Romney, Obama can do better on health care access

By Ray Stever –

In the first presidential debate, President Barack Obama pointed out that his “Obamacare” was practically the same health care plan as the one that Gov. Mitt Romney established in Massachusetts. Not only is it the same plan, but it was put together by many of the same advisers.

In other words, both candidates seem to be on the same page when it comes to health care reform.

What did “Romneycare” in Massachusetts and Obamacare nationwide achieve? As Obama explained, Obamacare wasn’t a government takeover of health care. It is the largest expansion of private insurance. In other words, Obamacare provided a major boost for the insurance industry. Unfortunately, it falls far short of doing what the American people want and need.

Obama clearly knows that there’s a better alternative. He admitted that Medicare is far more efficient than any private insurance company. Romney said that if that is true, then anyone would rather buy Medicare than private insurance. The rub is that most Americans can’t choose Medicare.

Even the “public option” was taken off the table in the earliest stages of the discussion of health care reform in 2009. If Americans want to be covered by a health insurance plan that is comprehensive, efficient, humane and fair, we must build a nationwide movement to expand and improve Medicare to cover everything for everyone. We need to pass HR 676, the U.S National Health Care Act.

Under HR 676, all Americans would be enrolled in Medicare. It would cover all necessary medical care. That means doctors’ bills, hospital bills, prescriptions, mental and dental, eyeglasses, hearing aids, home health care assistants, nursing home care. The whole enchilada. How can we afford it? Simple. We buy these things through Medicare, which is more efficient than any private insurance company.

Not only does Medicare have an extremely low overhead (3 percent versus up to 30 for private insurance), but enrolling everyone in a single plan would streamline billing, eliminating waste and fraud. These efficiencies would save more than enough to cover all of those currently uninsured.

HR 676 would save money for every person, company, nonprofit organization or government agency that buys health insurance. Instead of paying high premiums to a private insurer, workers and employers would pay a modest contribution to Medicare. Retirees, the unemployed and children would pay nothing.

The resulting efficiencies could allow New Jersey to trim its state budget by $2.6 billion a year and eliminate nearly $60 billion in unfunded liabilities for state retirees’ health care. Consumers, businesses and nonprofits would all save money.

Plus, Medicare for All would eliminate the threat of medical bankruptcy. Illness and medical debt are currently the biggest contributors to personal bankruptcy in the United States. Many of those who are bankrupted by medical bills had health insurance when they first became ill.

Medicare for All would put doctors and patients back in control of health care decisions. No longer would bureaucrats in a cubicle somewhere decide what kind of care you can receive. Doctors could spend more time caring for the sick instead of begging some insurance company clerk to cover the care that a patient needs.

Obamacare did not solve our health care woes, but it did delay meaningful reform at the national level. Romney would do no better, and his running mate Paul Ryan wants to cut Medicare and then replace it with a voucher system.

In this election year, Americans nationwide need to vote for the candidates who have shown the most commitment to preserving the existing Medicare program. Going forward, we need to choose candidates who will expand Medicare to cover everything for everyone. We need to do this even on a state level.

We in New Jersey can follow Vermont’s example and work on establishing our own statewide Medicare for All system. In 2013, New Jersey will hold elections for governor and the Legislature. Simply by electing candidates who are committed to Medicare for All, we can end our health care crisis and New Jersey’s budget crisis.

Ray Stever is president of New Jersey One Plan One Nation, a coalition that supports expanded and improved Medicare for All in New Jersey and nationwide. Its website is


  1. Richard Heckler on October 9, 2012 at 2:56 pm

    We all understand that Obamacare is not exactly what the doctor ordered
    even though it had improvements.

    Republicans are not and will not be interested in anything else other than returning to the old status quo. Congress will still have wayyyy to many republicans to even think change.

    That would be expensive discriminating medical insurance.

    Medicare Single Payer Insurance is the only practical choice.