Finally, Mr. Obama is storing up trouble for health reformers by suggesting that there is something nasty about plans that “force every American to buy health care.”
Look, the point of a mandate isn’t to dictate how people should live their lives — it’s to prevent some people from gaming the system. Under the Obama plan, healthy people could choose not to buy insurance, then sign up for it if they developed health problems later. This would lead to higher premiums for everyone else. It would reward the irresponsible, while punishing those who did the right thing and bought insurance while they were healthy.
Here’s an analogy. Suppose someone proposed making the Medicare payroll tax optional: you could choose not to pay the tax during your working years if you didn’t think you’d actually need Medicare when you got older — except that you could change your mind and opt back in if you started to develop health problems.
Can we all agree that this would fatally undermine Medicare’s finances? Yet Mr. Obama is proposing basically the same rules for his allegedly universal health care plan.
Obama's way of playing health care shows he cares more about independents than actual policy. Which is a death knell if you think for two seconds you can take on the insurance companies and private profits coming from the status quo and come out with some form of policy that will be effective and successful.