I think we have a moral obligation to make sure that, in a country this wealthy, you don’t have single moms not able to send their kids to a doctor because they just can’t afford it, and they don’t have insurance on their job... But having said that, I also just have a very hard-headed analysis about this, which is the path we’re on is unsustainable. If you have six, eight, 10 percent health care inflation every single year, at some point we are all broke... we can’t simply just add on a whole bunch of people to a broken system... because then you’ll just be broke that much faster...BONUS
So the cost issue is the thing that we actually think is the big driver in this whole debate... everybody agrees on this theoretically until you start getting into the specifics... resistance is not based on evidence, it’s based on people’s interests. Everybody is kind of dug in. They know that the system doesn’t work, but at least it kind of works for them in one particular aspect. And part of the reason that we did not simply design our own plan and try to jam it down the throats of Congress is we want them to see some of the contradictions in their own positions...
Not everything is going to be implemented now. And this, by the way, goes to a broader issue with respect to our budget... the budget document that we put forward is a 10-year document. We are, like any organization — just like all of yours, we have to do long-term planning even as we’re addressing short-term issues. If we don’t do the long-term planning, then we end up having more short-term issues again and again...
We’re not going to have instant health IT all next year. The same is true on the energy front... But if we don’t start now, if we wait until — to have the debate in 2012, and then suddenly it turns out that oil is at $150 a barrel again, and we say, oh, why is it that we didn’t start thinking about this and making some steps now to figure this out. Well, that’s what Washington does. You guys could not run your business that way. And so the notion that we are doing some long-term planning now and trying to get this town to think long term, that somehow that’s a distraction just defies every sound management practice that I’ve ever heard of.
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It is in their own best interest to not understand those contradictions, so good luck with that.
posted by DreamerFi at 9:33 AM on March 15, 2009