I don't tirelessly defend President Obama. Sit back this is going to take a while.
Health Care: There is no sane person who believes our present health care system is sustainable. We spend a greater percentage of GDP on health care than any other nation. Which I would be ok with if we had the best outcomes. We don't. I don't say our outcomes suck, I just say our outcomes are not worth what we spend on them.
Now that we are in agreement that the present health care system is making our corporations less competitive, our deficit unsustainable, and health care more affordable, it is clear our system has to change. The major problem with our system is the consumer and the payer are not the same person so the consumer has no skin in the game to reduce costs.
So how do we go about this:
Single Payer Health Care: Abolish all insurance and the government pays for all health care with taxes. I don't necessarily like this model myself. It does work in Canada as attested to by Pharmvixen, a Canadian member of SDN who is a pharmacist as well as a person covered by the Canadian Health Care system.
Free Market Approach: Each individual has a Health Savings Account which is contributed by the employer or the patient or the government tax free. The Citizen is required to purchase a catastrophic policy that covers everything after a given amount to be determined. Let's say $30,0000.00. The working poor would have the contribution made by the government and the very poor would have welfare as it presently exists. The insurance companies would disappear and plenty of people would be out of work. The drug companies would hate it because nobody would by the drugs that cost $12,000 per month. This would directly effect health care decisions as the patient will be paying for the treatment with their own money. This is a free market system and I would personally prefer it. This way everyone is covered.
Illegal Immigration: Everyone who has skin that is not red is an immigrant. We need to make it possible for people to come here legally. We need to do that first. Once we control our borders,than we can discuss what to do with the people who are here illegally. If you think you are sending people back to Mexico, think again. Let's say of the 12 million illegals (there may be more), 10 million are Mexican. If we put them on buses we would need 160,000 buses to send everybody back. That's going to look good on CNN. So be realistic like Reagan, and realize these folks are not going anywhere.
Cap and Trade: Well this is really dicey. I'm not sure what the effect would be. It would clearly raise the cost of energy, but that is not a bad thing, the cost of energy is way too low in the USA. The unknown is what Americans would do when confronted with this reality. Right now the Chinless are leading the world in green energy technology. Oil will run out sometime, the question is when it does, will we be prepared? Is this good, letting China control the future of energy. There are many who believe we should do cap and trade and we would innovate our way to be the global leader in these technologies. It would be like controlling oil in the 20th century. It's where the money is. I'm not sufficiently well versed to know what the best course of action is at the present time.
President Obama: It's rally early to tell. I don't think this is what he wanted to do. I think he really had no choice. As I pointed out earlier, the Fed had already shot it's load so the only lever to pull was direct government stimulation. There really was no other choice. The Insurance bill is fine for what it is, insurance reform.
It rally does not do enough to address the cost structure, it gives to much to the insurance industry,
and it does not address tort reform. But it does get almost everyone covered and that makes it easier to apportion cost across the system. He really hasn't done anything else. As for foreign policy, he is dancing the dance as best he can with the situation we are in. He is being pragmatic. He is way aggressive in pursuing Al-Aqueda in Pakistan than Bush was.
You want more.....