Despite the lessons provided from the failures of a single payer health care system, and despite what the campaign propaganda said, Obama is likely to attempt to install the system he actually believes in regarding health care.
"What does single-payer health care have to do with the American election, you ask? 'If I were designing a system from scratch, I would probably go ahead with a single-payer system,' Obama observed last month in New Mexico. The surprise isn’t that the Democratic presidential candidate feels that way—he made similar comments a year earlier to The New Yorker. He was even more open during the 1990s, describing himself outright as a proponent of single-payer health care.
Rather, the surprise is that Obama wasn’t called to task. Americans understand the need for health-care reform. To some groups—academics, union officials, and politicians—single-payer health care looks like a panacea. Back in the heat of the ClintonCare debates of the 1990s, more than 70 congressional Democrats voted for a Canadian-style system. Today, they remain biased in favor of such a system, even if they’re more cautious about advocating it publicly."
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