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First Read is an analysis of the day's political news, from the NBC News political unit. First Read is updated throughout the day, so check back often.

Chuck Todd, NBC Political Director

Mark Murray, NBC Deputy Political Director

Domenico Montanaro, NBC News Political Reporter



Dems pick health care scab again

Posted: Sunday, April 20, 2008 12:29 PM by Domenico Montanaro



From NBC/NJ’s Aswini Anburajan
LANCASTER, Pa. -- Both Democratic candidates picked over an old bone of attack as they competed for voters in Pennsylvania today, airing competing ads on the debate over health-care mandates and issuing rebuttals to each other on the stump.

“And I know that you know Sen. Clinton's been running these ads saying, 'Oh Barack's not really insuring everybody,’" Obama said in Lancaster today.

"Let me tell you -- let me in fairness say, 'Senator Clinton's got a good plan, but keep in mind, when she says she's covering more people that's because she's got a mandate. It's not a mandate for the government to provide health insurance. It’s that you buy health insurance even if you cant afford it. Even if the prices aren't low enough."

Obama promised that under his plan, affordability wouldn't be an issue.

"And my attitude is the reason that people don't have health insurance is not because they don't want it, it's ’cause they can't afford it," he said. "That's why we're gonna lower costs and subsidize everybody, so that everybody can afford it. There will not be a single person in America who wants health insurance who cannot get health insurance when I am president of the United States of America."

Earlier in the day, Sen. Clinton had said that she found Obama's new television ad "curious" since his plan leaves 15 million Americans uninsured.

"Afford," the ad the campaign started airing yesterday, attacks Clinton for "forcing people to buy health insurance even if they can't afford it."

The back and forth over health care mandates, which has lead to heated exchanges between the candidates, has largely laid by the wayside in the six weeks leading up to the Pennsylvania primary. However, there's a little more than 48 hours before voters start going to the polls, and Obama is barn storming the state drawing sharp contrasts with Clinton.  

He has hit the issue of healthcare over and over again, characterizing the real differences between the two candidates as one that focuses on who can actually get legislation passed rather than the policy differences between the two.

"If you are feeling cynical and your basic attitude is, 'You know what, things can't really change,' then you may decide that Sen. Clinton's your choice, because that's the game that's played in Washington and we just want somebody who knows how to play the game," he said in Downington yesterday afternoon.  

He added: "But see my attitude is that if you take that choice, we're just gonna tape it around the edges. We will end up obviously getting something better than George Bush, but we're not gonna actually deliver on big health care reform, we're not actually gonna deliver on major energy reform. I'm running not just to play the game better in Washington; I am running to put an end to the game playing."

He also pushed back on Clinton's lobbyist ad, in which she says that Obama takes money from special interests. "Now she's running an ad saying well Obama's taking lobbyist money, and PAC money, and all this stuff running another negative ad," he said.

And he pledged to the crowd: "Let me tell you something. What we do is not perfect. But I can tell you this, in this presidential campaign, I have not taken a dime of lobbyist money. I have not taken a dime of PAC money."

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Comments

Devisive Tactics won't bring the change we need!

See Hillary's last attempt at healthcare reform.

People Bring Change!

Barack is mobilizing them!

Beware Washington - Americans want America Back!

Obama 2008!
How dare they get back to talking about healthcare?
Ah yeah, this year is about the issues.  

I find it striking that people are saying their policies are that much alike, when, like McCain, Clinton has invented herself over and over again in the campaign season.  

What people have moved away from is Republicans sitting on their hands; if she becomes president.  Nothing will get done and it won't be more democratic seats being won.  The new people will not be engaged and America loses.

David Gregory is an idiot and doesn't speak for many of us, so he needs to stop trying.  He is OUT OF TOUCH and Chuck Todd is right, that is the tip of the iceberg!  
Both plans suck.  Move on
CORRECT !

Is the problem that we have not FORCED the people to buy health insurance ? Do the uninsured simply not want health insurance and we just have to 'make them buy' health insurance ?

The problem is AFFORDABILITY !! It's too expensive to buy reasonable insurance because this way it works best for the insurance and pharma industry.

If everybody would be forced to buy homes by law at age 21, we would not have this housing crisis. We would have a bunch of other problems ... but everybody would have a house (and if not, these bastards are breaking the law).

Billary's plan is a gift to the pharma and insurance industry - maybe that is why they are contributing to her campaign.

See she has no problem to pretend to be against the Colombian Trade Deal and then have her campaign strategist and her husband rally FOR the deal.

Tell the people what the want to hear and then talk with the 'big guys' about what the stupid people actually need - thinking that they will get the picture anyway after the election.

Obama wants the American People involved, not just in his campaign but in our Democracy ! His movement will not stop when he will take the oath - that's when it really will begin (again).

For America ! For Obama !
Obama, once again ahead of the curve as we close in on our Pa. primary. Her campaign is playing catch-up politics as Barack has put her on her heels. I'm beginning to see that Obama is 'going for it' in Pa., just like Rocky Balboa.

Local Sunday morning news talk shows, here in Pittsburgh, Pa., are giving Hillary free help, and trying to give her an edge by continuing to discuss her 'bitter' talking points with the anchors interviewing her supporters in a round table setting.  I suspect it will backfire.
Oh happy day....
Not really.

"They" want to destroy middle class stability (actually it is happening) with their "generosity and concern toward your "average" overseas citizens"(my goodness aren't they nice?!:P) by giving away our employment opprotunities and good ole retirement/medical insurance/ability to stay with a company for any stable length of time.......

You mean "they" are doing what to Americans?
Some people want us to lose our ability to be independent and free?
SEESH! Again?


Where are the people who run that money press thingy?
We where in the gutter yesterday Ms. Sleaze ball crawled the gay bar gutter! Today ""Scab""! Msnbc your scrapping the gutter for words? But of course, there is no valid reason to look else where ""RIGHT""? This article header hit home, because behind the ""SCAB" THERE IS A INFECTION THIS COUNTRY DOES NOT NEED!!! Its called Billary puss! It is a infection which shall corrupt and disable America! It was the people who cleaned up this infection once before and showed it the back door of the White House, and again this infection is trying to re enter the White House!!!! America again is being challenged and the question is"" Dose America again need a case of the clap????
I fear that Hillary is promising a health care plan that she will not be able to deliver on and nothing will get done -- again. The RNC, McCain, the puppet media, and the medical-industrial complex will clobber the democratic nominee with a government mandated garnishing of people's salary. Barack is concentrating on what he thinks can pass and be implemented. Universal access can morph into universal coverage later once people are happy with the new system and Democratic control of government is stronger. Funny that he is being pragmatic and she is the idealist on this issue.  I think she painted herself into a corner when she tried to one-up the Edwards and Obama health plan.
It should be noted that Clinton's chief strategist looked like a clumsy and inarticulate oaf against Obama's. Clinton was not able to recoil after Obama's healthcare assertions in any significant fashion whatsoever.
If everyone can afford Obama's plan and still some elect to not participate and therefore force all that do participate to pick up their tab, why shouldn't they be forced to pay their own way or simply denied access?  Again, it is affordable so why should a non-participant be given any sort of pass?
Let's vote for the imperfect candidate, Barack Obama. At least he is willing to admit he is only human.

Hillary Clinton sounds like the Queen who said "Let them eat cake!" where her manditory pay in health
care program comes in.

Barack Obama's sincerity is alot more credible then
Hillary Clinton. Her Bosnia sniper story is only one
of the many times she has lied during this campaign.

Obama '08
Below is the question I directed to Hillary website on her BLOG. I am awaiting an answer.
"I hear Hillary talk about National Health Care for all Americans. I have taken the time to come here to her website to find out specifics but I can not. There is the same political fluff that Americans need to have affordable health care but when you look for a financial guidelines used to determine the cost to the American people I can not find one.

I am trying to give Hillary the benefit of the doubt with her tactics of last, I do not want to go negative here but would like for her campaign to give me answers.

Please tell us- The American people what we should expect to pay for this great plan and who is going to benefit from it. The names of the Insurance companies included in this plan.

I now leave the ball in your court. Now sell me on your plan with specific finanacials.

Thank you"

It will be interesting to see whether they post my question on the BLOG. They censor quite a bit over there. I am a Democrat in OH and feel Hillary needs to be more specific about her Health Care Plan. If she was truly an effective negotiator, The American citizens would already have affordable Heath Care in the U.S

No one choosing to remember Hillary is the reason we do not. It had to be her way or no way ..... and we all know how that turned out.

Once again the Clintons want us to forget about the all the negatively the brought to US Democrats in the 90's and want us to remember the prosperity. Let's remember who it was prosperous for....she authorized a war, voted for a credit card sponsored Bankruptcy reform act hoping it would not pass, helped her husband pass NAFTA but really did not think it was a good idea.......she is constantly giving into Peer Pressure and not standing up for US. The middle class who does not make over $250,000

Repulsive that she thinks the only reason we are supporting Barack is that we are easily influenced. I think Senator Clinton it is time you look in the mirror

BARACK WIN PA AND END THIS PRIMARY SILLY SEASON
Sen. Clinton's line of thinking re: health insurance is understandable - she starts off demanding that everyone be covered, which she views as a position of strength.  It is also one which gives her room to bargain.  

Sen. Obama's reasoning is also understandable - he gives people the choice of whether to buy insurance  or not instead of telling them they "have to."

Personally, I would like to have the choice.



+++++++++++++++++++++++++++++++++++++++++++++++++++

Gallup.  5/20/08

Obama Holds Slight 47% to 45% Advantage.

++++++++++++++++++++++++++++++++++++++++++++++++++++
I heard Hillarysay that it would be mandatory for me to buy insurance and what part of mandatory don't you understand? And I heard her say that just as Mass. she sould garnish wages. I cannot afford to have what little bit I bring in to have it garnished! And why do you think the insurance companies, drug companies, and all of those HMO's donate so much to her campaign? We cannot afford Hillary! As much as I would love to see a woman in  White House, just not that woman. I am a middle-aged white female voting for Barack!!!!
I wish that Senator Clinton would stop claiming that Senator Obama's plan won't cover 15 million people. She should be saying that her plan would force even those, who can't even make ends meet, to buy into her plan so that those who are sick, especially those who need long treatments due to terminally ill diseases, can also ride on the poor people's backs. And that's pretty a hard sacrifice to pressure on the poor, but healthy young workers with children living on a ridiculously tough budget. At least, Senator Obama's plan makes room for the desperate poor to make a real choice.  
Sen Obama demonstrates a certain naivete when he insists that everyone would buy health insurance if it were affordable. Those in the health care industry can attest that a certain percentage of young people who could well afford insurance choose to spend their money on other things. The area in which this makes the greatest differece to the health care industry as a whole is in trauma care.
Senator Clinton's plan includes subsidies for those who truly cannot afford health care and is designed so that the cost will be only a certain percentage of income.
So long as there is a substantial pool of uninsured -- whatever the reasons -- health insurance carriers can continue to claim that costs must be high because the risk is not widely enough spread. At the same time, health care costs will remain artificially high to make up for losses in revenue from those who need care but who cannot pay for it.
What Hillary is seeking to do is to shift the burden of cost from the doctors and hospitals, to shift the burden of bankruptcy from the ordinary person and on to the insurance industry, one of the most profitable industries in America.
As with so many of Sen Obama's policy positions, he sounds moderate and reasonable until one reviews the practical consequences.
The ESSENTIAL DIFFERENCE between Obama's and Hillary's plans is this:

Mandated universal coverage means that this legislation will NEVER PASS.  We need support from both isles--and this just won't fly to get the crossover support that is need.

Universal coverage is a great idea and a great long-term goal.  But it is NOT going to happen in the enxt president's term.  

This sort of thinking is what made this deal crash when Hillary gave it a go in the 90s.
He lies well for an old rug.Obama is mandateing his child health care how does he enforce that??How does he account for the  unbiased experts that have looked Hillarys plans over say she is right and Obamas ads are false.Pathetic I know he is desperate and does politics like everyone else but he adds lies too. You followers seeing this and disallusioned its ok. jump on the winning wagon. Vote for Hillary you are all welcome. You wouldnt be the first to see through him or the last but be glad there is still time to make a difference.Hillary has over 100 mayors and dozens of African Americans all pulling for her . Volenteers galore, collage help and there papers help. Pa is for Hillary. The Governor  has been of so much help.There are just to many to mention. So jump on  tell your friends take all you can to the polls.Check hillaryclinton.com for offices near you and help if you need it for the 22nd.Hillarys Health Care is only one of the issues she is ready to fix right away.
Lets see, Hillary starts with the attackts and Obama responds to them...  Thats how the game is played Hillary good grief..

As far as the healthcare plans... I seriously reviewed both because on 30k a year this is something I have never been able to afford.  Most people have a job which health ins is an option but in my familys case it is not. Under contract work, companies dont have to offer any benefits such as health care or holiday pay ect....  That being said Hillarys plan FORCES me to get healthcare or be PENTALIZED if I dont.  Obamas plan while I still may not be able to afford health care at least it wont push me backwards and closer to poverty..

My family cant keep up with the increases in food and gas now yet the income stays the same and can come to an abrupt end at any given time.. I would be in heaven to make 50k a year and at times I feel it would be better if I made 15k a year so I could get assistance but we work hard and try to get ahead only to get knocked back down at every turn..

I can understand Obamas explanation on issues alot better than Hillarys explanations and I am one of those uneducated 39 y/o wf voter who by polls say I should be for Hillary but yet I am for Obama as my world now is the result of the lovely 1996 NAFTA /globalization polices care of the Clintons which has me where I am today.. Stuck no matter how hard we try..

I can honestly say I wont vote for anyone but Obama as McCain is the same as we have now and Hillary I have been through and suffered from already..

Obama 08
Let me just state for the record that I am insured with health care.  The sad thing is my wife is not and my kids go off and on as a result of their coverage with the help of the state expiring and myself fighting to get them recovered again.

I work at a company where my employer covers me for free.  I have the choice of adding a dependent to said coverage at the cost of $148 per dependent each week.   So if that was to just cover my wife and not the kids since the kids have coverage again we are talking about $592 dollars per month $7,696 per year!  Now add in the kids and that number is $444 per week, $1,776 per month and $23,088 per year.  That's like making a car payment for a new vehicle win intentions of paying it off in year one only to end up buying another one the next year.  On top of everything being inflated as is it makes it very hard to live and to be able to afford the other things that a family of four needs.

If I were forced to buy health care at these prices I would end up on the street.  I can't afford these sky high rent prices, sky high power and gas bills, marked up prices on groceries, car payment, auto insurance, clothes and kid supplies plus the addition of mandatory health.  This is why I don't like Hillary's plan.  She still has not detailed what the cost is going to be.  Will it be exactly what everyone is paying right now or will that mandatory coverage have sharp subsidies.  Sure bill can say it will, but she still has yet to say that herself.  It's her plan and as she has said countless times when discussing her disagreeing with Bill on trade.  "I'm running for President and he's not."

At least Obama's plan promises the subsidies with only a mandate to have children covered.  I agree that all children should be covered.  This way I can see what I like about the costs and take care of my wife if it's affordable.  Ironically this is the same plan Hillary passed up on when she was first lady because she stated it didn't cover everyone.  Also ironic was the release of a note she wrote to the late former Sen. Daniel Patrick Moynihan of NY in 2000 before he left office stating how sorry she was she didn't listen to him in the early 90s by accepting the Senate compromise on health even though that plan would have left 20 million uncovered.  It would have been the starting point and allowed them to try to come up with  a plan to cover everyone else.  Hillary is taking the 90s road again and what will end up happening is she will fail to get any plan across.  I will not vote for anyone who forces me to buy something I literally can't afford.
The Elistist now calling us cynical. If he has such a low impression of us why is he bothering to pander as he is??I just dont get it.Well we are bitter and cynical and you know what he forgot  PROUD.We are also for Hillary so rant somewhere else.He thinks we are such fools my cousin in Ind. has been watching and cannt wait to help Hillary there. Being offended has a way of spreading.Word of mouth sometimes is worth more than a buck.
why did the lobbyists in Boston Globe praise Obama for makeing key changes to health care bill that favored the insurers in 2007.another says contrary to political talk Obama had a willingness to hear insurers and there lobbyists in Ill.Does this sound familar?say one thing to voters another to people you think wont get out.His Health will leave a lot uninsured so price wont be as small.People with no ins. cost us more to cover it so we pay 2 times what we need to with his.larger the amount buying lower the cost.There are people now can get ins but dont want to pay the premiun till they have to.
tim,peoria,Il.   Is this supposed to be a threat?? What change exactly do you see happening with Obama? I am not being negative if it sounds it I just would like to know.What will our country and Washington look like a year after he is in if he got it. Tell us the changes he will make.I am seeing more and more of these threatening kinds of posts and I am really curious.


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