 24 months. Otherwise, the healthy would never buy until they're sick.

The moral choice is so key here. If we rely on government or an employer to decide what coverage is good for us, we give them the power of life and death over us. But if we make our own choice, then it puts us in control and eliminates the moral dilemma of will we tax ourselves more to provide more coverage or tax less to provide less coverage.

And for those without means, both sides of the aisle seem to agree on a voucher system that would scale back as the level of income rises. I think that's a reasonable option. But I can tell you that we can not solve the cost issue with health care, without having a collision with morality, if we do not put the patient in charge. That's the key.

You must be the person who decides what coverage you want, what coverage you choose not to buy and who you buy it from. It's that simple. Health care costs account for one-sixth of our economy and we have to get control of that one-sixth, but at the same time provide true power back where it belongs -- with the American people. Thank you very much."

Unfortunately, Clark won't be able to answer any questions submitted via commenting. If you have a question, please try posting it to our message boards.

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What others are saying

  • if i only had a brain
    Health vs. healthcare
    If we as a nation would focus on HEALTH, the need for healthcare would be almost eliminated. No-Brainer
  • Two Ideas
    How about requiring Doctors to publish thier fees in some sort of public directory? That would increase competition by allowing consumers to see who has the lowest fees.
    Also, I think health conscious people should pay lower insurance premiums while smokers, drinkers, obese people, etc, should pay higher premiums.
  • Great job Clark
    I emailed 18 senators to get the message out in the Heartland (ND-TX) and 6 senators from UT, ME, and AZ. Thanks for your service, Clark.
  • We can't afford government health care?
    I guess we are the only industrialized country that cannot afford government health care. Your solution, Clark, is keep letting the Insurance lobby screw us with their massive profits and denial of coverage. Clark, why do you want to take the side of the Insurance lobby against the American people? I say, Medicare for all Americans and screw the Insurance lobby!
  • Health care
    Federal Health care is were we need to be going...I , you and most tax payers already pay for a government run health care each week in our paychecks...yet we are not covered....the VA health care system is the best in the country...with an electronic chart dating back to 1987!....

    It is pitiful that other country's gasp at the thought of having our health care system...that lets family's go bankrupt trying to pay for treatment...and that our elderly have to board a bus to Canada to afford their medications ...Health care reform has been needed ever since private insurance came into the picture...

    Shame on us ...we can do so much better...health care for everyone

    BMispilkin
  • Clark's Health Care Reform
    I agree with you Clark. Let the free market work. However, Tort reform and other safeguards must also be addressed to reign in and bring down the cost of heath care. I see no reason to tie employers to health care. They are two separate entities and it doesn't help anyone in the end-it hurts business and lowers wages.
  • Clark's Plan
    To paraphrase the words of Dan Akroyd, “Clark, you ignorant sl*t”. So often you provide a wonderfully though-out plan for saving money, for living life in a fiscally conservative manner, and accomplishing many of our financial goals with the minimum pain required. So why the heck do you sound so moronic as you lay out a proposal for health care! You sound like you are a healthier-than-average, wealthier-than-average, anti-social whore for the anti-health, for-profit insurance industry! Since you like your social policy served up ‘over-simplified’, I’ll boil it down for you: either live socially, giving and taking with your fellow man, your neighbors and your family, or let’s fire up the gas-chambers! Those ‘tired, lame, huddled masses’ would never be able to pay for their medical care so the humane option is to put them out of their misery. Any nasty ol’ cancer patients too…let’s take them out of the risk-pool and watch our health care costs plummet, woo-hoo! And pregnancies – they tend to be pretty darn costly, right! Why should the non-reproductive and all males be forced to share in the burden of paying for the rotten whelps! If we could just get this population thing in check, health care would stabilize leaving us with a wonderful, care-free capitalist system to enjoy, or rather those ‘lucky’ enough to never get sick, have babies, be responsible for sick relatives or fall on hard times would enjoy it. All others, I say EUTHANSIA baby! Many are terrified of the word ‘socialism’ yet we have socialized farming (can you say price-support payments – I knew you could), socialized schools (complain about your property taxes lately? How about those ne’er-do-well kids that can’t find Mexico on a map?), socialized department stores (those cheap Wal-Mart goodies are subsidized by local and state taxes and a number of federal programs supporting the below-poverty wages they pay out.). Now how about a socialization that makes sense – universal health care!! People want to believe we are the greatest nation, yet we have poorer health and higher infant mortality than even some third-world countries all while enjoying wealth beyond that of the rest of the free and not-so-free world!
  • Rewrapping
    Clark, you're just rewrapping what we currently have. As long as healthcare is for profit, insurance companies main priority will be profits and not our health. The government run post office has a 3% overhead as opposed to a 30% overhead for companies such as FedEx and UPS. Medicare has been in place for almost 40 years and I don't hear many complaints from seniour. Why can't we have a hybrid public/private healthcare system like what Germany currently has. They still pay a low premium, but insurance companies and government work together to help health cost down and provide insurance for all. Contrary to what you've heard, there is no rationed healtcare, no long waits in the waiting room, and most definitely no waiting for critical care.
  • Health Care reform
    Clark,
    The health care system exist in its' current form because of how capitalism works in this country. Why should the industry be only a for profit industry.

    I don't think there will be any real or meaningful changes because of the huge profits involved. The health insurance industry is a prime example of capitalism gone wild.
  • Health Reform
    Clark,
    I sell Health Insurance as well as Property,Casualty and Life and after being in this business for a number of years I can tell you that the Health Insurance Industry is raping the American taxpayer.
    As as example I received a call from one of the Sales Managers from United Healthcare explaining to me that they had lowered their prices and that I should try to sell more of their product and so I ran a new quote on my wife and myself and the rates were over $200.00 per month less that my current plan with them so I called the rep and told him the difference and that i was going to re-write my policy and guess what Clark this diacount was only for new customers so that tells me that the length of time and the fact that you have been claims free mean nothing or they would give this discounted prices to their existing customers.
    Health Insurance is not like buying car or home Insurance because 1st most states have a public option if they have a mandatory insurance law regarding Car Insurance and this keeps Insurance Companies from denying those with less than a perfect driving record a reasonable and affordable rate.
    I do not see Automobile Insurance Carriers going out of business as a result of this and lets face it most people in larger cities could use public transit or carpool or a taxi if necessary but Healthcare Insurance is a necessity and not a luxury.
    I see people who due to prior cancer or heart problems are simply turned down period with nope of being Insured in the future unless they are nearing retirement age or go on welfare.
    I recently had a 52 year old man turned down because of a heart bypass 11 years ago and this guy works everyday,is not overweight,not diabetic,no high blood pressure.
    America is America because of a belief on Godly principals of caring for our fellow man or woman and yes we have to use common sense and maybe its time to stop sending jobs overseas so people can afford to buy proper insurance and it is time to stop sending money to third world countries who basically hate us and take care of our needs in America.
  • Health Care
    I haven't notice anybody saying anything about dental care being include in all the health care debates, are not our teeth part of our body and play a very important part to our total well being? Has anyone else been shocked by the high cost of dental care, why can't dental care be included in everyone's health care package?!
  • Clark's Plan
    Submit it to Washington. At the very least it would supply food for thought.
  • Health Insurance
    I think the problem with health insurance is that health care should not be a service which requires insurance. How often do you make a claim on your homeowners or car insurance? Hopefully only once or twice a DECADE. I haven't made a car insurance claim in over 15 years (knock on wood!) and never on my homeowners. That is true insurance. Life insurance- how often do you die? Only once! Health care should be a service that you can afford. You should not need to have insurance for something that you are going to need at the very least once or twice a year. The problem lies with the cost being charged for routine health care. If we did away with routine health insurance and replaced it with specific insurance such as cancer, hospitalization etc. and forced health care providers to offer reasonable rates for office visits and testing and dental care etc., we would have a competitive marketplace where you could choose your doctor and be able to afford the care. This would do away with the debate about illegal aliens being insured. It would be an equalizer. Everyone pays for the SERVICE of healthcare at an affordable rate. Like getting a haircut, or having your car fixed. These are things we know we are going to have to pay for, so we budget and go to whatever stylist or mechanic we choose fit. The same should be true for the care of your body. If you wanted to go to a non-traditional practitioner you could because there are no insurance providers telling you what's covered and what isn't. I honestly think that a large percentage of what is charged at a doctor's office is not for your care. It's for the cost of their insurance, the cost of red tape. What did people do before health insurance? They went to the doctor, the doctor charged a reasonable fee and everyone was happy. How many people went bankrupt because of being treated? We have ALLOWED the insurance companies to become the big money makers in this, and have all suffered because of it. We need to truly take this back into our own hands and be responsible and act responsibly as well. We Americans have become so litigious and have such feelings of entitlement. Abolishing routine healthcare insurance would force us to be more responsible in our choices. We would probably adopt better lifestyle choices like eating right and exercising so PREVENT many of the conditions that are avoidable and costly. Just my two cents worth!
  • Healthcare
    It is great you can put out a plan with details we understand and can debate. Why can't congress? They speak in a language made to win votes and get on the news.

    That said your plans leaves a lot to be desired. I really think all people must be covered - a requirement. Leaving people to choose to be covered would be a lot of cost eaten by hospitals when the college kid gets cancer or breaks a leg.
  • Healthcare
    Quoting Clark:
    "If someone chooses not to buy insurance, that's fine too. If you do become ill, you'll be barred from buying coverage for 24 months. Otherwise, the healthy would never buy until they're sick"
    Great, Clark, so these people would further burden the public system or bankrupt hospitals who would have to take care of the uninsured and write off the expenses. I thought you were smarter than this.
  • Healthcare
    Your plan will never work because you are putting trust in the insurers. Also, what about the millions of Americans with pre-exisiting conditions? We will die under your plan because either will won't be able to afford coverage or the insurers will drop up, worse yet, not insure us at all because we are sick. Your plan sounds like it may benefit you or those that are self employed but offers no protections to the millions of Americans who rely on the protections afforded to those under employer based plans. My suggestions to add to your idea would be to mandate no additional costs and no denials for pre-exisiting conditions and also to prevent the dropping of coverage to those who are diagnosed with serious conditions.
  • health care
    Clark, I like your idea, except for the following:
    1. Insurers would be allowed to charge what they want based on age and sex. Ridiculous, women will end up paying more for coverage then men. It's discriminatory and wrong. Age is out of our control too. Yes older people use more healthcare, but why should they have to pay higher premiums? Young and old alike should share from the same insurance pool. I don't mind paying higher premiums for a plan that also covers older Americans. If they're going to charge a difference in premiums, it should at least be over something that is within our control. Like being overweight, using illegal drugs and smoking.
    2. Experimental treatments should not be covered period! Doctors and hospitals should not even be allowed to charge for experimental procedures! Think about it, you're the ginnea pig, they should be paying you to take part in medical experiments. Experiments should be strictly the cost of the researchers, not the test patients.
    Kudos to the voucher system. The average Walmart employee doesn't get paid enough to even afford coverage, and with Walmart expanding at record pace, all those minimum wage workers who are in it just for the pitiful plan they offer, still won't be able to stand a chance in a free market.
  • Healthcare
    Clark has it right. Some of you say that it is impossible for health insurance to be affordable. I say you are wrong. Consider car insurance, where you can find a company that offers you different coverage options at various prices. If you do not like a companies coverage options or prices, then you go to another company. You price shop. You do it with everything else in life, so what makes health insurance any different? Clark's voucher system for those in financial straits is a good idea. It should be applied to food stamps and subsidized housing. Many people in subsidized housing and on food stamps want to better themselves, but when they look at the pay raise they will get for a new position at work, verses what they will lose in benefits, they pass up the promotion. I know a woman who took the promotion, but convinced her boss to pay her the extra money in cash. Why? Her $300 a month raise would put her over the magic number, and her rent would go from $200mo. to $600mo. She would then be in the hole $100 a month. She should have been eased off the system. Government is not always the answer.
  • France #1
    I was just reading an article today that explained why France spends half as much per person on healthcare as we do. It's because they are healthier! The American diet and lifestyle is a HUGE contributor to our health care costs. Type 2 Diabetes, Heart Disease, even many cancers, all due to lifestyle choices. All things that many of us could change or avoid if we made different decisions and choices.
  • Healthcare
    I think your position is interesting; however, what about special needs children who, eventually as adults, must rely on Medicaid to help them for their health care. Right now, there are doctors who refuse to accept Medicaid; therefore, special children can only rely on those physician who are not doing the job for a profit, but out of the goodness of their hearts. Those doctors are few and far between. That means, these children may be left with the bottom-of-the-barrel health care. I think you have not thought about ALL the scenarios to your plan. You are only looking at the profitable and/or "free" market view. There is no simple answer to health reform, and it doesn't matter how it was created. What matters is that a CHANGE is necessary and if we don't do something, nothing is going to be a priceless option.
  • healthcare
    to Kathy S. and any insurance agent, I assume you sell INDIVIDUAL insurance? I'd like to point out that individual policies are FAR more expensive per month than fast food and video games! When there is no other option, those of us without LARGE employers must purchase extremely high-deductible policies in order to get affordable premiums. Even the lowest premiums are so high per month that nothing is left for PREVENTION!!! Does this make sense??? Do you tell people this up front or encourage them to go through the excruciating underwriting process, even though they may not have a chance due to pre-existing conditions? My agentS did not. I've been through this more times than I can count in 15 years and when I tell people they don't believe me!!!

    Another point: Someone else remarked about people looking for coverage only when they're sick. Maybe SOME do...but in this economy especially, they look for coverage when they lose their JOBS!!! If you have a chronic condition that was covered by your employer-sponsored plan...well, good luck on getting an AFFORDABLE INDIVIDUAL policy, should you be unable to find another job. Trust me, if you go into a small business for yourself, you will be accused of being a "slacker" and not WORKING!!!

    Health coverage should NOT be based upon employment.
  • Health Insurance Reform
    Clark, morality based on the free market system?!! Utter Stupidity!

    Some forms of protection should not rest on the profit motive...police protection, fire protection and health protection.
  • Health Care for All
    The State of Hawaii had one insurance provider and all businesses contracted with the one provider - therefore, whenever you switched jobs, it didn't matter - you still had your insurance - and there were no pre-existing conditions either - seems that something along the public/private partnership would work - the government does not need to be the holder of the purse-strings...we have seen how that works.
  • No to gov healthcare
    Everything our gov gets its hands on becomes a nightmare. They promised they would NEVER touch Social Security, but they have dipped into it for too long. And the VA medical is a sad joke and the red tape is cumbersome. Why isn’t anyone addressing the fact that hospitals are price gouging and Lawyers are getting rich off of frivolous medical lawsuits which raise prices for everyone? More government is not the answer!
  • Why are we the only ones?
    Clark, anyone as well traveled as you can surely see that we need to COPY that which works! Are we such a proud nation that we can't admit that we are doing something all wrong? World Health Organization rates US at #37. France at #1 spends 1/2 per person on health care as we do. What do you mean we can't afford to insure everyone? Every member of congress should hang their heads in shame. #37, a disgrace!
  • hlthcare
    Clark, I love you dearly and listen to you all the time when possible but I have to disagree with you on hlthcare because the cost of insurance is out of reach for the average blue collar worker. When out-of-pocket deductible is anywhere from 1000.00 per person and up, the average middle class blue collar workers can't afford to even go to the dr. All the lobbists in Washinton are the ones who are fighting reform. Most americans know it is about money.
  • Health Care Reform
    Needing health care and not being insured does NOT make one a hypocondriac nor a glutton. Quit beating up on people who need health care. I'm praying that they leave Medicare alone. Getting sick does not mean that I have not eaten healthfully or not exercised. Things just break down.
  • Probably a good thing that you didn't pursue that run for governer...
  • ...Probably a good thing that you didn't pull the trigger on the run for governor.
  • health care
    ANY,form of "profit" in health care needs to be eliminated, (and it "SHOULD" be a "Right"). Just keep the politicians OUT of medicare and "it" will be fine in the future.
  • Health care
    I think the Canadian system of health care is good, except for one thing. Did anyone ever analize why the long waits? The reason is since it is all free, there are always those hypocondriacs who want to see the doctor every day and have tests made every week.
    If you make them pay a fee to see the doctor or specialist They will stop clogging the system.
  • Health Coverage
    I agree with the President, we need a Government back health care plan more than we need a financial bail out or sending troops to Iraq and Afganistan!!!
  • Clark’s Health Care Regress
    How can a person with such sound advice in “economics” be so WRONG on this?
  • I'm horrified, Clark
    My estimation of your advice will forevermore be colored (and appropriately discounted!) by the fact that to you Morality = Market Choice(s).



    Clark, when you grow up you'll learn that capitalism (and the almighty Market) has nothing whatsoever to do with morality -- never has, never will. You'll learn that there is such a thing as "the common good," and capitalism and "the market" will never, ever provide for them in appropriate ways because they all have little or nothing to do with ability or even willingness of individuals to pay. You'll learn that the very highest value in capitalism is greed, and that there are many things in this world and in this life for which greed is anathema, pure and simple (and most or all the things that could be considered among "the common good" are right at the top).

    I see a healthcare system which involves PROFITS as just about the height of IMorality. Now, profiting off others' misfortune is a fine, upstanding capitalist value, to be sure, but profiting off others' ill health and worsening that ill health in the process (by denying coverage) -- aka CAUSING HUMAN SUFFERING -- is a whole 'nother matter.

    Further, you will never bring healthcare costs down with the greed factor so firmly in place. Remove greed (profits) from healthcare, starting with the healthcare insurance industry, continuing with hospitals, and ending up with pharmaceutical companies.

    One last comment on your overriding faith and over-reliance on The Market:

    Franklin Delano Roosevelt ... sent a message to Congress on April 29,1938, titled "Recommendations to the Congress to Curb Monopolies and the Concentration of Economic Power." In it he wrote:
    Democracy is not safe if the people tolerate the growth of (corporate) power to a point where it becomes stronger than the democratic state itself. That, in its essence, is Fascism -- ownership of Government by an individual, by a group, or by any other controlling private power. Democracy is not safe if its business system cannot provide employment, and produce and distribute goods in such a way, as to sustain an acceptable standard of living.
    http://www.opednews.com/articles/2/The-American-Road-to-Fasci-by-Richard-Clark-090729-471.html
  • health care reform
    Not bad, but truly comprehensive, free market that resolves ALL the myriad of problems which are far more than insurance issue is here:
    http://heyteachkp.web.officelive.com/default.aspx

    The Nathan Plan has:

    State Medical Insurance
    Private Insurance Reform
    Tort Reform
    Increased Number of Doctors and Nurses
    More Funding for VA & IHS
    Some streamlining of FDA new drug approval
    Reducing Long Term Care Costs
  • health care reform
    Not bad, but truly comprehensive, free market that resolves ALL the myriad of problems which are far more than insurance issue is here:
    http://heyteachkp.web.officelive.com/default.aspx

    The Nathan Plan has:

    State Medical Insurance
    Private Insurance Reform
    Tort Reform
    Increased Number of Doctors and Nurses
    More Funding for VA & IHS
    Some streamlining of FDA new drug approval
    Reducing Long Term Care Costs
  • "not that simple"
    The corporations have a strangle hold on us. The only way to break it is to have a government run non profit competition. Its that simple
  • Healt Care Reform
    Nice try Clark --- unfortuantely, you are off base.
    The easiest, and less costly "fix" for Health Care is for the Government to open the FEHBP to ALL AMERICANS. Our astute Congressional "leaders" will not even discuss this --- it's too easy and not partisan.
    Keep up your great work. I enjoy your talk show and TV Program.
  • Clark Howard's Health Insurance Plan
    Your most operative words were...let people buy their plan. Mr. Howard, I have listened to your sound advice in many different arenas of content. But, this is not your arena. Your solution is filled with the "bless to have" and does not address those who do not have the means (not desire) but means to have the ability to purchase INSURANCE. Take a ride around the state of Georgia and see the disparity. Check back in when you have finished the survey.
  • Health care
    I agree Clark with everything you said Mr. President. Also we all know you over married. Lane is a beautiful woman.
  • To Frank
    Frank. Please do not make assumptions about others. I have been employed for 20 years for a large multi-national corporation and benefited from excellent health care options. I make 6 figures and might even benefit (in the short term) from Clark's plan. What I see, though, is that Clark's plan would lead to more uninsured than there are today. That will lead to higher and higher costs unless you say "screw you if you can't afford insurance...you don't deserve to live." Morally, I am not prepared to say that. Maybe Clark and others are. Never once did I say anything about wanting others to pay my way. I do not. However, I believe that a health care system based on means is morally wrong. We can agree to disagree on the issues, but please do not make assumptions about my situation when you know nothing of it.
  • Clarks Health Care Proposal
    Your plan offers nothing new from those of you that believe the Capitalism Panacea Myth. Capitalism often grows the the economic pie bigger BUT it only distributes it's growth based upon the ability to pay i.e economic demand. There are some things like healthcare that everyone needs that the so called free market will not provide. You are apparently content with Americans paying twice per capita for the same of similar care as other developed nations....while our overal level of health diminishes, infant mortality rises and we junk food ourselves into unhealthy people. However, your compasssion for others is consistent with other right wingers...NONE. so, what can one expect.
  • health care
    Clark,
    This is the first time I've ever believed you were way out in left field. Giving people choices they can't afford doesn't cut it. At minimum, health care should have been kept as a "non-profit" entity, as it was before Reagan. As long as profit is in the hands of the corporations and stockholders, the average person will be on the losing end of health care.
  • health care
    How does your plan help a person who cannot afford health care and gets a serious illness or needs an expensive operation? Do we just say "tough luck?"

    Your plan retains what we have ...oops, takes away the employer plan so we have less than what we have.

    Not at all thoughtful. I am surprised at the superficiality of it.
  • THE "REAL COST OF HEALTHCARE"??
    No One has ever addressed that Question?
    What does a MRI really, really cost?
    What does a CAT SCAN, Certain Surguries, A Bandaid, Blood Transfusion, medication in hospital vs medication from Walmart(same RX in most cases) just different pharmacies. You see no one outside the Medical Industry has every studied or PUBLISHED that INformation. That's where the problem is,

    A doctor will do the an operation on a Millionaire and next day do the same operation with the same team on a poor person for 1/4 of the cost. So what does it really, really, cost. Let's assume everything is the same. Same hospital, same drugs, same room etc,etc.
    What does it really,really cost?

    Can someone answer that?
    THX
  • Health care reform
    Your comments were very thought-provoking, however, your idea that of giving people the option of not buying insurance will only result in more of what we have today-people not getting preventive care and then, when they get really sick, showing up at their local emergency room, running up a huge bill that is uncollectable and then you and I end up paying for their stupidity with higher premiums and long waits in the emergency room. I sell health insurance and you wouldn't believe how many people don't even think of buying insurance until they are sick. Today, I returned a call to a lady who had called in 3 weeks ago after seeing our health plan advertised on t.v. When I talked to her 3 weeks ago, she couldn't even afford a discount plan. Today, her husband answered the phone and said she hadn't returned my repeated follow-up calls because she had passed away. Neither he nor their child had insurance either, but do you think that he asked about getting coverage for themselves? No! They'll wait until it is too late too! People would rather buy their fast food, video games, and just about everything else before they think about purchasing health insurance, especially the young people, who think they are invincible because they have "never been real sick" before.
  • health care plan
    dang right. Give it to Joe Wilson and let him read it on the floor of the house of representatives while glaring at pissonme! Our leaders are idiots. Thank you Clark for a breath of fresh air!
  • MEDICARE FOR ALL!!!
  • Not surprising
    Who would have guessed that someone who's never been w/o health insurance would propose such a plan? I'm still waiting hear the 1st person w/o insurance to be against Obama's plan...angry response from a bitter, wealthy, white person coming in 3, 2, 1...
  • Your Health Care Program
    I agree 100 % that your plan would work
    and let us keep our freedoms in choice.
    I might say that some tort reform would
    help keep the cost down. We do need to
    hold accountable the clinics, hospitals, and the doctors, but not the
    run-away rewards that drive the malpractice insurance up.
  • The root of the problem
    McCarran-Ferguson Act.
    You have to look at the root of the problem, when it pertain's to insurance the act allows them to run as a mob, anti-trust law's don't realy apply to insurance.
  • I disagree
    You need to get real here. Continuing to have insurance companies make medical decisions is like having bank robbers make decisions about police numbers and response time. They make all of their money off of NOT PROVIDING CARE. They provide the most minimal care required and then charge the highest prices in the world to do that. How do you think that they have millions and millions of dollars to lobby the federal government to not pass good medical care for people. When it comes to medical care all you have to do is look at the the outcomes. If the goal for everyone is the healthiest people at the lowest cost there are a number of other countries that provide models that are much better than the US at reaching that goal - and they all have some government funded public option providing that care. And it is not brain science why they are better - their prime directive is to provide the best care possible, where an insurance company’s prime directive is to make the most money off insurers and because of that they try and provide the least care. You need to get a clue and experience some of the other countries health care services in comparison to ours before you offer this bad advice to people. A lot of people really depend on you to provide them with good advice on these things.
  • Healthcare Plan
    We have the greatest healthcare in the world. Healthcare does not need to be reformed – access needs reform.
    1. Eliminate the exemption that the Sherman Antitrust Act as it relates to the Business of Insurance. In 1945 Congress passed the McCarran-Ferguson Act allowing the insurance industry an exemption. In 1940 the United States Circuit Court of Appeals sustained Medicine was a business and therefore must abide by the Sherman Antitrust Act.
    2. Tort Reform – Georgia passed tort reform in 2005 and liability insurance premiums have been reduced. Tort Reform has improved access to care, reduced cost in the states that have adopted the reforms. Other states that have passed tort reform are California, Texas, Mississippi and Oklahoma.
    3. Ownership of insurance policy – the individual should own the policy not the employer. This would allow the insurance to continue when jobs were changed.

    Physicians need to be part of the process to reform healthcare. The Patient/Doctor relationship is vital to healthcare.

    Ask your physician how he feels about the healthcare reform bills.
  • Health Care Reform
    I like it Clark! Just need to add Tort reform to the equation and It would work!
  • Health Insurance
    I was with you until the 24 month wait period. But, you need to know the following: The only person in charge of your health is the insurance company - not you not your doctor. I have had to take addtional tests or procedures before surgery could be performed. All doctors get paid everytime you or I get a procedure done - MRI's. CT Scan, etc. Also, while I was an insurance agent in Fla. I was told by one of my brokers (I sold AFLAC, American Heritage, BSBC, Aetna, Humana, United and several others and was a top producer!), that I could no longer quote more than one majory medical plan to an employer - another words, I could not compare BCBS against Aetna for example. This came down from BCBS. Wow - what a surprise. I felt I was doing my clients a disservice by not doing a comparison - both price and services so they the employer could make an intelligent decision! I also had an accounting background so I was trying to protec both the employer - not to have to spend too much money each month, but also give the employees a great plan. And remember, if one person in the group had a heart attach he can be insurer - his high price premium is spread out over the entire group!

    Also, the first group to be investigated is the health insurance company - why can't they be a not for profit organization? Why do they have to dictate what I want done and whatever happened to preventive medicine?

    I don't want the medicare, medicade plans to go away - the seniors and we all will be one eventually - need this coverage and the poor need help as well.

    The Doctors in Florida almost went to court over most of this - they want a more even and fair system in place rather than this is all they can charge for this procedure - hooray for capitalism. Each doctor can charge what he wants, maybe not have to file all the insurance forms, and we get to choose which doctor we want or if we can't get rid of the insurance companies for the same reason we can't seem to get rid of personal IRS, then let it be fair for all regardless of health questions.
  • Health Insurance
    Health insurance should be outlawed. Thats the only way med prices will drop. Lasik surgery and elective plastic surgery are generally NOT covered by insurance and those prices continue to drop year after year as doctors are forced to actually compete for their patients' money. BAN HEALTH INSURANCE>
  • How about NO INSURANCE
    Everyone talks about insurance, or Goverment health care. What about, individual responsibility. Why should it not be "I have to negotiate or "shop around" for the services I can afford." There is no guarentee in life, except that it will end. Prices will fall DRAMATICALLY when each of us has to pay for the services we receive. Yes, some will receive better service that others because they can afford it. But you know what, in the end, they will still die, and they won't be able to take any money with them. This will put greater emphisis on the family (what a novel concept) and ones local comunity. Clark is correct that the real problem started 50 years ago when individuals quite having a direct relationship with the health care provider, as it was diverted to the employer. Now the employer can't cover the cost (we blame the insurance companies for wanting to make a profit, why else did they ever go into the business, duh@) so now we want the Goverment to take over the responsibility. (Yes, they will happily take on that responsibility because then THEY control that much more of our every day life) What happens when the Gov't cant make the payment?????
    We all need to bite the bullet, accept the fact that we will all suffer and die, and quite being cry babies. We are really good at that!
  • Health Care Reform
    Ellen Baer, you are a Socialist. Don't be a PINHEAD. You have supplied no facts to support taking PROFTS out of healthcare. If you think the Feds will be more careful and efficient operation a healthcare system you have probably forgotten about Social Security, Medicare and Medicaid. All running out of money. Socialism works until the politicians run our of other peoples money. Would you rather have higher taxes or those evil profits?
  • Good, but this is where it falls appart
    I was with you up until here: "If someone chooses not to buy insurance, that's fine too. If you do become ill, you'll be barred from buying coverage for 24 months."

    The problem here is we as a society have decided that hour hospitals must provide care regardless of the individual's ability to pay. So those without insurance will simply go to our hospitals for service, and we will pay for it in our insurance premiums/taxes.
  • Clark for President
    Clark, You have my vote. When I was growing up in a small town, we didn't have insurance. The doctors charged what the people could aford or didn't get paid. I think if we didn't have insurance companies to deal with or government buracracy the doctors would charge reasonable amounts. We should not be charged exorbant amounts to make up for the ones who can not aford it. I feel that much of the medicine and treatment we get is unnecessary. We need a think tank of great minds to find a solution to this problem. It is possible to provide affordable health care by letting the consumers and the doctors set the prices. Why do we need insurance companies?
  • It's not Broken, but the Gov't will Break it
    Clark...interesting idea for health insurance to be sold like car insurance. If people want more coverage than their employer provides or they can get by visiting the emergency room, they can buy health insurance. Isn't that what makes this country stron, we work hard to get the things we need and want. There is no right to health insurance and I agree the government can't afford to insure everyone. If we turn the health system over to the US government, we will all get worse treatment than you think you get now from the best system in the world. Some people have commented in a disparaging way that you are a millionaire so you can afford insurance.
    You work hard, you've used your creativity and intelligence to get ahead, why is that bad. This country became the greatest in the world, because people educated themselves and worked hard to improve their lot in life...and that's what all have to do...not put our hands out for another bailout that someone else is going to pay for. Thanks for the ideas Clark.
  • Send A 2nd Letter
    Clark, you need to write another letter that addresses the real issue....health care costs. Your 12 plan options will put profit under a competitive umbrella but all 12 plans will still have exorbitant health care costs that more and more people can't afford. So how do you propose to contain costs? Generic drugs and not covering experimental treatments will help some but it won't do much to the total cost of care. Let me suggest many additional medical schools to graduate more doctors and add market competition within the provider community along with higher reimbursement rates to primary care physicians and lower rates for specialists. And finally, all current laws about letting "any willing providers" join health care delivery plans must be rescinded so the health plans can have some leverage to negotiate lower rates for increased volume. Allowing all MDs to join any plan completely eliminates this very important "free market approach" which will lower the overall cost of health care.
  • A little augmentation on Clark's proposal
    How about adding a medical insurance policy that does only one thing ... it allows you to buy a policy even with a preexisting condition so that if you really need medical insurance you can get it whenever you need it. The insurance company/ies/? would set the price (premium) for this "option to buy" and collect a premium monthly, yearly, ?. The insurance company gets the premium but has no medical bills to payout or process or other obligations other than to allow you to purchase the selected policy when you desire it. This premium collected is mostly all profit for the insurance company but it guarantees that you can purchase the insurance that you desire when you desire it. Preexisting conditions are covered after 24 months. Basically, you select a medical insurance policy for which you desire and purchase an "option to buy that policy" for a given period of time. This also gives you the right to purchase that same option agin when the option expires. The more benefits to the policy the more the option for that policy costs. If there is any lapse then the 24 month rule applies to preexisting conditions.

    One way of seeing that every one can get some type of coverage is to implement the Fair Tax and subtract the premium for the selected option from the "prebate". For those who want medical coverage the premium is applied to the cost their medical insurance policy.

    Note: the purchase of an option applies to a specific plan that is selected and this could limit the treatment available for 24 months depending on the plan selected. a ploicy giving more comprehensive coverage would mean a more expensive option.

    Do not allow insurance companies to bargain for prices with hospitals, drug companies, doctors, and other providers. Prices should be the same if you walk in off the street.

    Require drug prices in the USA to conform to price/dose in France, Germany, etc.

    TORT Reform tied to AMA reform and malpractice insurance reform to allow transparency of outcomes both in court and out of court any time money is paid. This will help to weed out inferior or incompetent doctors and allow better doctor selection information by patients.

    Administration costs are high due to the different entities involved. Standardize medical records, billing forms, insurance forms, etc. so that 99.5% will not need human intervention to process once the data is in the system but can be properly manipulated by computer. Develop the set of standard with a national committee. Require timely payment by insurance companies.

    Add these things to Clark's model and we have some real reform and cost savings. Not perfect but very little government involvement required and much more efficient and overall cleaner and simpler.
  • Clark in Politics
    Clark -

    You have kept the country informed for years,Have you ever thought about politics, i.e. President of the U.S.?

    Keep up the good work,
    A. Cole
    Huntington Beach, CA
  • Clark's Crazy Healthcare Plan
    Clark- Healthcare expert you arn't. Let the insurance companies charge whatever they want for age? Nobody over age 50 would be able to afford a policy. Insurance should be a not for profit. The more claims they deny the more profit they make. You wouldn't hire a money manager with this type of a deal. Clark, stick to your 1st love, MONEY.!!!!
  • Great plan for millionaires
    What Roger is saying is that he want everyone else to pay for his health care. No responsibility for his lifestyle. Just let someone else pay. He is probably a smoker that drinks all day and want everyone to pick up the tab for his cancer or liver transplant.
  • Healthcare coverage
    So how does that fix the fact that poor people put buying health insurance on the bottom of the list, then become ill and may need extensive treatments. Who will pay for that? Or will they be told that they can't get treated? Or will the hospitals have to eat the cost and tag it on to what they charge for everyone else? Fact is that people will put food on the table before paying by themselves for insurance.
  • Great plan for millionaires
    Why would anybody expect a millionaire who will always be able to afford the best to say anything different? That plan will work out great for Mr. Howard. Not so much for common people who will choose to feed their kids instead of buying insurance for themselves. Will be a lot more orphans ou there.
  • Thank You Clark - for Providing Solutions Not Rhetoric
    First of all, whatever decision is made on "healthcare reform", there will not be 100% agreement. The only thing we all can agree on is "Sugar is Sweet." Secondly, do not compare our country's healtcare costs/systems to any other country in the world. It's apples and and oranges. Factors that don't seemed to be included in the argument "The US spends more money than 36 other countries but have less healthier people" the total percentage of a person's paycheck that goes to taxes. In most European countries, the total% ranges from 40% to 70%. Plus where are the incentives for Doctors? If you want to cut costs, how about telling the colleges to charge less so more people can go to medical school. It seems like most doctors entering the workforce do so with student loans over six figures. They in turn must charge more for their work to pay off the loans/pay their salary/pay their staff/pay for their liability insurance among other insurances to protect themselves against frivilous lawsuits. And finally, the government exists to act as the rule makers and referees. They do not know how to run a business (Lawyers are the worst at collecting on a debt - it is easier to write off a delinquent payment than to lose a client's future work and harm their own reputation.) Now how many lawyers do we have working in Congress? And how good are they at collecting on a debt? Now have them run our healthcare system. "We don't have enough money, how do we pay for it?" "Just raise taxes on the rich. Everyone feels better and nobody gets hurts." Americans, start reading up on your history and please start thinking for yourselves and stop relying on the gov't to solve all of your problems.
  • health care responses
    Tracy, you are crude.
  • Health Reform
    Sorry Clark, your way is not for the
    people; we already have that and it's not good; everyone is against governmemt
    getting into the picture; the Government
    is the people; the politicians in this governmemt is still part of the people;
    but have becoe too greedy..nothing wrong with having government issue a health insurance policy; but do away with the Medicare one. Doctors send in a bill for $150.00 (code # ?)for whatever they supposedly treated; Medicare only approves $45.00 then pays on 80%..hogwsh; why all of the paper work; why not charge what you know is going to be paid..too much fraud in
    Medicare and Medicaid both need redoing;
    everybody can't afford to buy their own insurance or haven't you seen the
    latest on un-employment.
    We need decent honest people to run the government; then the government could set up options for health care; like
    insurance companies do; plus there will always be those who won't have health insurance.Reality, NO Government can put ALL of it's people to work;
    we have the mentally ill, disabled etc
    we have to take care of them...
    those who will not have health insurance
    different options
  • Insurance companies are to blame
    Magnolia S, do you seriously believe that JACHO is more to blame for the health care mess than the insurance companies. I get so damn sick of people whining about not wanting government to determine what kind of health care they get. Yet, they are more than willing to let insurance company bureaucrats--who care about profits, not patient care--determine what kind of care they get.
  • What's next
    Maybe we need the government to pay for our car insurance. Yes, I know that I am not required to have one (some of you like to disagree with others, that's OK). It costs money to pay for health insurance, money that this country doesn't have and will not have. The nation's debt is continually increasing because the government doesn't know how to administer a budget. The last time I checked we do not spend money that we don't have, if you do then you carry a debt until you go bankrupt. This health care for everyone is making a big mess even before its sent to Congress for review. I know how much money I make every month, I know how much I can afford to spend and I had to change my lifestyle a few times to stay within my budget. When will the US government practice what is preaching?

    Why do you want to abuse Clark about his political point of view? The radio show is for one purpose, this is a way to express everything else. Do not disconnect yourself from politics! Everyone must be informed of all the candidates before they bring the country down and into bankrupcy. Stop the political games! Vote for the candidate, do not vote for the party.

    Clark, thanks for taking the time to address this very important issue. This country needs to be educated, and you are doing a great job! Vote for someone like Clark, someone who is not looking for his best interest, someone who is really concerned about the PEOPLE. God Bless America!
  • health care
    If I can successfully purchase car insuirance, renters insurance, phone insurance, home insurance and life insurance, I surely can buy my own health insurance. I don't want the government dictating to me what kind of health insurance I can or can't have! We need health insurance plans to be available across state lines (like life insurance and other insurances) so there is real competition. Competition lowers costs and promotes excellence in all fields and endeavors. Keep the goverment out of the way!
  • health care
    Absolutely right on!
  • Insurance
    Universal Health Care is the only way. Profits need to be taken out of healthcare. Call me a socialist.
  • Healthcare
    You've made some interesting points to consider. I hope you've shared them with Obama and your representatives. They have more clout than I do.

    And, as long as a low income person can afford and have access to the same top of the line coverage as a high income person...that kind of health care policy will work for me.
  • Health Care
    You have taking an issue that has been made terribly complicated by politicians and gotten right to the most importan issue. The health care choices should be made by the American people, not the government or employers.
  • health care, etc
    I subscribe to your letter NOT for your political views, but your consumer advice! Please keep your politics to yourself!!
  • Government Healthcare
    I certainly don't want the government controlling my healthcare. Everytime they get involved in running something, cost skyrocket, abuses are rampant and the agency loses money. (i.e. the Post office, Medicare, Social Security, and on and on. What people who want "free" healthcare need to understand is that the government has no source of income except what they take from the evil taxpayer who is out there trying to make a living. Oh, and I forgot, those mean spirited business owners who started they business with money out of their own pocket (my husband and myself) and create jobs for people. Those are the ones that should be punished most of all. I keep hearing that business don't pay taxes!! If that's true, then I've been doing the wrong thing. We pay payroll, unemployment, Social Security, Medicare, Federal and State Income tax, sales tax, and the list goes on. We're required (and rightly so) to carry business insurance and because of today's "sue happy" environment, you have to carry insurance on top of that. We pay for our employees' health care insurance as an added benefit. Believe me, I'd just as soon give them that raise and let them purchase it on their own. That certainly would lighten my load as a business owner and I don't mean financially. As I said, I'd be willing to give them the money that we pay in premiums for them to buy their own insurance.

    Why shouldn't we be responsible for our own healthcare. I'm all for it. I'm not for ANY government run program much less government run healthcare.
  • HEALTH CARE PLAN
    YOUR PLAN IS PERFECT HOPE SOME ONE WILL PUSH IT THROUGH
  • health insurance
    David is right - government will be no more wasteful than what we have now, with the insurance companies. You should see them out wining and dining the doctors every day - all at YOUR expense.
  • Pay off the debt ??
    Curt - maybe we ARE paying $600B this year alone on interest, but we are paying MORE than that in excessive health care prices and CORPORATE WELFARE for insurance companies, car companies. It's time we finally did something with our nations money (taxes etc.) for PEOPLE for a change.
    Besides I don't think the banks want
    us to pay off the debt. Clinton already paid down the debt, but looked what happened after he left office.
  • Pay off the debt before digging the hole deeper
    We have all the money in the world to pay for Universal Healthcare... it's currently called the interest on the national debt. The biggest plan Obama has called for was $1.6T (Trillion) over 10 years. That's $160B per year. Well, we're paying $600B this year alone on interest. Maybe, just maybe, our elected officials should learn how to balance a checkbook FIRST before digging the financial hole deeper. Pay off the debt and then you'll see how much money there is to fund healthcare reform.

    Oh, and please write your elected officials demanding that any public plan mandate federal employees usage including all members of Congress and the Executive Branch.
  • health care
    to Karen and all those who believe that we cause our own illness ... you have obviously been very lucky with your health and health benefits. Did Clark Howard cause himself to develop prostate cancer? There are babies born with cancer, born to mothers who did nothing to cause the growing fetus to develop cancer. What did these babies do to cause their cancer? I myself had breast cancer ... I fit NONE of the risk factors (in fact, I breast fed my babies for a total of 6 years and breastfeeding is supposed to be something that helps prevent breast cancer. I laugh and say that I wasn't supposed to get it. First one in my family. But, I did. Even the doctors can't figure out why I got it and mine was very aggressive. No, health care in our country is not a "right." But, I don't want this to be a country where we don't care about other people. Finally, I've lost so much confidence in Clark Howard. When he was diagnosed with prostate cancer, he had 3 biopsies done at 3 different facilities because he was so scared and concerned about his health/life. Who paid for these? Insurance, I'm sure. Also, Clark proposed in the past that we not have unnecessary testing done to keep down health costs. Well, he had 3 biopsies done. That's really excessive. When my breast cancer was found, I had one biopsy. And, did he try to find a doctor who would charge him the least amount for the services? I'll bet not. Clark most likely wanted to best of the best, no matter what the cost. I've sure lost a lot of confidence in Clark Howard.
  • health insurance
    WHY should an insurance company make 20 to 30 cents out of every dollar we spend on health care just for paying the bills ??
  • NELDA - GREAT!
    It seems like we are playing a very poor game of "Are You Smarter Than A Fifth Grader" here.
    Nelda that is the most obvious answer.
    What a laugh it is that all of our great politicians and PhD geniuses couldn't have thought of that, but - uh-oh, wait - that would mean the wealthy having to give up an extra crumb from their plate! Most of them think one is enough already.
  • HEY! I gotta GREAT IDEA!
    Hey! Let's (heaven forbid) pick a country, ANY other country that spends less on health care and has much healthier people (about 36 countries at last count) and just EFFING DO WHAT THEY DO!?!?! eh?
  • health care
    Karen - you wrongly assume that everyone without money is lazy - sigh!

    If you tried to raise a child with a serious birth defect you would sing a different tune, honey.
  • health care
    Right winger - you are being a right whiner, and you don't know what you're talking about from EXPERIENCE - only from your ideology which has failed us for the past 29 years of failed right-wing rule.

    45,000 people die un-necessarily here every year from having no coverage under the current system which is BROKEN and you offer us no alternative. Just the same old broken record.
  • Health Insurance Debate
    Clark's speech is a thousand percent better presentation of the problem we face and a far better approach to the problem than anything being proposed by the liberals in Washington DC. We do not need the federal government dictating how health insurance is to be organized or delivered.

    Having worked in the health insurance business for over 20+ years on the payor side, it is my firm conviction that the status quo is not adequate nor would a federal takeover. Clark is correct in that choices are needed and empowering the individual is the key. Education is also a key element similar to auto insurance requirements; people need to take more responsibility for their lives. Under current tax code, incentives could also be created to facilitate expansion of coverage for various individuals and families.

    The answer is not to emulate the centralized plans. but, to increase the powers the individual and to facilitate that responsibility.

    Health insurance is not a right, and for those of you who think it is, you need to take a serious accounting of what are rights versus privileges. If you live legally in the USA, you are privileged to live in the greatest country on this planet. That does not give you the right to have everything taken care for you by the federal government.

    Another key element is to somehow get a handle on tort reform. Not sure what the exact answers are in this area across the entire country, but, somehow or another the cost of malpractice insurance needs to get under control or else more and more physicians will be finding other means of employment and our healthcare delivery system will be destroyed in the process not to mention what a federally centralized delivery system would do to it.
  • HEALTH CARE
    YOU ARE SO CORRECT...BE MY PRESIDENT...LOVE YOU...BEEN LISTENING FOR YEARS...BIG THANKS
  • Way to go Clark! Before I get on with this, I just want to comment on the radical poster who hates industry. I am sick to death of industries being run into the ground because of heavy regulation. It's making it so that the average American can no longer start a good business, and it lowers pay. If you think for a second that the company is going to take the money needed to meet regulations out of their profit, you are sorely mistaken. They will take it out of the wage that they pay their employee. Low wages are YOUR fault for supporting such nonsense. Think about it. If you'd rather shut them down, then be prepared to live in a permanent recession where you can only buy shoes for $100 or a loaf of bread will cost you $10. Get real and do the research yourself.

    That said, Clark I want to commend you. I myself am a nurse in the field and I can tell you Obama is completely clueless when it comes to health care. Well for that matter he's clueless anyway, but health care especially.

    The single most cause of spiraling costs is JACHO. While I will admit, momentarily, that JACHO had good intentions, I will say that it has effectively destroyed any good health care anyone could ever hope for. Health care professionals are now more interested in paper, than in the patient. They have lost their vision, despite what they say.

    A great example of what I mean is something that occurred at a place where I used to work. This is home health, mind you. A nurse, a very good and attentive nurse, did not put a medication sheet in the folder in the home. A medication sheet! It is interesting to note that the woman was on no prescription medications AND she only took Tylenol or Advil for pain on occasion. Nothing herbal, nothing.

    This nurse, this EXCELLENT nurse, was written up over the medication sheet not being in the folder in the home. You can't really blame the company for that though and do you want to know why?

    Because we were under a JACHO survey at the time it was discovered. In fact, it was the surveyor who found it missing. Our company got dinged because we didn't have a sheet in the home which didn't list any regular medications, only two OTC medications that the patient rarely took.

    Where is the justice in that? Let's not forget that the company has to pay tons of money to meet JACHO's outrageous requirements, not to mention paying JACHO themselves.

    As you can see, JACHO is only there to increase paperwork and make money, clearly they wish us to forget about the patient. JACHO is more interested in process, than the medical needs of patients.

    It is just shameful!
  • health care
    Absolute nonsense Clark. Single payer system is the way to go. Take the profit out of insurance to bring down costs. If folks choose to go private they can. Look at the U.K. France, Canada etc. Keep it simple.
  • Health Care
    I don't feel the government is capable of managing anything especiallyu Health Care. It always ends up poorly managed and very expensive.
  • Health care
    I agree with the basics expressed by Clark. This a debate that will not be settled quickly. While this debate goes on why don't we identify the current abuses and elimintate those that we can and see what monies can actually be saved and used to provide a truer cost of actual Health Care
  • Health Care Solutions
    Clark forgot...TORT reform so Doctors aren't paying exhorbitant malpractice ins..passing it on to us..and ...most importantly...Competition across state lines..only 6 to choose from in CA here..that sucks..GOOD OL' COMPETITION.will bring prices down across the board!!
  • health care
    So many people, so little knowledge! I don't see anyone here really discuss WHY health care is so expensive. Some cry somebody else should pay for it, others say the evil rich should. GOVERNMENT is why health care is so expensive. They removed competion between states and they mandate what companies HAVE to provide. And yet some here think they (the government) should have a single pay system,WOW. Let's let the wolf in the chicken coop. If we get government OUT of health care it would be better and less expensive but they wouldn't have as much control over our lives. We can't have that.
  • WWJD
    "Whatsoever you do for the least of my brothers, you do for me." Jesus, 21 A.D.

    "I...cannot accept that my hard earned income and sacrifices will be given to those who are unwilling to make the same sacrifices." Karen, 2009
  • Health Care Reform
    Government has acknowledged that they think they can do a good job with health care because they can't control their systems now and if they could get that straightened out then they would have money to pay for Health Care Reform - what ever that means. Doesn't that speak volumes - fix your problems before you creat new ones for us and our children?
  • Health
    As one doctor reported, none of the health care plans (including yours, Clark) will reduce the costs.

    We need to address the causes of so many unhealthy people. If we all took care of ourselves, eat the proper quality and amount of food & get plenty of exercise, we wouldn't need so much medical care and we could reduce the costs by 50%.

    The President should push to control the food manuafacturing business so all prepared food would be healthy. He should also push for more health clubs and award tax breaks for all who meet certain goals in body weight and physical condition.

    We should have an ongoing public encouragements to change your life style and attain a healthy life. There's so much to be done to change our thinking about eating and exercise.

    Let the open market determine the health care available & competition will set the costs.
  • Civil Debate!!!
    While I don't totally agree with Clark, I was delighted at the tone of this comment board. This is actually a civil debate on the health care issue. Proves we can do it. Unfortunately, most other message boards are filled with right-wing hatred about President Obama and flat-out lies about health care reform. As the President said this weekend, this is the kind of debate we need and the media should encourage.

    By the way, to the poster who said that we have one of the best health care systems in the world, why then are we 37th in the world in infant mortality and in the teens or twenties on many other measures of good health care. One thing is certain: We pay far more for health care than any other country.
  • "For those without means"
    I belive we are missiing a fundamental issue here. As Clark states: "For those without means, both sides of the aisle seem to agree on a voucher system that would scale back as income rises"

    NO!! Not all sides agree that anything is FREE! What incentive is there for an individual to sacrifice and work hard to pay for their fair share if the government will pay for you?

    In addition, why are they without means? Did they not make the effort in school to get to college and have a job that provides for themselves and their families? Where is personal responsibility? Why should I pay for the lazy and irresponsible persons. I have no problem eliminating the pre-existing penalty, but can not accept that my hard earned income and sacrifices will be given to those who are unwilling to make the same sacrifices.
  • health care
    You are right on! Every point you made is what this country has been all about. People need to be responsible for their own health, including purchasing the type of insurance they want. Maybe if their own money was involved, they would take care of their bodies better.
  • Health Care
    One big difference... Clark cares and Obama doesn't!
  • Health Care
    Insurance companies are not subject to anti-trust laws and until they are subject to those laws they will not allow true competition and ALL other changes or reforms will fail to reduce costs.
  • Current Medicare plan + supplemental insurance
    K. Lee - you're absolutely right. It seems like those nasty, yapping talk-radio jocks making $20-28 million a year are probably being paid by the fat, rich insurance companies and their other corporate exec pals to lie to us. It's shameful what they do to divide us and tear down America.
  • Health Care Reform
    This commentary is all well and good if you live in a populated area that offers all of the before mentioned choices even at a large premium. You run into problems when you include areas that are either rural or urban not associated with highly populated cities, they are not considered viable market areas to insurance providers. And, this creates a whole different ball game.
    The purpose of health care reform is broaden the availability of health insurance. Sorry to disagree Clark.
  • RE: insurance
    John Kip is totally right - "Totally killing the health insurance industry is the best plan by far."
    Give us "Single Payer" or give ius Death, It's not a demand, just a plain statement of fact of what IS going to happen if we don;t get it done and soon.

    Clark if you were so much smarter than the President then you would BE President but surprise... you're not either!
  • Current Medicare plan + supplemental insurance
    I heard different sides of stories and I heard opinions from some non-greedy doctors,the possible alternative will be ask Congress to extend current Medicare to all americans (except illegal aliens) instead of starting from age 65. In addition, let people to buy supplemental insurance to cover serious problems, just like some current elderly.
    Currently, national debt is not my first concern, instaed spiralling upward insurance cost is my main concern. Our current system will not lower the cost. Let me explain why. If you Clark, or even myself running a private company, the main goal is to find all kinds of ways to make the company profitable. If not, you and I will be fired by you Board of Directors or our Bosses. So, it is very normal for all health insurance companies to cut coverages and increase preimums.
    I understand why all those talk-show hosts support our current system. First, they do not want the government to raise taxes because most of those hosts make over $250,000. Second, they feel comfortable about the system and do not care about how high the preimum go because they can afford it.
    The only thing I agree with them is any medical system should not support and pay for those illegal aliens' health. I know about the Canadian system, because I have mother and sisters living in Canada. The Canadian also have options to buy supplemental insurance coverages. The conservative talk-show hosts badmouth their system, but in fact, most Canadians satisfly their system and some Canadian politicans believe some Americans intentionally speak bad things about their system to bolster their individuals' agenda. From all statistics, Canadians live longer. I agree that the wait time will be a bit longer than under the current system. But, under our current system, a lot of patients need to wait long time too. I can guarantee that only single-payer system or similar can bring the cost under control, other than that is only a big joke.
  • Health care...
    Good points and you ought to send them direct to Obama at the White HOuse. They are reading citizens input, by the way.
    All the hatred toward one another going on via talk radio, etc. is plain awful. I appreciate your Civil tone.
  • Clark's Proposal for Healthcare
    We see JUST where our so-called "free Market Economy" took us the past 29 years Clark. Sorry but you're dreaming if you think this is going to happen. Trouble is these things are only as "free market" as the wealthy who control EVERYTHING here allow them to be in an Oligarchy like ours.
    Fake Capitalism run amuck is reaching a crescendo.

    Personally I LOVED my British, Government-run, National Health System
    when I lived there. I can only HOPE that America catches up with the rest of the civilized world some day, but I seriously doubt that will happen when it comes to decent health care. Take, take, take... very few really want to share.
    We worship a VERY powerful god here - the dollar. Yet, it is a dying god and many will not wake up about that until it is too late and they can't re-do their life the way that they would have liked to have lived it.

    Living for self-preservation, wealth and comfort at the cost of others'
    lives is SUCH a dead-end occupation.

    Ask some of the third world masses that live inside our borders...
    "Little bitty beggars with their great big eyes, I close the window but to my surprise, they still press their faces; they still press their faces to the window." - Daniel Amos Band.
  • Clark's Proposal for Healthcare
    We see JUST where our so-called "free Market Economy" took us the past 29 years Clark. Sorry but you're dreaming if you think this is going to happen. Trouble is these things are only as "free market" as the wealthy who control EVERYTHING here allow them to be in an Oligarchy like ours.
    Fake Capitalism run amuck is reaching a crescendo.

    Personally I LOVED my British, Government-run, National Health System
    when I lived there. I can only HOPE that America catches up with the rest of the civilized world some day, but I seriously doubt that will happen when it comes to decent health care. Take, take, take... very few really want to share.
    We worship a VERY powerful god here - the dollar. Yet, it is a dying god and many will not wake up about that until it is too late and they can't re-do their life the way that they would have liked to have lived it.

    Living for self-preservation, wealth and comfort at the cost of others'
    lives is SUCH a dead-end occupation.

    Ask some of the third world masses that live inside our borders...
    "Little bitty beggars with their great big eyes, I close the window but to my surprise, they still press their faces; they still press their faces to the window." - Daniel Amos Band.
  • Health care
    "Businesses" ..that would definitely include insurance companies, pharmaceuticals, current health providers, hospitals, clinics, etc.,these ARE all big business and they are in business for one thing..."MONEY". But then again so were/are the banks,auto makers,and investment companies we just bailed out. There is and never will be a monetary ceiling EVER as to how much money or profit is enough for your business models that you so love. Maybe, just maybe health care needs a different business model.
  • health care reform
    I agree with some of your points, particularly choice. For the first time in my 30 years as an adult, I recently had to apply for insurance. I'm healthy so am opting for a higher deductible ($2,500 plus up to $5K OOP) with a very low ($180/mo) premium. Who needs plush plans when you're healthy? I'd rather set the $ aside just in case.
  • History
    Amazing how a little bit of history can set the right context - Gov't controls are what got us here. Asking for more is not the right answer!
  • How about being more self responsible
    How about the crazy idea of making people more responsible for their own health? The health factors we can control such as weight, smoking, lack of exercise should be taken into account on any health plan. Why should I have to pay for you to abuse yourself?
  • insurance
    in a well thought-out argument such as yours, if, at the start, you base it on an untruth, then the rest tends to fall apart. You say "We must address head-on that the federal government deficits we are running are not sustainable. The commitments to seniors with Medicare and the impoverished with Medicaid are not sustainable."
    This is false, and I believ you know that. There are several ways to cut the costs , such as killing the Medicare "non-advantage" plans that simply are a gift to the insurance industry , stopping fraud and so on. Totally killing the health insurance industry is the best plan by far. We already have "officials" denying our needs, and they're doing it FOR PROFIT. Medicare can live within its means with some changes. You should be embarrased to display such little care for the average person's healthcare needs.
  • health care reform
    As the wife of a federal worker retiree, I know all too well that we are very, very fortunate with the health care coverage we have. I have no problem whatsoever in offering it to the public. You, we, all pay for it one way or the other and it should definitely be an option! It's not free though. We do pay monthly but it's portable. I can't speak for what the congress people have and what they pay. Judy
  • we still need everyone forced to buy
    I agree with clark except one thing needs to be added. everyone has to have at least a minimum catastrophic policy (for example a $3,000 per person out of pocket maximum). A very easy way to enforce this would be to require that all health insurance companies be forced to collect names and social security numbers of all participants (and their parents if for a minor child) and this information would be sent to the IRS, just as w-2 info is now sent. If either the parents or children of the parents did not have at least the minimum plan for the entire calendar year they would be denied all exemptions, deductions and credits on their tax return and would be taxed at the highest marginal tax rate and as a single person on their adjusted gross income.
    When I see people driving around in expensive cars, talking on their IPhones and eating at restaurants and at the same time saying they can't afford to pay ANYTHING toward health insurance, my blood boils.
    Everyone has to be in the system. Then insurance companies can't complain about preexisting conditions or the many other legitimate concerns of only the sick wanting to buy insurance.
    Other than that clark, you are right on.
  • H C
    very good but what if your 20 year old son shows up at the Dr. with a badly broken arm and not insurence ??????
  • Healthcare reform
    What about all those who are denied coverage or dropped or paying higher co-pays? The insurance industry is just getting ever more greedy while the population suffers! We are falling further behind the rest of the world in healthcare and can no longer compete in the global market. Why? Because certain gluttonour industries make our costs prohibitive. Get real!
  • Health Care reform
    Well said Clark, I wish there were people in power talking about these points. I'm not too familiar with the inner workings of the federal code but as I understand it the states are the ones that regulate the health insurers the most. So maybe we as voters would apply our efforts most effectively by focusing on state legislation, not federal.
  • What no power?
    Clark for President!!!
    But, of course, what we have now is one who wants power more than power to the people. Howard in the House! (or Senate)
  • Health Costs
    Clark, We love you and your suggestion of uniform choice of plans is a good one, but you miss the point. Our current Medicare system is bankrupt and is basically a Ponzi scheme. Each household's share of the Current Medicare disaster is more than $400,000 and no one wants to deal with it. Instead of dealing with the problem of controlling costs for our existing and baby boomer beneficiaries, Congress and the President want to expand coverage and spend much, much more. It is insane to spend the country further into debt when not a single government health care program has ever operated as budgeted and none of the current federal or state programs are sustainable. Let's fix our existing programs before creating a worse problem.
  • health care
    AMEN, Brother Clark!

    It is up to the individual to elect to smoke, do other drugs, eat un-healthy foods, not exercise, etc. Please let me save my money, make good choices and NOT be forced to pay for those that do not!
  • Great thoughts, but....
    My biggest problem with this solution is Clark's line, "Insurers will be allowed to charge what they wish." We've all seen what they wish: to charge me $1200 a month and then pay out as little as possible. We are the last developed country not providing health care to its citizens, and our outcomes and stats are very low on the totem pole. The predicted horrors of government control over health care pale, for me, in comparison to profit-motivated (profit at all costs) insurance minions withdrawing care at critical times. And yes, this is first hand; it happened to us. Health, life and corporate profits make an ugly triumvirate. Other countries are doing it, and their life expectancy and infant mortality figures tower above ours. Remove the a priori assumption that capitalism should have free rein, and the data shows that we need to change our thinking. Thank you, Clark, as always, for a civil dialogue and for your good thinking.
  • Health Care Reform
    Now Clark..you know that this plan is way to simple, practical, and financially responsible for our government representatives to understand.
  • You leave out the moral obligation of Jesus, I know ur Jewish thats fine
    I demand and I dare any Senator or Congressmen who votes against health care reform to give up the taxpayer supported insurance they have that we pay for, if its not good enough for us its bad for them. Give up your heath insurance congressmen; it’s a government run plan. Tax dollars pay for it. That’s our money taken by force to cover you. If you don’t think its good enough for you, then drop it and go out in the market place and find and pay for your own out of your salary. But if you keep it, then offer it as a choice option for the rest of us.
  • Kaiser
    Might as well be a Kaiser patient. It is going to take a long time after Obama fixes the health care system and holding insurance companies accountable, to stream line a plan we can all follow for providing patients who have paid their health insurance premiums and are do treatment.
  • clark, please practicality before ideology
    I.why are other developed countries delivering healthcare at lower cost w/ better outcomes? perhaps they leave the profit motive out of the basic care of their citizens? maybe healthcare is considered like national infrastructure? or economy of scale?
    II.how have our health insurance companies added value to our current system? held down costs? just kept risky customers/patients off their roles?
    III. medical care is not a free market. aren't doctors are making the choices in what services and products the consumer receives..."no doc, i dont think i need that life saving procedure right now, let me shop around"
    IV. our freedom to choose regarding healthcare is in our diets, lifestyles...
    V. tort reform in texas has lowered mal practice premiums for Docs over the last 5yrs but health/ insurance costs have risen faster than in other parts of the country. huh?
    ... clark, i wish the free market was the answer for health care but this IS NOT consumers buying cell phones or flat panel TVs...and with a healthy skepticism i'm afraid i trust the govt determining best, cost effective practices and bargaining power for my healthcare more than any private health insurance co...we should have medicare for all and pay premiums and deductible depending on income. Private docs, providers and pharma still compete for patients, effeciencies and breakthroughs... insurance cos. would sell medigap coverage.
  • hc reform
    people need to ask why it is that veterinary, chiropractic, opthalmic, dental, etc. type services don't experience the same runaway inflation that medicine does. The difference is people pay for these things mostly out of pocket. Lasik today, for example, is much cheaper than I paid just 4 years ago. Clark is exactly right, empowered consumers will find the level of coverage and price that THEY want to have. The system will be optimized as all of us individual decide for ourselfs what the medical services are worth to us.
  • Health Care Reform
    Your suggestion appears very reasonable on the surface. But may I suggest when looking at this issue, we go beyond health insurnace reform and also pay attention to the "cost" drivers in healthcare.

    For example, can you tell me of any other industry that before a service is provided, where the consumer has no idea of the estimated cost of the service. For example, when your car is not running well, the mechanic does a review and gives you an estimate for the repair and you consider the options. You can make a choice on the repair to be done now or later, or go to another mechanic for another estimate, maybe do some of the repair on your own or have a friend do them for you, or go buy a new car. I'm not suggesting people are like cars, but to think about if we knew before receiving care to know what the cost will be and how would we respond. If you ask people today with insurance what their last healthcare treatment cost, most will respond it was their health plan copay or their deductible. But that wasn't the true total cost of the care.

    By not knowing the cost of care the consumer looses an important piece of information that further deminishes their ability to make an effective choice in the care they receive. Plus we loose competitive market influences and push the burden for controlling prices back between the insurance companies and medical care providers - getting us back to HMO care and the individual loosing a choice in the care they want.

    Right now, Medicare/Medicaid (which covers a large % of Americans) follows a government controlled price schedule, which is not available to the free market side. According to the providers of care, their cost is more than the government's price schedule. To offset this price control, they have to charge more to other customers, and that is those with insurance. So think again as to why this is such an important issue for our government and their motivation to get more people insurance.

    I hope others will see this issue as not just about getting people health insurance coverage, and take a look at the whole health care industry from a cause and effect perspecitve as well before we proceed with reform.
  • Health care plan
    This is the most ridiculous thing I have ever heard. What happens to those with long term illnesses, those who already have cancer, aids, and other life threatening illnesses who cannot work to make these payments or are even able to make these decisions? Are you asking them to wait 24 months to get coverage - and, that's if the coverage isn't over the moon in cost. This plan would weigh down hospitals even more. And, what about the elderly? Where do they fit in this plan? People are struggling even today to support their families without forcing more high end bills on them. Parents with very sick children couldn't do this. They have to take time off work to care for their child and now you want to impose this on them? Yes, this is a good plan for the well and the rich - but, sorry for those in the majority who struggle to pay the light bill and are dealing with serious illnesses. This is just ridiculous.
  • This Is The Best Plan I Have Seen So Far
    There is NO WAY our government would have the intelligence to pass a bill like this. Both sides of the isle would find something to complain about.

    Add tort reform and this is the best plan I have read and I have read everything I can get my hands on.

    My wife and I have HSAs which will be completely eliminated by all the bills I have read so far due to the minimum coverage requirements and low out of pocket expenses. This is nuts, under an HSA you are encouraged to ration your own care and monitor your expenses. This is the same plan that is so popular with the Whole Foods employees, but not with those who promote government care.

    Like Clark says, our current entitlement programs are not sustainable. Unfortunately no politician is willing to speak the truth and put a plan like this before the American people.

    Seniors are the most consistent voting block so they get the most benefits. They may not have the highest incomes but they have the highest net worth of any age group. So why is it that a struggling young family is paying for a wealthy senior's health care? None of this makes sense, unless you consider the politics.

    The baby boomers are going to create a budget train wreck. They paid in more than any other group in history and they will demand the benefits, God help us. I am a boomer, I know how they think and it scares me.

    I wish we had a few hundred Clark's in congress.

    Thanks again for your well crafted manifesto.
  • Health Care Nonsense
    Employer provided health care was an accident of history. It only exists because of a move by employers some 50 years ago to provide health care as a back-door way to give raises during the days of wage price controls -- when the feds said that employers couldn't give pay raises.

    Unfortunately, it's grown into an unsustainable haphazard system. If you go back 50 years, an employee would be a "lifer" at a job and there was a reciprocal relationship between employer and employee. Today it doesn't work like that. Employers add or subtract employees at will and we pick up and move as we see fit.
    --------------------------------------------------------------------------------
    Okay my friend.....this is an issue not made readily available to many. Those claiming to be the heroes of health care reform don't even mention this.

    It happened when the feds meddled in the lives of private citizens by controlling their wages. I believe that it would not have transpired without Franklin Roosevelt's associations with the American Medical Association's lobbyists.

    It is the American Medical Association's meddling in our private affairs that caused this problem in the first place. They arranged this little back door deal to use it as a cash cow for their own personal profiteering.
  • to Buzz G
    Tiger Woods should be penalized for being successful? Should we then all strive for mediocrity? If there is such a large penalty for being successful at whatever profession you undertake, then why would anyone strive for greatness? I am not talking about golf and athletes, I am talking about anyone who makes more than your predesigned limit of 200,000. What if you have a family of 4 living in New York City or in Hawaii? Is 200k enough for them? Not the same as cost of living in Ohio is it? Should the microsofts and johnson and johnsons of the world limit paying for talent? Why should I work any harder if I am limited to only making 200k a year?

    People with credit card debt should be given a break?!?!?! Are you serious? I have to pay for someone else's mistakes!!! I forgo the impulse shopping and debt the rest of america has gotten into and it becomes my problem? Wow, this is what scares me about this country.

    If we are all to receive the same level and amount of service, we should all pay EQUALLY into that system. A Fair Tax of sorts. The roads I drive on are the same as yours, the same school tyat you can send your kids too, the same fire and police services, the same water is piped into my house. Tiger Woods should have to pay more than you? Punish those who are responsible?

    Please leave me and the rest of the responsible ones out of your mess.
  • Health Care coverage
    I love your solution and completely agree. We need to be responsible and when we have ontrol we tend to take better care of our health and our families. I wish you were the president. Thank you for good common sense.
  • Health Care Reform
    Great article Clark! I appreciate your voice of reason and common sense. I would also add that any revision of our health insurance system must include more incentives for people to exercise personal responsibility with respect to their own health care. A person who is obese and out of shape, a smoker, and one who eats a poor diet simply does not deserve to pay the same health insurance premiums as a responsible health-conscious individual. You would not expect your auto insurance company to charge the same premiums to a safe and responsible driver as they would to a driver with a proven pattern of recklessness, would you? So, why should we expect health insurace carriers to treat us all the same with regard to premiums? MUCH of the our current health insurance crises would not even exist if we were a nation of responsible people who exercised at least 3 times per week, ate a reasonably healthy diet, and avoided cigarettes and illegal substances. PLEASE, LET'S ALL EXERCISE PERSONAL RESPONSIBILITY IN OUR LIVES!
  • Health Care Reform
    I don't see how this differs much from our current system. If you have good income you can have a good policy. I need to remind you, Clark, that you do not seem to be able to picture yourself sick and unable to work with little or no savings. Shame!
    PS: So, everyone doesn't like what the President proposes...where was everyone the past 10 yrs. as my insurance has declined and become unaffordable). Step aside!
  • Health Care Reform
    At last! The Voice of Reason! Clark Howard for President!!
  • note to Gregory
    If people PAY out of their own pocket for their own healthcare instead of using any insurance, how are they wrong to demand good care? They inevitably pay more by paying the provider directly rather than using insurance at all, all insurance is anyway is like a pre-paid credit card that limits what you are allowed to do with the money you have put into it.
  • LOVE THIS!
    just saw you on HLN, and YOU need to be the next president! I swear, all of those minds in government could not come up with the simplest and SMARTEST solution that you have come up with. I really really hope they listen to you, you are a genius! Thanks so much for being so level-headed and wise. I am posting about you on facebook to everyone I know.
  • Thank you!
    Thank you for your address Clark!!! For months now I have argued with my family about this issue. I have always said that what we need is access to affordable health insurance that is not tied to either our employers or the government. I'm forwarding your address to my mom right now! Thanks again for all you do. I'm a HUGE fan!
  • 24 month waiting period
    It is appropriate that people be penalized for not having health insurance. However we know that if there are people who aren't buying insurance; those people would be very vocal and angry when they are refused care. Children who are denied care because parent's haven't bought insurance, will be without care. Those parents will be demanding on TV and from elected officials their children's "right" to good health, even though they haven't paid for it.
  • Healthcare
    Today’s opponents of health care reform are repeating the same doom-and-gloom predictions that were used against Social Security and Medicare when they were first being debated and passed by Congress: high taxes, no choice and government control.

    These two programs have allowed millions of seniors and retirees to stay out of poverty and live longer. We democrats fought like hell to get these programs and will fight to keep them. We want Medicare to be improved and available to everyone else, including our children and grandchildren. No reason why people have to wait until they're old to have good health coverage.

    Thank you, President Obama, for doing the right thing. For those who oppose health care reform, see you next November 2010.
  • Financing Healt Care
    The problem is we don't tax rich people enough. We need to increase their tax and use the money to fund good health care. For instance, take the golfer Tiger Woods. He will make about 26 million dollars this year, including his winnings and his advertising bucks. No one needs more than $200,000 to live on! He is just being greedy trying to keep most of his $26,000,000.00! He should have to pay $24,800,000.00 in tax. He and his wife and child will still have the means to live a good life. He does not need to be greedy and take more than his fair share. The tax money can be used to provide good health care for deserving single mothers and those with too much credit card debt to buy insurance. It is about time that we as good citizens concern ourselves with social justice. It is time to end the "me" culture. From each according to their means; to each according to their means!
  • Healthcare
    Clark for President! Your idea is perfect. Maybe we could even couple our health insurance with our auto & homeowners and get an even bigger discount on all policies! Freedom! I get a non-smoker discount~why not on my medical insurance too?
  • Health care
    So the rich would have good health care coverage and the middle class would have poor health care coverage. Exactly what happens today with this plan. Then if someone doesn't buy insurance what if they get sick? who's going to cover them. They may not choose because they can't afford it. Even though you make a decent income, you have kids in college, house payments, food and still can't afford to pay $1000 month for your family's health care. You've traveled and seen how national health care systems work very well in other countries. That's what we need here. Sorry Clark, I love you, but your plan stinks!
  • A Sensible Solution
    Your suggested solution makes to much sense for the politicians who wish to control every aspect of your life. The government has a record of doing most things poorly. Consequently I would prefer they stay out of my health care and health care insurance as much as possible.
  • Healthcare Reform
    I like the idea of Mr. Howard's plan.
    The gov't can add guidelines to Health Insurance Companies such as:
    1. Insurance companies cannot cancel or deny coverage on an individual b/c of pre-existing conditions
    2. Insurance companies cannot cancel an individual's policy if that individual is stricken with any chronic disease or any other life threatening illness.
    3. Insurance companies must extend lifetime maximum payments to at least $2 million per occurrence and $4 million dollars per patient.
    4. Individuals with pre-existing conditions will pay no more than 15 % more in premiums than any other like individual of like age and gender.
    5. Individuals must be offered "lifestyle" credits from insurance companies for maintaining certain weight levels in realtion to BMI; low cholesterol levels, normal blood sugar levels and other healthy lifestyle criteria.
    These guidelines coupled with the options of policies advocated by Mr. Howard would offer every US citizen the opportunity to be covered by Health Insurance. Mr. Howard's plan would allow the patient to be in the driver's seat in his/her healthcare coverage not an employer or the government.
  • Healthcare Choice
    If you can not afford the higher premiums for the better policies you have no choice now.
  • Health care
    1. Tort reform...no ifs, ands, buts, or maybes.

    2.Stock holders stop whining and throwing tantrums while demanding appreciations on investments.

    3. Feds....go to hell. Get out of our business and stop micro managing our lives. You people can't manage your own lives as it stands.

    4. All insured must engage in some type of daily activity in the way of exercise.

    5. Smokers, junkees, alcoholics and fat people pay higher risk premiums. No arguments.

    6. The only parties to be covered on federal taxes are those who absolutely, can not work due to physical disabilities.

    7. All hospitals cease the practice of over billing patients to cover for those who never pay their bills and to bilk insurance companies.
  • prescription drugs
    look into regulating drug companies and their spending (pass on to consumer) pricing. that's a place to start reform. maybe then we can afford our prescriptions- while we choose our plan.
  • Health insurance is the debate
    Not health care. You get health care going into any hospital. They will treat you and they will try to bill you. We have one of the best health care systems in the world. We have come up with more health care break troughs than any other country in the rest of the world. As a result a lot of the pharmaceutical companies run enormous debts that need to be paid, hence their over advertisement. (They have share holders that want to turn a profit. And a lot of people that have retirement accounts are affected by these profits.)
    Yes it is popular to “give away” health care as evidenced by “many many better off countries” (RoastAK) that do give away health care. It is also a good point by RoastAK that they “just have less military-industrial complex to pay for” due to our military policing assistance to other parts of the world. (And please don’t just look at the two popular conflicts we are engaged in but research it and find out just how many countries we are stationed in and assist with around the world) Most “better off countries” charge a much higher tax rate than we charge. Would you be comfortable with someone from the government taking away 30 or 40 percent of your dwelling to use for the public betterment? This is essentially what happens when you lose a large portion of your hard earned money to government taxes. You lose your ability to better yourselves and the ability to choose how to use your own money.
    Would the government run insurance plans be any better? If we make something so cheap and so easily available it will be abused, misused, and over used. If you think I am wrong look at public parks. They are virtually free and readily available whenever someone needs them. As an unintended side effect few participants take responsibility for their own actions while using this service. They require constant attention because they are free and available for all. (This is above and beyond normal vegetation trimming and pruning)
    I would try to debate some of the other statements but the poster “anonymous” makes to many general statements that are impossible to debate. Some statements seem to be engineered that way though. After reading all of these comments I think Janet summed it up best with:
    “What if people took responsibility for themselves and helped others along the way???”
  • health care
    Clark for president!
  • Health Care
    Way too much information thus creating "fog" and we need clairity. Start small but clear. Insurance cost is based on the "pool" of the insured. Just explain clearly the concept of a "pool" and then take on a new clairified topic a week for your audience. The "fog" creates distrust and trust must preceed communication. Too many axes are being applied to the job of a razorblade.
  • Part of the problem!!!
    The root cause of our current health care crisis in our country is that we do not have "Health" care. We have "Sick" care. It is no secret that Americans, and other countries, in our modern era have become more and more unhealthy in our lifestyles. I am no exception, I admit it. I put work and play over my health. There are many causes for this:
    Modern technology crates a world virtually free from menial tasks that used to be curtail to life.
    Inflation has caused a breakdown in the natural family structure. This requires both parents to work a full schedule.
    Children are put into daycare and subjected to many diseases due to early life exposure to our toxic environment.
    Family stress levels are elevated due to the busy lifestyle and a lack of communication.
    The complexity of modern family structure leaves little time to think about exercise and make conscious health decisions in what we eat.
    The convenience factor comes into play here because it allows us to quickly grab an unhealthy but tasty easy to prepare meal.
    Part of "Healthcare Reform" should bring "Health" back into the equation. We can do this by having previsions in our policy for joining healthcare clubs. This could reduce or eliminate our copays, or give certain incentives in our policy. The government could chip in by allowing health club memberships to be written off of our income taxes. This would reduce the burden on our system tremendously if we started a trend of "health-concious" Americans rather then "Fat-Lazy" Americans as the world has come to know us.
    Of coarse there are many other things to change in our healthcare system such as:
    TORT (Malpractice insurance) reform
    Employer based competition killer
    The problem with the current generation being burdened by a larger previous generation (baby boomers) because our system is a running credit Ponzi scheme rather then a savings based security by each contributor.
    However, if we become more healthy then we will live longer without needing as much "healthcare"and remove some of the burden of a dying system making it easier to reform.
  • health care
    I think this is possible. Why is it different from car insurance? the market rules that. Nebraska has a law that makes each insurance company write coverage for those at high risk so everyone who wants insurance can get it, of course it will be more expensive, but like car insurance those with bad records also pay more.
    I'm with Clark on this
  • Clark Not Making Sense?
    Individual choice may achieve some sort of moral goal, but it addresses neither cost nor access. Insurance companies will strive to attract healthy people to its "lite" plans, but 'high-risk' individuals will be steered away, either by high pricing or limited services. The market itself cannot fix an industry where the incentive is to NOT provide service.
  • Health Insurance Reform
    Right on Clark. Your plan puts the choice and responsibility where it belongs....with each American Family. By the way, I think they should call whatever passes congress as reform, the 2009 Incumbent Reelection Guarantee Act. Cheers.
  • Corporate Propagandist
    I think we should eliminate the Police and Fire Department too. I am sick and tired of paying for everyone else, those lazy bums don't need to be protected anyways!
  • CUT MILITARY??
    Cut military--and give me free medical. typical liberal comment. ENOUGH.. let each of us take responsibility for our health care. Give us choice. Thanks Clark!
  • Access to Health Care
    Everyone currently has access to health care. The same way they have access to a new Lexus. The problem is that not everyone has enough money for a new Lexus and not everyone has enough money for good health care. What we are really talking about here is a form of welfare. These really are government programs meant to force successful people to pay for health care for poor (unsuccessful) people indirectly either through taxes or through insurance. If we start with this frame of mind, the debate changes quite a bit and becomes clearer. There are certainly times when I would be OK with paying for health care of another needy deserving person. But many people who can't afford health care are lazy, unambitious people who are not willing to work hard. Or they are people who spend like crazy and can't save a dime. And I know that politicians don't give a hoot because the votes of hard working, responsible people count the same as the votes of bums. I just don't trust our politicians to do the right thing and I will do whatever I can to see Obama and his band of grumpy leftists keep their hands off my health care.
  • Healthcare
    Unfortunately Clark, there is no discussion on the cost of healthcare. I continually hear about cost of insurance but the true doctor, hospital and health part of it is not discussed.

    For example, what would happen if there were written costs for procedures, injections, blood work, etc. for comparison.

    What if we asked new mothers to breast feed their kids before receiving some benefits. (And we would get smarter kids as a result with lower medical costs).

    What if free meant paying a copay of some type.

    These are the types of things that we should be talking about. Insurance isn't the only thing. In fact, it hides the true problem: the cost of healthcare.

    Thank you Clark. I listen as much as I can.
  • Medical Care Labeling
    I think it would be interesting and effective to make health care providers provide an easy to read "label" on all bills and pricing just like we see on food products.

    For instance, a hospital would have to show how it's health care charges break down in terms of advertising costs, write offs, equipment, training, etc.

    Ideally, once this is implemented, consumers could do some comparison or go online to compare health care providers to see who is efficient or who is inflating pricing the most.

    Consumer Reports could help with rating health care providers and help consumers become better educated in what the real costs are.

    Also, before procedures are done, consumers need a way to have health care providers to provide an estimate or proposal.

    If a hospital wants a new website, they want to see a detailed proposal. Why shouldn't patients be given the same courtesy?
  • Excellence speech President Howard, we love you.
    That is it. Thank you.
  • Here are some plans
    I heard your speech to the 'joint session of Congress' today and also heard you discussing health care with Neal on Monday. You asked where are the health care plans from the Republicans. Two plans submitted by the Republicans are the Empowering Patients Act (H.R. 3400) and the Health Care Freedom Act (S. 1324). Both plans sound a lot like what you suggested in your speech today.
  • @Ismael Miranda
    You comment that people will abuse a government health care problem. There will always be abuse whether it be government or corporate private based health care. That is just a fact unfortunately. Yet, take a look at how Medicare has clamped down on abusers. The government has the ability to prosecute abusers in a manner unlike the private sector by making it a felony to cheat the system. It has taken many years but Medicare finally has a grip on most of the abuses in the system and many people have been prosecuted. Private health care abuses are generally just built into the price of health care.
  • tort reform/prescription drug advertising
    Two points are missing from your laundry list of healthcare reform measures: (1) tort reform that would impose a cap on allowed claims; and (2) a ban on direct to consumer advertising for prescription drugs. Each of these measures will reduce costs of coverage for prescription drugs and for so-called 'defensive' medicine treatments. I have a quibble with your pricing of premiums based on sex. I think that higher premiums for women vs men is discriminatory. On balance, such discrimination is not justified and should not be tolerated.
  • The real problem.
    The big problem are the people that will abuse of any program established by the government. Some people are not educated to understand that all government assistances have limits and controls, the problem are the people that learned to live sucking money from the system.
  • Healthcare - one idea
    The problems can be boiled down into two basic challenges. The first this that Healthcare is too expensive and the second is that not enough people can access the healthcare system.

    I believe the reason healthcare is expensive is that we Americans are not good consumers of healthcare. We consume products and services without examining the value. This is because we often never see the price, and we are not using our own dollars to pay the bill. If we are able to see the price and have alternatives for the purchases we will become better consumers and the price for healthcare will decrease quickly and dramatically.

    As an example (real life story, by the way), a Doctor informs a patient that an MRI is needed, and sets up an appointment at the hospital. The patient asks how much that costs. The doctor replies, “I don’t know. Insurance will pay for it anyway.” The patient contacted the hospital to find the test will be over $2,000. He then called a Diagnostic Imaging facility and got a price of just over $200 for the same test using the same equipment with equally qualified technicians.

    The high cost of Healthcare is a result of TOO MUCH INSURANCE, not too little. With more people covered and spending money that is not theirs the problem will get worse, not better.

    I would welcome a system that would allow individuals and families to purchase catastrophic health insurance where they would be covered after a very large deductable (say, $10,000 for individuals, $25,000 for families) and Heath Savings Accounts where consumers can make good choices on how those dollars are spent. The insurance portion would be less expensive, and the remainder of what is now spent on coverage could be directly moved into the HSA’s.

    Of course, there would be a portion that may be paid out of pocket after an HSA is depleted and the Catastrophic Coverage begins. Families will need to take responsibility for this gap just as they would if their car broke down or some other unexpected expense popped up.

    As a solution to the issue of not enough Americans having access to the health system, the Federal Government could issue Health Expense cards to families and individuals based on the previous year’s 1040’s. We can use the same system that has been used for the tax rebate. These families receiving the cards will be able to buy the Catastrophic Insurance and Health Services. This would replace Medicare and Medicaid, of course.

    No system is perfect, but this is a simple solution that would address the major problems with healthcare quickly and efficiently.

    Scott Parrish
    sparrish92@hotmail.com
  • no coverage
    The problem with people not having health insurance is they still get health care, and don't pay the bill. As an HR professional, I saw many people decline coverage, when the employer was paying 75%, because they didn't want to pay 25%.
  • Health Care Discussion
    Dear Clark,

    No problem with your statement about employer - based health insurance coverage; it's pretty much a mess the way it is now.

    Also,I agree that coverage should be standardized across all insurance companies.

    However, regarding your view of choice and of the marketplace in health insurance, I believe you cannot have true choice or a true marketplace unless there is a public option.

    Regarding the "morality of choice" in health care, I believe that the highest morality here is a civic decision for universal coverage, with "single-payor" the best system and a "public option" second best.

    (Relax, Howard; please consult Wendell Potter, who spoke recently in Oregon; he'll fill you in on his work for years with a major health insurance company!)

    Respectfully Submitted,
    Sally Timm



    Respectfully submitted


    However, regarding morality, I believe in
  • keep the government out of my healthcare
    We need to start from scratch and forget all the current options we have. The plans on the table right now are a mishmash which ultimately will drive up costs and allow the government to eventually determine what care each of us is allowed. Anyone who does not see that writing on the wall needs to open their eyes. What we are being told and what the ultimate end will be are 2 different things as individual insurers are driven out of the market and costs skyrocket. In order to control costs, some restrictions ultimately will have to be put in place, whether there now or not. No one has said there would not be amendments to this. We need the free market to be a part of this in order for it to work and to drive costs down.

    Ultimately, people who currently do have a choice often choose the lowest cost option and then the burden of unpaid costs either go to them or they negotiate them down and that cost is spread back to everyone else via higher premiums or higher direct costs.

    Anyone who thinks government involvement in their healthcare is a "good thing" needs to look at how our vets are treated in the medical community. Or another great example is the DMV. Government agencies are rife with too many layers and red tape. Adding healthcare to that will only increase it.
  • Health care
    Clark - thanks! You hit the nail on the head. Can you run for President? :-)
    I was born and raised in a country where government care was the only - it was relatively cheap and you got what you paid for. Want nothing to do with it again - EVER!
  • common sense approach
    Thank you for a free market common sense approach to health care! I feel that tort reform should be part of this also. Keep government out of it!
  • Pre-existing coverage for self employed
    I'm a diabetic. I've tried to be self employed in the past, but had to go back to work for someone else, because no insurance company would cover me because of my diabetes. I called around, called state offices, and tried to find someone who would offer a policy, even if it was expensive. I couldn't find it. If it is there, we need greater transparency in finding it. I would love it if the private market would offer a solution, but I have yet to see it.
  • option
    we had this option now for 30 years?what is different?anyone can buy any insurance that they can afford.how does this make it affordable?it doesn't. the private sector had its warning 16 years ago when clinton bought it up.did they do anything then,nope. this is a life and death matter,not gee which steak should i have for dinner,which is what you boiled it down to.
    people die because of lack of good health care.
    here is a private sector solution.all insurance charge everyone based on the total of policy holders,they cannot raise premiums unless they raise the total.what has happened is insurance companies have segmented us.so if oyu get sick you in a small group so your rates skyrocket.i had cobra for 18 months my premiums for the same policy went from 200 a month to 800 a month when it ended.
    the bottom line is this insurance companies have to make a profit,and this case that means your health vs
    their profits.gee i wander who wins.
  • (Shakes Head, puts on best Ronald Reagan Voice)
    There you go again!


    Er.... Mr. Howard...

    (Puts on a naggy mommy voice)

    Achem...

    ...Take your feet off the desk.
  • health care
    Clarke,what you say is so true,however, I need to add to your voice. One thing that has not been covered is what the insurance companies are paying the hospitals,docs,and other health providers is about 10 cents on the dollar. Crazy huh ??? I am 70 and have multiple illnesses.I am on SS and a State retirement. I pay a premium of 90 plus dollars to SS and 260 plus dollars for my medigap. Recently had a pacemaker inserted. What the BCBS and medicare paid the hospital and docs was embarrasing to me.Yes,I am very grateful for the outstanding care I recieved ,and the ability to live and enjoy my family, hopefully many more years.I would be willing to join some type of pool for my everyday care, and pay for a medical premium in case I need to go in the hospital. Oh,yeas I pay for my meds too.
  • No Government Involvement
    As an entrepreneur who has twice had to provide my own insurance, and as someone who has worked for a company then been downsized, I realize the value of having something that isn't dependent on an employer.

    In 2003 I had to find an organization to join so I could be part of a group plan and I've had to be my own HR Department, deciding on different plans each year.

    It is a pain to go through the process, but I feel I am in the driver's seat and I can choose from many different plans.

    It's made my wife and I look hard at what we actually need and we have a plan now that has a high deductible and very high co-pays when we need to see a doctor.

    What I would like to see is a better way to "shop around" for procedures when needed, so that as consumers we can receive more value for our money when we need to be hospitalized or have procedures done.

    When we look at the money that's being spent as our money, we generally are more careful about how it is spent.

    For me and other workers who are mobile, which seems to be a large portion of the working population, reform must include a way for policies to be portable . . . they follow the individual, so workers don't have to deal with Cobra or stay with a company or job they hate because of health "benefits".
  • healthcare
    Love your show, Clark.
    My gripe about healthcare has to do with the unforseen costs. My wife and I are without health insurance at this time. I recently had to take her to the local hospital ER for a minor treatment that involved a steroid shot and a follow-up prescription. We paid what I thought was a high price of $280 on the spot. She got the shot and we left.

    We later got a bill from the hospital for additional charges that brought the total to $709. One of the charges was $566.35 fpr "rapid response treatment". Excuse me, but wasn't this an ER? I told the lady in the business office that they should have come out to my house for that price and it would still be too high. We had to fight for it, but the bill was reduced to where we owed considerably less ( additional $150.00). This was still too high, but my wife thought we sahould just give in and pay it.

    I am not a proponent of the president's healthcare proposal, but I think that the medical industry has brought a certain amount of this on themselves. I know there are a lot of other ingredients in this foul soup, and I don't pretend to be the one with the answers, but they are attempting to take a bad problem and make it worse with this network of restrictions and fines. I think too many lawyers and special interests got into the healthcare business. You don't generate a 1018 page bill overnight.

    I appreciate the opportunity to express my views. Keep up the grreat work, Clark and Crew.
  • Health care
    You claim you want to get govt out of health care, but you propose a voucher system for those you cannot afford the mandated coverage. How is that not govt control of health care? What happens to all the people who lose their jobs and insurance coverage through no fault of their own when their corporations "outsource" everything to China etc? How are they supposed to pay for insurance?

    Sorry, Clark, I disagree that health care is something that the "free market" can handle. What's to stop the insurance providers from fixing prices and ripping us all off all over again under your plan?

    It's time the USA stops being a third world country and provides health care to all citizens and gets the money-grubbing insurance companies out of the equation. I would GLADLY pay more taxes to be able to get the health care that I cannot now afford since I am a self-employed entrepreneur and am struggling to make ends meet in this disastrous economy.

    And to those who take the libertarian view that it's up to you to "make the right choices" and take care of yourself and live a healthy life so that you don't NEED health care etc etc....I suppose you suggest that the fit, health-conscious jogger who cannot afford health care because he lost his job and gets hit by an uninsured driver should just be left to die on the pavement since he made "poor choices". Where has the compassion for one's fellow man gone in this country? Has the greed to the giant corporations taken over all sense of decency and care for one's fellow human? I truly feel that this country has lost its moral compass.
  • Just like education
    The public option is just like public schools. The government takes your money regardless of if you even have kids in school. If you have kids, you send them to public school because you have already paid the gov taxes for school, so to send to private school is to pay for schooling twice!! Hence, while the gov might say there is an option, realistically there becomes only one option for the vast majority.
    Then once your kids are at public schools, the Gov decides what and how it they should be taught. Parents have virtually no say, as the teachers and administrators are not paid by parents, they are paid by the gov.
    The current living generations have only ever know this public school system, so we just assume this is the way it must be. So to will be the health care system if we allow the current, completely corrupt government to take further control. Wake up People!
  • Clark's Healthcare Speech
    Forget Atlanta's race for Mayor. We need your common sense in DC. Go for the whole enchilada and you have my vote for President.
  • health care
    I am a hard working american and I pay my taxes and bills. I am for Health Care "overhaul", but I refuse to pay more so other people can have health care, esp. those people who are lazy bums and refuse to work. I have Kaiser CA and I am happy with it. Of course I pay part of the premium, but so what, it is to my benefit. Government should shut and mind their own business. I'm sorry but other people are not my problems. Thanks
  • Health Care
    I am for it as long as our gov reps has the same choice of coverages. No special coverages for congress. I think this issue would be sovled if they were deciding health care inclusive of themselves
  • It sounds good.....
    I wish it were that simple. It would be so nice to see a viable plan proposed. We have the best plan offered through my husband's employer. It is still not enough. My great-grandmother had cancer back in the 40's. After a long life of taking care of her children and having an alcoholic husband who was gone more than home, she ended up with uteran cancer. She could not afford the surgery or treatment that was available at that time. She died. There simply was nothing that could be done to help pay the expenses. I would hate to see that happen to anyone in my family again, but I see it coming. I'm not for government control and I agree that we simply cannot afford to continue to pay for those who do not even help themselves. What about the ones who do everything they can to help themselves and still they cannot afford health care. I guess we will go back in time to when there simply was no choice but to suffer the consequences of life. What if people took responsiblity for themselves and helped others along the way???
  • anonymous post
    "This is a public service like the police and fire department"

    Of all the things you want healthcare in the same group as these bloated, union run, political, money hungry organizations.

    There is no way I want the people that are in healthcare, put on a pedestal like those two groups.

    If we did then the govenment would use them as a bargaining chips whenever they are lacking cash (you know the story we are under budget so we need to cut services). Yeah we need more agencies like those two.
  • Were is your proof in this industry Clark? Look at all of the systems in the world, and let us know were the free market health insurance system works.

    Clark I love a lot of things you say about capitalism, but Health insurance is not one of them. This is a public service like the police and fire department, not Wal-mart were you are happy about a cheap t-shirt made by an enslave Chinese 9 year old. What has happened is the so called "free market" has price fixed and monopolized the market. People are deemed un-insurable, and those who can get covered face unrealistic prices.

    You are a consumer advocate Clark, when industries engage in unscrupulous practices and ethics, the role of regulation should come into play. In over 40 years the Free Market failed, now is time to set some consumer protections, and other options. That is what Japan did with their Health System in having a public health insurance option. They have lowered thier costs by half of ours and they have more free market providers and hospitals than we do. France has also achieved a successful balance of public-private insurance and free market provider care.

    Private health insurance companies make money by denying your claims, that's fine for rich person, but what happens when you save your whole life and are fiscally responsible then it all gets taken from you because of the dirty pool playing insurance companies.

    Your a capitalist Clark go back to your days of business school and economics, this is a time for regulation to protect consumers.
  • Who pays for the people that do not buy in?
    "If someone chooses not to buy insurance, that's fine too. If you do become ill, you'll be barred from buying coverage for 24 months. Otherwise, the healthy would never buy until they're sick. "

    People will still not buy in, and our government will still give them care at hospitals or clinics for free. So what does this solve?
  • Personal Responsibility
    RoastAK - why should anyone's debt be included in the decision if they get a voucher. If you make 80K and can't afford health care because you have to much credit card debt then you made a decision that the crap you charged on your credit card was more important than your health. Personal responsibility - Thank you Clark - this is great
  • All hat no cattle
    What is new in Clark's proposal? Other than vouchers, it sounds pretty much like the system in place today. Where is the tort reform, consumer protections? If you're going to bother offering a proposal Clark, at least give it more than five minutes thought.
  • Government healthcare
    Will I be able to forge a government healthcare card like many do for Social security? That way I can sneak into hospitals and doctors offices under a fake name and get my care free?

    Will this be possible under your plan? Or is that option only available under the government plan?
  • About your plan
    First about this line:
    "For months, there have been angry words and both sides of the aisle "

    Really? I haven't heard a word from the GOP side, who has been angry on the GOP side? I would like to vote for that person.

    Also with any health care plan, I am assuming that people that are unemployed will still not have coverage. ie like bums on the street. So even if we passed a plan we would still have to pay for their healthcare.
  • Healthcare/Insurance
    Hi Clark! I agree that it shouldn't be an employer based system, but sorry Clark, its not that simple...Having "free choice" over which coverage one "chooses" to purchase is a nice concept for all those who have a choice, and can afford the best of everything. We all know that a great majority aren't in a position to even have a "choice". This would simply perpetuate the current system in which some who have the basic tier of coverage can't even afford the copays for medications,or they have to fight for treatments, etc. How sad that a persons health treatment seems to boil down to a "caste" system, of what one can afford to pay. How can one be free to exercise the right of the "pursuit of happiness" when one is ill and does not have the basic right of proper and equal, and I emphasize "equal" healthcare. The real moral dilemma is changing the "As long as I've got mine...I don't care about anybody else" mind set. There must be at least one brilliant and enlightened mind out there who could propose a brilliant solution that could even overcome the greatest threat to this issue, which is greed and fear. Those who are so afraid of having their rights taken away by our now "socialist" government, seem to have no problem of conscience as long as theirs is not the life in jeopardy because of the cost of healthcare. Why is one life more valueble than another? I thought the basic idea is that all life is precious, but in this country the value of your life seems a little "more" precious if you have more cash in your wallet.
  • Let the Market Forces Work
    Government controlled healthcare is NOT what we need. We need to accept personal responsibility for keeping ourdselves alive and healthy. I DO NOT want the governement telling me what coverage I can or can't have.
  • Health Care Speech
    Too bad this isn't what we're going to hear tonight. Clark hit the nail on the head. His idea is simple, fair, and economically viable. If only our leaders would use these criteria in creating a health care reform initiative.
  • your a classic wealthy right winger Clark
    where to begin Clark- first of all- my employer health insurance is a huge benefit- touted as "instead of more salary".. so if it goes away and I have to buy coverage, my income will automatically raise its equivalent cost amount?! How will that be assured- seems like in today's economy employers will just keep the premium savings, say "tough luck" and I will be paying for coverage with my current income and whatever portion of the premiums I previosly had deducted.. 2nd like many "government guided" "free-market" things, and many pure welfare thing, the rules only look at income in determing who gets vouchers, aid, credits, tax rebates, etc.. it does not look at debt.. so I make $80,000 a year I get no assistance in paying for this new individual insurance, yet I have massive student loan, property debt, credit card debt, etc..
    Finally, your mistaken notion that we simply cannot afford government run healthcare is pure right wing dribble.. many many better off countries do it just fine, and have healthier people and better lifestyles.. maybe they just have less military-industrial complex to pay for??
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