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Obama softens on 'public option' in health care debate
AFP - Monday, August 17
WASHINGTON (AFP) - - An embattled President Barack Obama and his aides signaled Sunday a softening of the administration's insistence on a so-called "public option," or government insurance plan, as crucial to the reform of the US health care system.
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With angry debates dominating the airwaves and opposition emerging in the Senate, Obama said in a speech in Colorado Saturday that a government health insurance program to compete with private insurers was just a small piece of the reform plan.
"The public option, whether we have it or we don't have it, is not the entirety of health care reform. This is just one sliver of it. One aspect of it," he said in a town hall meeting.
"And by the way, it's both the right and the left that have become so fixated on this that they forget everything else," he said.
The president's aides were out in force on television talks shows Sunday to defend his health care reform agenda against the battering it has taken in televised public forums commandeered by screaming opponents.
In a campaign filled with sensational claims and confrontational tactics, reform opponents have played heavily on fears of a government takeover of the health care system, which Obama has sought to ease in a series of public appearances across the country.
Some 46 million Americans have no health insurance whatsoever, an obviously complex and costly issue.
Pressed on whether Obama was still behind a "public option" or signaling that it is time to consider a "Plan B," Health and Human Services Secretary Kathleen Sebelius said Obama "continues to be very supportive of some options for consumers."
Sebelius said the US Senate was proposing non-profit insurance cooperatives instead of government insurance, and suggested the administration might accept that.
"I think what's important is choice and competition. And I'm convinced at the end of the day, the plan will have both of those. But that is not the essential element," she said in an interview with CNN.
"I think the president is just continuing to say, let's not have this be the only focus of the conversation," she added.
She said the administration's goal was insurance coverage for all Americans, lower costs and tighter rules to make sure insurance companies cannot pick and choose who they cover.
White House spokesman Robert Gibbs also suggested that having a "public option" was not as important as the broader goal of injecting some form of competition into the private insurance market.
"The president believes that this option, the option of a government plan, is the best way to provide choice and competition," he said in an interview with CBS television.
"But you mentioned Senator (Charles) Grassley, who is working with Democratic and Republican colleagues to fashion a bill in the Senate Finance Committee, and we certainly look forward to their ideas," he said. Grassley is a Republican from Iowa.
Gibbs said Obama wanted to build and improve on the current system of employer-sponsored health insurance, while providing incentives to small businesses not to stop covering their employees, which some studies say would happen if the government provided a subsidized alternative.
He dismissed the angry confrontations that have colored recent health care debate as "good TV, and that's about it."
But he said Obama understands "that people have questions and concerns about health insurance reform."
"I think one of the reasons the president is out there, has been out there three times in the past week is to try to address the misinformation that is out there about health insurance reform.
"He also understands this isn't going to be easy," Gibbs said.
Obama, who has portrayed the battle over health care as "a contest between hope and fear," has made campaign-style stops in New Hampshire, Montana and Colorado over the past week to engage his critics.
In Grand Junction, Colorado, he invoked his personal distress over the death of his late grandmother, Madelyn Dunham.
"What you can't do, or you can, but shouldn't do is say things like we want to set up death panels to pull the plug on Grandma," Obama said.
"I just lost my grandmother last year. I know what it's like to watch somebody you love, who's aging, deteriorate, and have to struggle with that."
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Enlarge Photo
President Barack Obama speaks to the issue of "death panels" during a health care town hall meeting in the Central High School gym on August 15, 2009 in Grand Junction, Colorado. Obama and his aides signaled Sunday a softening of the administration's insistence on a so-called "public option," or government insurance plan, as crucial to the reform of the US health care system.
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