Did Sen. Barack Obama (D-IL) flip-flop on healthcare? During last night’s fiery debate, Obama claimed that “I never said that we should try to go ahead and get single payer. What I said was that if I were starting from scratch, if we didn’t have a system in which employers had typically provided health care, I would probably go with a single-payer system.”
Today, the Clinton campaign released a 2003 video of Obama in which the senator sounds like a proponent of a single-payer system. “I happen to be a proponent of a single payer universal healthcare coverage… I see no reason why the United States of America, the wealthiest country in the history of the world is spending 14%, 14% of its gross national product on healthcare, cannot provide basic healthcare insurance to everybody…. A single payer health care plan, a universal health care plan. And that’s what I’d like to see. And as all of you know, we may not get their immediately.”
Still, it is unclear if Obama ever believed that single-payer was politically feasible. One would have to read a full transcript of his comments; Clinton’s abridged video, which ends in mid-speech, may have cut the nuance. (For the record, the Obama campaign still maintains that he has been consistent. In fact, Obama makes the feasibility argument in a 2007 speech posted on Clinton’s YouTube page.)
But if he did support single-payer, Obama could argue that, like Clinton’s, his views on healthcare have matured. In fact, Clinton openly admits that her current plan is different than her 1994 proposal and even maintains that her ‘evolution’ on healthcare is “invaluable preparation for dealing with the problems in the health care system today.” From the New York Times:
But now, as Mrs. Clinton heads into her re-election campaign and a possible bid for the presidency, she is trying to recast the political disaster of 1994 as something else: as a badge of honor, as a symbol of lessons learned and, perhaps most significant, as invaluable preparation for dealing with the problems in the health care system today…
Mrs. Clinton’s approach to health care is strikingly different this time around, a measure of her evolution from an impatient agent of change to a cautious senator — and potential presidential contender — keenly attuned to the political center.
The consequences of the Bush administration’s stubbornness and political inflexibility should dissuade voters from supporting candidates who are unwilling to adapt their policies to circumstance. In this context, Clinton’s attacks echo the Republican talking points of the 2004 election. The Democrats should stop their bickering and engage in a substantive policy debate about single-payer healthcare.