How Obama Helped Kill Universal Health Care in Illinois: By negotiating

while some are calling out bringing up history an "attack" it's undendiable that Obama was the key conduit between lobbyists and the legislature to kill universal health care.

http://www.boston.com/news/nation/articl es/2007/09/23/in_illinois_obama_dealt_wi th_lobbyists/?page=1

On one side were healthcare advocates, eager to capitalize on the Democrats having won control of the General Assembly and the governor's office. On the other were most insurers, who worked vigorously to sink the bill. Obama was in the middle, trying to reconcile a range of agendas to get a viable plan signed into law.

The bill originally called for a "Bipartisan Health Care Reform Commission" to implement a program reaching all 12.4 million Illinois residents. The legislation would have made it official state policy to ensure that all residents could access "quality healthcare at costs that are reasonable." Insurers feared that language would result in a government takeover of healthcare, even though the bill did not explicitly say that.

Most significant, universal healthcare became merely a policy goal instead of state policy - the proposed commission, renamed the Adequate Health Care Task Force, was charged only with studying how to expand healthcare access. In the same amendment, Obama also sought to give insurers a voice in how the task force developed its plan.

Lobbyists praised Obama for taking the insurance industry's concerns into consideration.

"Barack is a very reasonable person who clearly recognized the various roles involved in the healthcare system," said Phil Lackman, a lobbyist for insurance agents and brokers. Obama "understood our concern that we didn't want a predetermined outcome."

In one attempt at a deal, Obama approached the Campaign for Better Health Care with insurers' concerns, asking if the group would consider a less stringent mandate than requiring the state to come up with a universal healthcare plan. The coalition decided not to bend, said Jim Duffett, the group's executive director.

"The concept of the Health Care Justice Act was to bring the sides - the different perspectives and stakeholders - to the table," Duffett said. "In this situation, Obama was being a conduit from the insurance industry to us."

Obama later watered down the bill after hearing from insurers and after a legal precedent surfaced during the debate indicating that it would be unconstitutional for one legislative assembly to pass a law requiring a future legislative assembly to craft a healthcare plan.

And yet while serving in Illinois, Obama was willing to accept campaign contributions from lobbyists. Obama's state Senate campaign committee accepted contributions from insurance companies and their lobbyists - including $1,000 from the Professional Independent Insurance Agents PAC in June 2003, and $1,000 from the Illinois Insurance PAC in December 2003 - while the Health Care Justice Act was wending its way through the Illinois General Assembly. Obama also collected money from the insurance industry and its lobbyists for his successful US Senate campaign in 2004.

Obama's campaign has said that his position on accepting such contributions has evolved and that he decided not to accept them for his presidential campaign after seeing how much influence lobbyists had in Washington during his first two years in the Senate.

how many voters know about this?

Tags: obama (all tags)

Comments

31 Comments

Re: How Obama Helped Kill Universal Health Care in

I thought he said last night that he made it happen in Illinois?

by Jerome Armstrong 2008-01-04 09:40AM | 0 recs
Now I understand

why Obama didn't propose UHC --- cause the insurance company doesn't like it...

by TarHeel 2008-01-04 09:46AM | 0 recs
Re: Now I understand

Any actual proof besides one article and one quote from one asshole.

by yitbos96bb 2008-01-04 03:39PM | 0 recs
Re: Now I understand

Any actual proof besides one article and one quote from one asshole.

by yitbos96bb 2008-01-04 03:41PM | 0 recs
Re: unconstitutionality

I don't know the entire story, but your emphasis in one excerpt seems to overlook an important point. Here it is with my emphasis:

Obama later watered down the bill after hearing from insurers and after a legal precedent surfaced during the debate indicating that it would be unconstitutional for one legislative assembly to pass a law requiring a future legislative assembly to craft a healthcare plan.

Obama was teaching constitutional law at the time, so it would be rather unseemly for him to push through an unconstitutional piece of legislation (although I assume we're talking about the state's constitution here, rather than the U.S. constitution, which Obama was covering in class.)

by DPW 2008-01-04 09:50AM | 0 recs
might want to read this

http://www.washingtonpost.com/wp-dyn/con tent/article/2007/12/13/AR2007121301785. html?nav=rss_politics

On the other hand, the achievements Obama has to tout are thin. "I've done more than any candidate in this race to actually take on lobbyists, and I've won," he boasts. Well, yes, he championed ethics reforms in the Senate but left much of the heavy lifting to others while he campaigned.

"I expanded health care in Illinois by bringing Democrats and Republicans together, by taking on the insurance industry," he asserts. Actually, his signature legislation as a state senator, the Health Care Justice Act, merely set up a panel to craft a plan.

what he passed was setting up a panel....

by TarHeel 2008-01-04 09:55AM | 0 recs
Re: might want to read this

This is a decidedly different take on his legislative record:

http://www.washingtonpost.com/wp-dyn/con tent/article/2008/01/03/AR2008010303303. html

I also agree with the poster above who noted that you emphasize some interesting parts of this article over others.  Obama's not perfect, and obviously whatever he did it didn't result in universal coverage getting passed in Illinois.  I would note, it still hasn't been passed in Illinois since he left.  That's not a disqualifying factor.  

Out of curiosity, I wonder whether you are as critical of John Edwards legislative record.  I continue to like Edwards, and hope he plays a prominent role in the next administration, but he literally didn't accomplish anything of substance in his entire time as an elected official.  Indeed, his record is significantly at odds with his current rhetoric.  I'm willing to chalk that up to genuine organic change, but I'm not sure that historical comparisons are a winning argument for either Edwards or Clinton.    

by HSTruman 2008-01-04 10:05AM | 0 recs
passing a bill

to make a panel is not bringing UHC to Illinois which is what he claimed.

by TarHeel 2008-01-04 10:17AM | 0 recs
Re: passing a bill

I've never heard him say he passed universal health care in Illinois and, since Illinois doesn't have universal coverage and everyone knows it, I have a hard time believing that that's what he meant if he did mis-speak.  Seriously, are you really arguing that Obama thought he be super clever and "fool" everyone into thinking he brought universal health care to Illinois without anyone noticing?  That strains credulity, to say the least.  

Also, you should really take a look at the link I posted, which talks at length about Obama's legislative record in Illinois.  

by HSTruman 2008-01-04 10:22AM | 0 recs
quoting data milbank

""I expanded health care in Illinois by bringing Democrats and Republicans together, by taking on the insurance industry," he asserts. Actually, his signature legislation as a state senator, the Health Care Justice Act, merely set up a panel to craft a plan."

by TarHeel 2008-01-04 10:25AM | 0 recs
Re: quoting data milbank

so he said he "expanded health care" and your diary talks about how he killed universal coverage?  Interesting distortion.

by HSTruman 2008-01-04 10:40AM | 0 recs
Re: quoting data milbank

I think I have to rule against Obama on this one.  He took a bill that would have implemented UHC and ended up with nothing but a study group.  While that's better than nothing, it's certainly exaggeration for him to point to that and say that he "took on the insurance industry" and "expanded health care."

I'm quite confident that if Hillary had struck the same deal she would be reviled from all corners.

by Steve M 2008-01-04 11:41AM | 0 recs
Unconstitutional

Obama later watered down the bill after hearing from insurers and after a legal precedent surfaced during the debate indicating that it would be unconstitutional for one legislative assembly to pass a law requiring a future legislative assembly to craft a healthcare plan.

Unconstitutional! What part of that don't you understand?

You're bad as a Clintonista.

by chicagogene 2008-01-04 09:57AM | 0 recs
Re: Unconstitutional

It was unconstitutional to force a future legislature (after the next election) to pass a certain bill.  Passing the bill in the session would be constitutional.  This is the classic case of passing the buck until later.  Legislative study bills are a way for legislators to take credit for doing nothing.

by CVDem 2008-01-04 04:56PM | 0 recs
Re: How Obama Passed Universal Health Care

Here's the part of the article you left out, the part which sets up the piece and says what the whole article is:


When Barack Obama and fellow state lawmakers in Illinois tried to expand healthcare coverage in 2003 with the "Health Care Justice Act," they drew fierce opposition from the insurance industry, which saw it as a back-handed attempt to impose a government-run system.

Over the next 15 months, insurers and their lobbyists found a sympathetic ear in Obama, who amended the bill more to their liking partly because of concerns they raised with him and his aides, according to lobbyists, Senate staff, and Obama's remarks on the Senate floor.

The wrangling over the healthcare measure, which narrowly passed and became law in 2004, illustrates how Obama, during his eight years in the Illinois Senate, was able to shepherd major legislation by negotiating competing interests in Springfield, the state capital.

by Piuma 2008-01-04 10:30AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

What is your strategy here? Is this hit diary a last ditch effort for Edwards? Or have you gone to the dark side? Are you really a Clinton supporter?

by aiko 2008-01-04 10:31AM | 0 recs
wan't edwards

to hang around longer to CONTINUE to frame the debate and get Obama to adopt more of his policies, including his populist stuff that obama already grabbed

by TarHeel 2008-01-04 10:43AM | 0 recs
Re: wan't edwards

and you think by bashing obama you are helping edwards? i think you got it backwards.

by aiko 2008-01-04 10:57AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

Well, this is basically how I see the process ending when you try to be a mediator instead of a leader.

If Hillary Clinton were the politician who had been "responsive to the concerns of lobbyists," you know what we'd be hearing from the usual suspects.

by Steve M 2008-01-04 10:51AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

If Hillary had been able to get the legislation passed, she would have received nothing but praise. He got the legislation "narrowly passed".  He actually accomplished something but that's not good enough.  Far better if he had talked about corporate greed and accomplished nothing.  Or even better if he passed legislation which hurt people's lives, cost people their lives, and then said I made a mistake.

by Piuma 2008-01-04 10:58AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

I really doubt Hillary would have received nothing but praise for passing a watered-down compromise at the behest of lobbyists.  Is that what you really believe?

by Steve M 2008-01-04 10:59AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

In the absence of details, it's hard to say. But, generally speaking, an expansion of health care coverage would be considered a good thing versus no expansion. The important question, however, concerns whether better alternatives would have been achievable under the same circumstances.

Without knowing whether a significantly better result was achievable by Obama and the legislature, I don't see any justification for calling Obama a "corporate sell-out."

by DPW 2008-01-04 11:08AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

But there was no expansion of health care.  You started out with a bill that would have implemented universal health care, and you ended up with a task force that was going to do nothing but study the issue of health care, because the industry lobbyists had concerns.

Someone should have told Hillary that instead of letting the health care plan fail altogether in 1994, she should have settled for passing a bill that created a task force to study the issue of health care, and then she would have received "nothing but praise."

I just read a comment by Piuma, the commentor I was responding to, in another diary where he said no one has any basis for suggesting that Obama would pursue an agenda based on compromise.  Yet here we have a perfect example of Obama mediating a compromise with lobbyists on the issue of health care, and I'm told "he actually accomplished something."

If this is as low as you guys set the bar for "accomplishing something," then I think our concerns regarding Obama's methods leading to compromise and centrism are pretty well-founded.

by Steve M 2008-01-04 11:38AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

Steve,

He didn't accomplish the goal we all want.  You're absolutely right.  And part of the reason was because of interest groups opposed to that kind of reform. Again, you're absolutely right.  But I fail to see how Barrack Obama was actually the CAUSE of better legislation passing.  

The article cited says he was able to salvage SOMETHING when otherwise NOTHING would have passed.  In my view, that's really not an argument that his approach is flawed.  At best, it's an example of why big reform requires a larger stage than Illinois State Senator.    

by HSTruman 2008-01-04 11:55AM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

But you're simply assuming he got the best deal that was achievable.  I don't think we know that.  Every single legislator who makes a compromise tries to tell us that there was no way to achieve anything more.  All I know is that ending up with a task force is a really, really, really watered down result.

If you want a good example of settling for a second-best policy, think about DADT.  Now, clearly DADT was an improvement over the prior military policy of actively investigating people's sexual conduct; equally clearly, DADT is what the Clinton Administration settled for when it became clear they weren't getting the ban lifted altogether like they wanted.  Now, is it your impression that Bill Clinton (and now Hillary) have received "nothing but praise" for at least salvaging something from the issue?  Do you see a liberal consensus thanking them for at least "accomplishing something"?

I do a lot of negotiating myself, and I know what happens when you're overeager to compromise.  At the end of the day, you can tell people you got the best deal you could, but that doesn't make it so.

by Steve M 2008-01-04 12:08PM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

We've talked about this before, and I don't think  either one of us is going to budge on this particular issue.  You and I have a fundamental disagreement about what Obama's rhetoric means.  For me, it's geared towards appealing to VOTERS as a means of creating a new governing coalition.  For you, it indicates weakness and a too eager willingness to negotiate with existing right wing power structures.  If he wins the nomination, we'll get to find out whose right.  

Relative to this particular bill, I don't know anywhere near enough to evaluate whether Obama made a mistake or not.  I suspect you don't either, although if I'm wrong about that apologies in advance.  Even if he did screw the pooch on this one, however, I fail to see how that's somehow disqualifying.  Legislating can get messy and not even the most skilled negotiator gets the better of every exchange.  

by HSTruman 2008-01-04 12:16PM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

We've talked about this before, and I don't think  either one of us is going to budge on this particular issue.  You and I have a fundamental disagreement about what Obama's rhetoric means.  For me, it's geared towards appealing to VOTERS as a means of creating a new governing coalition.  For you, it indicates weakness and a too eager willingness to negotiate with existing right wing power structures.  If he wins the nomination, we'll get to find out whose right.  

Relative to this particular bill, I don't know anywhere near enough to evaluate whether Obama made a mistake or not.  I suspect you don't either, although if I'm wrong about that apologies in advance.  Even if he did screw the pooch on this one, however, I fail to see how that's somehow disqualifying.  Legislating can get messy and not even the most skilled negotiator gets the better of every exchange.  

by HSTruman 2008-01-04 12:16PM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

I think I'm confusing two different acts that he sponsored while in the Illinois senate. Evidently, it was a different statute than the Health Care Justice Act that expanded coverage:

In fact, while Obama did sponsor the Health Care Justice Act in 2004, which "encourages Illinois to implement a health care plan that provides access to a full range of preventive, acute and long-term health care services," he also sponsored a 2003 bill that expanded KidCare and FamilyCare, health insurance programs for low-income families in Illinois.

See this link for more detail: http://mediamatters.org/items/2007121700 03

As it concerns the Health Care Justice Act, I would caution against too much reliance on one article's characterization of the process. It sounds rather complicated. I would note one other part of the article, though, that highlights Obama's confrontational moments with the insurance industry:

During debate over the Health Care Justice Act, Obama also attacked the insurers, accusing the industry of "fear-mongering" by claiming, even after he made changes they wanted, that the bill would lead to a government takeover.

Again, I don't know that Obama helped or hurt during this process. It sounds, however, from the article like he was trying to mediate a confrontation in deep need of mediation. That doesn't necessarily bother me.

by DPW 2008-01-04 12:04PM | 0 recs
Re: How Obama Helped Kill Universal Health Care in

I should add that the bill he sponsored expanding health care passed.

by DPW 2008-01-04 12:08PM | 0 recs
I am I wrong but Edwards just found out he

supported Universal Healthcare?

JRE circa 2003 when he was with the DLC

"I start with a very simple idea: children first. I will make sure that every child is covered, and I'll do it the only way you can, by making it the law of the land. I'm going to ask responsibility from everybody. Responsibility for the parents make sure their kids are covered. Responsibility from the government to make sure that they can pay for it. And responsibility from big HMOs and drug companies, to bring the cost down. And if they won't accept responsibility, we will hold them responsible."

Democratic Primary Debate, Albuquerque New Mexico Sep 4, 2003

by TennesseeGurl 2008-01-04 12:49PM | 0 recs
Darn inconsistant candidates.

by TennesseeGurl 2008-01-04 12:49PM | 0 recs

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